The use of flexible laryngeal mask airway for Adenoidectomies: An experience of 814 Paediatric patients | [Pakistan Journal of Medical Sciences • 2017]

Author(s):

1. Ozlem Ozmete: Department of Anesthesiology and Reanimation,Baskent University School of Medicine, Adana, Turkey.

2. Mesut Sener: Department of Anesthesiology and Reanimation,Baskent University School of Medicine, Adana, Turkey.

3. Esra Caliskan: Department of Anesthesiology and Reanimation,Baskent University School of Medicine, Adana, Turkey.

4. Meltem Kipri: Department of Anesthesiology and Reanimation,Baskent University School of Medicine, Adana, Turkey.

5. Anis Aribogan: Department of Anesthesiology and Reanimation,Baskent University School of Medicine, Adana, Turkey.

Abstract:

Objective: To assess flexible laryngeal mask airway (F-LMA) use during pediatric adenoidectomies in terms of patient safety, comfort, complication rates and surgeon satisfaction levels. Methods: Patients who had undergone an elective adenoidectomy after receiving general anesthesia using F-LMA from June 2012 to November 2015 were included. Patients' demographics and the incidence of perioperative complications were investigated. The surgeon's satisfaction level was also evaluated by questionnaire. Results: Eight hundred fourteen patient were included in the study. Conversion from F-LMAto an endotracheal tube was carried out in two patients (0.2%). Airway complications were identified in two patients. The mean duration of stay in the postoperative anesthesia care unit was 17 minutes. All patients were discharged the same day. According to the otolaryngologists F-LMA applications provide a significant reduction in the processing time (100%), postoperative patient comfort is better than when using endotracheal intubation (83.3%) and the consensus was that there should be a complete continuation of the use of the F-LMA (100%) in subsequent adenoidectomies. Conclusion: Our data show that the use of F-LMA for pediatric adenoidectomies has well tolerability profile and resulted in a lower incidence of complications. We think that the use of F-LMA for pediatric adenoidectomy is safer, simpler and speeder method.

Page(s): 823-828

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 33, Issue: 4, Year: 2017

Keywords:

Children , adenoidectomy , Peroperative complications , Flexiblelaryngeal mask airway

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