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Related Experiment Video

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LMA® Gastro™: A paediatric experience.

Charlotte L Taylor^1,2, Steven R Wilson^1,2, Laura L Burgoyne¹

¹Department of Children's Anaesthesia, Women's and Children's Hospital, Adelaide, Australia.

Anaesthesia and Intensive Care

|April 15, 2021

Summary

The LMA® Gastro™ device provides a safe and effective airway for pediatric patients undergoing upper gastrointestinal endoscopy. This novel airway device demonstrated high success rates for both airway maintenance and endoscopic procedures in children.

Keywords:

Endoscopy airway management gastroenterology paediatric supraglottic airway device

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Area of Science:

Anesthesiology
Pediatric Gastroenterology

Background:

The LMA® Gastro™ is a novel airway device designed for upper gastrointestinal endoscopy.
Previous validation studies focused on adult populations, leaving a gap in pediatric data.

Purpose of the Study:

To evaluate the safety and efficacy of the LMA® Gastro™ in a pediatric population for elective upper GI endoscopy.
To assess airway and endoscopy outcomes associated with the LMA® Gastro™ in children.

Main Methods:

Prospective data collection over four months using a pre-existing endoscopy audit framework.
Inclusion of 55 pediatric patients undergoing elective upper GI endoscopy with the LMA® Gastro™ as the primary airway device.
Data captured by the treating anesthesiologist included airway and endoscopy outcomes.

Main Results:

The LMA® Gastro™ provided an adequate airway in 94.5% of patients (52/55).
Successful insertion on the first attempt was achieved in 88.5% of cases, with 96.2% rated as 'easy' by anesthesiologists.
Endoscopy success rate was 100% in patients with a successfully inserted airway, with 98% first-pass esophageal access.

Conclusions:

The LMA® Gastro™ is a highly successful airway device for pediatric patients undergoing elective upper GI endoscopy.
The device offers a valuable option for airway management and facilitates successful endoscopic procedures in children.
Despite initial inexperience, the LMA® Gastro™ demonstrated high efficacy and safety in this pediatric cohort.