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Current practice patterns of supraglottic airway device usage in paediatric patients amongst anaesthesiologists: A

Ruchi A Jain1, Devangi A Parikh1, Anila D Malde1

  • 1Department of Anaesthesiology, Lokmanya Tilak Municipal General Hospital, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India.

Indian Journal of Anaesthesia
|May 4, 2018
PubMed

Insights

Second-generation supraglottic airway devices (SGADs) are widely used in Indian pediatric anesthesia. However, safe practices like capnography and pressure monitoring are often neglected, posing risks during airway management.

Area of Science:

  • Anesthesiology
  • Pediatric Anesthesia
  • Airway Management

Background:

  • Supraglottic airway devices (SGADs) are increasingly utilized for pediatric airway management during general anesthesia.
  • This study assesses nationwide practice patterns of SGAD usage in Indian pediatric patients.

Purpose of the Study:

  • To evaluate the current practices and challenges associated with supraglottic airway device (SGAD) usage in pediatric anesthesia across India.

Main Methods:

  • A nationwide survey using a 28-question questionnaire distributed online and manually to anesthesiologists.
  • Data collected from 405 valid responses from the Indian Society of Anaesthesiologists and Asian Society of Paediatric Anaesthesiologists conference attendees.

Main Results:

  • The i-gel device was most common (60.74%), with second-generation SGADs preferred over first-generation (60.74% vs 39.26%).
  • SGADs were used in challenging scenarios, but 60% avoided them in laparoscopic surgery. Reuse of disposable devices was high (77.28%).
  • Common issues included size selection, positioning, and ventilation maintenance. Oropharyngeal seal and cuff pressures were frequently unmeasured.

Conclusions:

  • Second-generation SGADs are prevalent in Indian pediatric anesthesia.
  • Safe practices, including capnography, oropharyngeal seal pressure, cuff pressure measurement, and proper disinfection, are significantly lacking.
  • There is a need to improve adherence to safety protocols for SGAD use in pediatric patients.
Abstract

Keywords:
Airway managementdisinfectionlaryngeal maskspaediatric anaesthesiasupraglottic airway devicesurvey

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