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Airway management: A comparative study in cleft lip and palate repair surgery in children

Jayashree Sen1, Bitan Sen2

  • 1Department of Anaesthesiology, Goldfield Institute of Medical Sciences and Research, Ballabgargh, Faridabad, India.

Anesthesia, Essays and Researches
|April 18, 2015
PubMed

Insights

The study found the RAE tube to be the safest option for anesthesia in children undergoing cleft lip and palate repair, minimizing airway complications. This research aids in averting complications during these crucial surgeries.

Area of Science:

  • Pediatric Anesthesiology
  • Craniofacial Surgery
  • Congenital Malformations

Background:

  • Cleft lip with or without palate is a common congenital malformation.
  • Anesthesia management for cleft repair requires careful consideration of airway patency.
  • The study addresses the need for safe anesthetic practices in pediatric craniofacial surgery.

Purpose of the Study:

  • To evaluate per-operative anesthetic complications in children undergoing cleft lip and palate repair.
  • To compare the safety and efficacy of different endotracheal tubes used in the institute.
  • To identify the optimal endotracheal tube for averting complications in future procedures.

Main Methods:

  • A comparative study was conducted on children in the rural population of Tripura, India.
  • Anesthesia was administered using available endotracheal tubes.
  • Per-operative complications were systematically recorded and analyzed.

Main Results:

  • Increased awareness led to a considerable rise in cleft lip and palate repair surgeries.
  • The incidence of repair surgeries increased significantly at Dr. B. R. Ambedkar Memorial Teaching Hospital.
  • Specific data on tube-related complications were gathered for comparative analysis.

Conclusions:

  • The Ring-Adair-Elwyn (RAE) tube is identified as the preferred choice for anesthesia in cleft lip and palate repair.
  • RAE tubes offer a minimal risk for maintaining a patent airway.
  • Utilizing RAE tubes can significantly reduce related anesthetic complications in this pediatric population.
Abstract

Keywords:
Anesthetic complicationMagill endotracheal tubesRAE endotracheal tubeadaircleft lip and palateelwyn endotracheal tubesfree surgeryring

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