Related Experiment Video
Updated: Jul 1, 2026
04:46
A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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
Summary
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.
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.
Related Concept Videos
01:16Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
01:30Administering Oxygen by Mask
Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
01:29Suctioning the Nasopharyngeal Airway
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
01:25Suctioning the Oropharyngeal Airway
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...