Laryngeal Mask Airway Removal, Respiratory Complication
Conditions
Brief summary
The purpose of this prospective, randomized study was to compare the incidence of adverse events associated with removal of the LMA either in deeply anesthetised or awake patients.
Detailed description
Written informed consent was obtained from parents for this prospective, randomized study conducted on children scheduled for minor surgery. Anesthesia was induced with sevoflurane, supplemented with propofol (3mg/kg) then maintained with nitrous oxide and sevoflurane 2-4% in oxygen. Analgesia was insured by peripheral nerve blocks. Included children were randomized into 2 groups: * Awake: the LMA was left in place until the patient fully regained consciousness * Deeply anesthetised: the LMA was immediately removed once the halogenated anesthetic turned off, and ventilation using facial mask was carried until spontaneous ventilation recovery. Respiratory complications that occurred during LMA removal until 20 minutes afterwards were recorded. Children with respiratory history and those for whom peripheral nerve blocks failed, were excluded.
Interventions
OTHERLMA removal
According to randomization, LMA device was removed at the end of surgery, either in deeply anesthetised patients or after consciousness recovery.
Sponsors
Hôpital d'enfants Béchir-Hamza
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
1 Years to 15 Years
Healthy volunteers
No
Inclusion criteria
* Children scheduled for minor surgery
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Occurence of respiratory adverse events | from LMA removal to 20 minutes afterwards |
Countries
Tunisia
Outcome results
None listed