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Suctioning the Oropharyngeal Airway01:25

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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

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Published on: January 18, 2011

Laryngeal mask insertion in children: a rational approach.

Pankaj Kundra1, R Deepak, M Ravishankar

  • 1Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India. pankajkundra@satyam.net.in

Paediatric Anaesthesia
|October 11, 2003
PubMed
Summary
This summary is machine-generated.

A partially inflated laryngeal mask airway (LMA) cuff inserted laterally improves pediatric insertion success. This method reduces insertion time and gastric insufflation compared to the midline approach with a deflated cuff.

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Laryngeal Mask Airway (LMA) Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway (SGA)

Published on: July 14, 2023

Area of Science:

  • Anesthesiology
  • Pediatric Anesthesia
  • Airway Management

Background:

  • Laryngeal mask airway (LMA) insertion techniques vary in adults, with limited pediatric trials.
  • Pediatric LMA success rates differ with recommended methods.

Purpose of the Study:

  • To compare the efficacy of two LMA insertion techniques in children.
  • To evaluate LMA insertion ease, position, and gastric insufflation in pediatric patients.

Main Methods:

  • 62 ASA 1-2 children received LMA insertion via midline with a deflated cuff (MD) or lateral with a partially inflated cuff (LP).
  • Propofol was the sole induction agent.
  • Ease of insertion, fiberoptic position, and gastric insufflation were assessed.

Main Results:

  • Group LP showed fewer attempts and significantly reduced insertion time (14.4s vs 23.1s).
  • Group MD had a higher incidence of LMA malposition (13% vs 0%) and gastric insufflation (42% vs 10%).
  • Higher end-tidal CO2 was observed in children with grade 3 fiberoptic views; LMA blood staining was more frequent in group MD (13% vs 3%).

Conclusions:

  • Lateral insertion with a partially inflated LMA cuff is superior in children.
  • Grade 3 fiberoptic views may correlate with significant CO2 buildup in spontaneously breathing children.