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Laryngeal Mask Airway (LMA) Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway (SGA)
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The size 1.5 laryngeal mask airway (LMA) in paediatric anaesthetic practice

O Bagshaw1

  • 1Birmingham Children's Hospital, Birmingham, UK. sue.spargo@bhamchildrens.wmids.nhs.uk

Paediatric Anaesthesia
|June 13, 2002
PubMed

Insights

The size 1.5 laryngeal mask airway (LMA) is useful for infants weighing 5-10 kg, but complications like airway obstruction were frequent, especially in younger children.

Area of Science:

  • Anesthesiology
  • Pediatric Anesthesia
  • Airway Management

Background:

  • A new size 1.5 laryngeal mask airway (LMA) has been developed for pediatric patients weighing 5-10 kg.
  • This device is intended for routine surgical procedures in infants.

Purpose of the Study:

  • To prospectively evaluate the clinical use and safety of the size 1.5 LMA in pediatric patients.
  • To determine the incidence and nature of complications associated with its use.

Main Methods:

  • Prospective evaluation of 68 pediatric patients (mean age 8.7 months) undergoing surgery.
  • Data collection on LMA placement, airway events, and complications.

Main Results:

  • A high overall complication rate of 42% was observed.
  • Complications, including airway obstruction and laryngospasm, were more frequent in younger patients.
  • Seven critical incidents occurred, predominantly related to LMA use.

Conclusions:

  • The size 1.5 LMA is a valuable device for airway management in eligible infants.
  • The complication rate is significant and inversely proportional to the child's age, necessitating careful monitoring.
Abstract

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