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Updated: Mar 12, 2026

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

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Evaluation of Laryngeal Mask Airway Use in Pediatric Bronchoscopy: A 10-Year Retrospective Study

Yasar Gokhan Gul1, Sedat Oktem2, Pelin Karaaslan1

  • 1Department of Anesthesiology and Reanimation, Istanbul Medipol University Hospital, Istanbul, Turkey.

Pediatric Pulmonology
|March 11, 2026
PubMed

Insights

Laryngeal mask airway (LMA) use in pediatric bronchoscopy improves oxygenation and reduces complications compared to mask ventilation, especially in younger children. This airway management option enhances patient safety during procedures.

Area of Science:

  • Pediatric Anesthesiology
  • Respiratory Care
  • Airway Management

Background:

  • Limited data exists on laryngeal mask airway (LMA) effectiveness and safety in pediatric flexible bronchoscopy, particularly concerning age-specific outcomes.
  • This study addresses the need for comparative data on LMA versus mask ventilation for airway management in children undergoing flexible bronchoscopy.

Purpose of the Study:

  • To evaluate the effectiveness and safety of LMA compared to mask ventilation during pediatric flexible bronchoscopy.
  • To analyze age-specific outcomes, focusing on oxygenation parameters and complication rates across different pediatric age groups.

Main Methods:

  • Retrospective analysis of 212 pediatric patients (1-12 years) undergoing flexible bronchoscopy (2014-2023).
  • Patients were stratified into early childhood (1-5 years) and late childhood (5-12 years) groups.
  • Primary outcomes: intraoperative oxygen saturation (SpO2) and desaturation events; Secondary outcomes: anesthesia time and complications.

Main Results:

  • LMA use significantly increased intraoperative SpO2 in both early (94.4% vs. 92.6%) and late childhood (93.9% vs. 92.3%).
  • The early childhood LMA group experienced lower complication rates (7.9% vs. 19.5%) and fewer desaturations (7.9% vs. 22.1%).
  • While LMA use prolonged procedure duration, it led to more stable oxygenation with fewer interruptions.

Conclusions:

  • Laryngeal mask airway (LMA) offers superior oxygenation and a reduced complication profile compared to mask ventilation in pediatric bronchoscopy.
  • The benefits are particularly pronounced in early childhood, supporting LMA as a safe and effective airway management strategy.
  • Despite longer procedures, LMA's improved safety profile justifies its use in pediatric flexible bronchoscopy.
Abstract

Keywords:
airway managementanesthesiabronchoscopyhypoxialaryngeal mask airwaypediatricpulse oximetry

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