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Comparison of Proseal Laryngeal Mask Airway and Endotracheal Tube for intubation in Paediatric Patients for Surgical Procedures of Short Duration

S. Chitra Devi, Assistant Professor, Department of Anaesthesiology, Government Stanley Medical College and Hospital, Chennai, Tamilnadu 600001, India. , S. Chitra Devi1 , M.K. Narasimhan2

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Indian Journal of Anesthesia and Analgesia 5(6):p 928-935, June 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5618.8

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Abstract

Introduction: Proseal LMA produce very less sorethroat and cough when compared to the endotracheal tube in paediatric patients for short duration surgeries.

Aim: To compare the pediatric proseal LMA with endotracheal tube for intubation in pediatric patients undergoing elective surgeries short duration under general anesthesia with respect to ease of insertion, hemodynamic response and complications.

Methodology: After getting consent and Ethical committee approval eighty patients were selected based on the inclusion and exclusion criteria and randomly allocated into one of the 2 equal groups GROUP P-Proseal laryngeal mask group and GROUP T-Endotracheal group. General anaesthesia given as per routine in our hospital. Group P Proseal LMA of 2 size inserted. GROUP T: Appropriate sized Endo tracheal tube inserted. Maintained with nitrous oxide 66% and oxygen 33% with sevoflurane 0.2-0.4%. Hemodynamics, number of attempts and failure of insertion noted.

Results: Using endotracheal tube 92.5% patients were intubated in the first attempt, 3 (7.5%) required a second intubation attempt. In the proseal laryngeal mask airway group, the first attempt success rate was 82.7% (31 patients). A second attempt was required in 17.3% (9 patients). Heart rate was significantly higher in ETT group during the first Ten minutes of insertion than the Group P. More incidence of cough with ETT while more incidence of blood on the device with proseal LMA. Data analysed using chi square and student t test.

Conclusion: we concluded that the proseal laryngeal mask airway could be an effective alternative to endotracheal intubation in children undergoing short duration elective procedures under general anaesthesia.

 

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5618.8

Keywords

Proseal LMA; Endo Tracheal Tube; Number of Attempts; Paediatric Surgery.

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