Safety and Efficacy of Pediatric General Anesthesia by Laryngeal Mask Airway Without Intravenous Access
ABSTRACT
The safety and efficacy of the laryngeal mask airway (LMA) has been reported by numerous large-scale studies. However, they do not address the issue of whether an intravenous (IV) is required for pediatric general anesthesia (GA) where access is challenging due to anatomical considerations and a lack of cooperation. The aims of this study are to determine whether pediatric GA by LMA without IV access affected placement rates, procedure times and rates of anesthetic complications. Children who met these criteria at the UIC Surgicenter in the two year period prior to August 30, 2005 were selected. A retrospective chart review was conducted to determine patient demographics, ASA class, procedure, placement success, IV placed if any, time to incision, and any anesthetic complications. 241 patients without IV access and 41 patients with IV access were included. No significant differences were found between the groups in the rates of LMA placement or anesthetic complications. Significant differences were found in times to incision overall and for ophthalmology exams under anesthesia and lacrimal duct probings. Pediatric GA by LMA without IV access demonstrated a similarly high placement rate, shorter procedure times and a low rate of complications in comparison with the control group.
The safety and efficacy of the laryngeal mask airway (LMA) has been reported by numerous large-scale studies. However, they do not address the issue of whether an intravenous (IV) is required for pediatric general anesthesia (GA) where access is challenging due to anatomical considerations and a lack of cooperation. The aims of this study are to determine whether pediatric GA by LMA without IV access affected placement rates, procedure times and rates of anesthetic complications. Children who met these criteria at the UIC Surgicenter in the two year period prior to August 30, 2005 were selected. A retrospective chart review was conducted to determine patient demographics, ASA class, procedure, placement success, IV placed if any, time to incision, and any anesthetic complications. 241 patients without IV access and 41 patients with IV access were included. No significant differences were found between the groups in the rates of LMA placement or anesthetic complications. Significant differences were found in times to incision overall and for ophthalmology exams under anesthesia and lacrimal duct probings. Pediatric GA by LMA without IV access demonstrated a similarly high placement rate, shorter procedure times and a low rate of complications in comparison with the control group.
KEYWORDS
Pediatric Anesthesia, Anesthesia Efficacy, LMA Safety, General Anesthesia Without Intravenous Cannulation
Pediatric Anesthesia, Anesthesia Efficacy, LMA Safety, General Anesthesia Without Intravenous Cannulation
Cite this paper
nullB. BSc, Z. Messieha and W. Hoffman, "Safety and Efficacy of Pediatric General Anesthesia by Laryngeal Mask Airway Without Intravenous Access," International Journal of Clinical Medicine, Vol. 2 No. 3, 2011, pp. 328-331. doi: 10.4236/ijcm.2011.23057.
nullB. BSc, Z. Messieha and W. Hoffman, "Safety and Efficacy of Pediatric General Anesthesia by Laryngeal Mask Airway Without Intravenous Access," International Journal of Clinical Medicine, Vol. 2 No. 3, 2011, pp. 328-331. doi: 10.4236/ijcm.2011.23057.
References
[1] Verghese C, Brimacombe J. Survey of Laryngeal Mask Airway Usage in 11,910 Patients: Safety and Efficacy for Conventional and Nonconventional Usage. Anesth Analg. 1996; 82: 129-133. [2] Mason DG, Bingham RM. The Laryngeal Mask Airway in Children. Anaesthesia. 1990; 45: 760-763. [3] Lopez-Gil M, Alvarez M. Safety and Efficacy of the Laryngeal Mask Airway: a Prospective Survey of 1400 Children. Anaesthesia. 1996; 51: 969-972. [4] Haupert MS, Pascual C, Mohan A., Bartecka-Skrzypek B., Zestos M. Parental Satisfaction with Anesthesia Without Intravenous Access for Myringotomy. Arch Otolaryngol Head Neck Surg. 2004; 130: 1025-1028. [5] Riazi J, Morrison DE. The Laryngeal Mask Airway in Pediatric Anesthesia. Anesthesiol Clin. 1998; 16; 813- 825.
[1] Verghese C, Brimacombe J. Survey of Laryngeal Mask Airway Usage in 11,910 Patients: Safety and Efficacy for Conventional and Nonconventional Usage. Anesth Analg. 1996; 82: 129-133. [2] Mason DG, Bingham RM. The Laryngeal Mask Airway in Children. Anaesthesia. 1990; 45: 760-763. [3] Lopez-Gil M, Alvarez M. Safety and Efficacy of the Laryngeal Mask Airway: a Prospective Survey of 1400 Children. Anaesthesia. 1996; 51: 969-972. [4] Haupert MS, Pascual C, Mohan A., Bartecka-Skrzypek B., Zestos M. Parental Satisfaction with Anesthesia Without Intravenous Access for Myringotomy. Arch Otolaryngol Head Neck Surg. 2004; 130: 1025-1028. [5] Riazi J, Morrison DE. The Laryngeal Mask Airway in Pediatric Anesthesia. Anesthesiol Clin. 1998; 16; 813- 825.