Related Experiment Video

Updated: Nov 7, 2025

Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA
04:56

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

Published on: July 14, 2023

3.8K

Can Positive-Pressure Ventilation be Administered with Laryngeal Mask to Pediatric Patients Undergoing Laparoscopic

Hacer Sebnem Turk1, Pinar Sayin1, Leyla Kilinc1

  • 1Department of Anesthesiology and Reanimation, University of Health Sciences Turkey, Sisli Hamidiye Etfal Teaching and Research Hospital, Istanbul, Turkey.

Sisli Etfal Hastanesi Tip Bulteni
|May 3, 2021
PubMed

Insights

Laryngeal mask airway (LMA) use in pediatric laparoscopic surgery offers faster recovery and comparable blood gas results and airway pressures to orotracheal intubation, proving it a safe airway management option.

Area of Science:

  • Pediatric Anesthesiology
  • Surgical Airway Management
  • Minimally Invasive Surgery

Background:

  • Laparoscopic inguinal hernia repair in children requires effective airway management.
  • Both orotracheal intubation and laryngeal mask airway (LMA) are used for airway control.
  • Evaluating the impact of different airway devices on physiological parameters is crucial.

Purpose of the Study:

  • To compare the effects of laryngeal mask airway (LMA) versus orotracheal intubation.
  • To assess blood gas results, end-tidal CO2, and airway pressures during pediatric laparoscopic surgery.
  • To determine the safety and efficacy of LMA in pediatric laparoscopic procedures.

Main Methods:

  • Prospective randomized study of 150 pediatric patients (1-8 years) undergoing laparoscopic inguinal hernia repair.
  • Group 1: Orotracheal intubation; Group 2: Laryngeal mask airway (LMA).
  • Monitored blood gases, end-tidal CO2, hemodynamics, airway pressures, and recovery times.

Main Results:

  • No significant differences in blood gas levels (pH, PCO2, PO2) between LMA and intubation groups.
  • Hemodynamic parameters, end-tidal CO2, tidal volumes, and airway pressures were comparable.
  • Anesthesia and recovery durations were shorter with LMA compared to orotracheal intubation.

Conclusions:

  • Laryngeal mask airway (LMA) is a safe and effective alternative to orotracheal intubation in pediatric laparoscopic surgery.
  • LMA use is associated with faster patient recovery.
  • No adverse effects on blood gas homeostasis or airway pressures were observed with LMA use.
Abstract

Keywords:
Laparoscopic surgeryLaryngeal mask airwayPediatric patient

More Related Videos

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

21.7K
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair05:15

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

7.0K

Related Concept Videos

Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary 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...
253
Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
348
Mechanical Ventilation II: Invasive Ventilation01:23

Mechanical Ventilation II: Invasive Ventilation

Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
405
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
254
Ventilatory Modes01:14

Ventilatory Modes

Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
733
Suctioning the Nasopharyngeal Airway01:29

Suctioning 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
1.7K