Laryngeal mask airway insertion in pediatric patients: Comparison of Inventor’s technique with laryngoscopic insertion
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 3, Issue 2
Abstract
Background: The Laryngeal mask airway (LMA) is the development of a new concept in upper airway management and its use is becoming increasingly common in children. Insertion of LMA using Inventor’s technique is a blind technique as the airway is not visualized during insertion. This prospective study in paediatric patients was conducted to find out success rate of LMA insertion with Inventor’s technique as compared to laryngoscopic insertion. Material and Methods: A total of 150 patients of both sexes, ranging in age from 2 to 12 years, weighing between 6 to 30 kilograms were included. They were grouped as Group I- Blind insertion of LMA- Insertion of LMA using Inventor’s technique was attempted in 50 patients. Group II-Insertion of LMA with MacIntosh laryngoscope in 50 patients. Group III- Insertion of LMA with MacCoy’s laryngoscope in 50 patients. Results: The success rate of LMA insertion was 94% in group I, 96% in group II and 98% in group III. In group II and group III, the LMA was inserted successfully in I attempt in maximum patients, while group I required subsequent attempts to insert the LMA. The LMA efficacy was perfect in 34 (68%), 46 (92%) and 48 (96%) in group I, II and III respectively.
Authors and Affiliations
Varsha Keshavrao Warke, Ravindra B Jalkote
Keywords
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