Pediatric Urologic Surgery
Conditions
Keywords
fiberoptic, LMA, caudal block
Brief summary
LMA(Laryngel Mask Airway) is useful for pediatrics surgery, and there are various methods of LMA insertion. When the investigators evaluate the LMA position, the investigators can use fiberoptic bronchoscope (Grade 1 to 4). For pediatric patients, clinical signs(airway pressure\<20cmH2O, expiratory CO2 level)are seen normal but the grade is 3 or 4. And this will bring high risk of aspiration. Recent studies reported the LMA position after general anesthesia induction not after operation. Therefore, the investigators will observe the LMA position three times; after general anesthesia induction, after caudal block, and after operation as well as the difference regarding to spontaneous and controlled ventilation.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. ASA physical status 1 or 2, 2. pediatric patients from 1month to 7 years old 3. under general anesthesia using LMA 4. getting informed consent from the guardian
Exclusion criteria
1. difficult airway 2. airway diseases ; URI, asthma, pneumonia 3. not getting informed consent from the guardian
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| sucess rate of LMA insertion | 1 hour |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| FOB(fiberoptic bronchoscope) grading of LMA position | 1 hour | Grade 1: only the larynx visible, Grade 2: larynz and epiglottis visible, Grade 3: epiglottis was impinging on the LMA grille, Grade 4: epiglottis was downfolded and the larynx could not be seen) |
Countries
South Korea