• Paediatric anaesthesia · Nov 2001

    Randomized Controlled Trial Comparative Study Clinical Trial

    Downfolding of the epiglottis induced by the laryngeal mask airway in children: a comparison between two insertion techniques.

    • Y Tsujimura.
    • Department of Anaesthesia, Yamada Red Cross Hospital, Misono-mura, Watarai-gun, Mie, Japan. GHD02235@nifty.ne.jp
    • Paediatr Anaesth. 2001 Nov 1; 11 (6): 651-5.

    BackgroundThe purpose of this study was to compare the incidence of the downfolding of the epiglottis in children during insertion of the laryngeal mask airway (LMATM) using the standard technique and an alternative technique with the cuff partially inflated.MethodsEighty paediatric patients were randomized into two groups and were anaesthetized using the LMA inserted with one of the two techniques.ResultsThere was no difference in the successful rate of insertion, fibreoptic findings and the lowest intraoperative SpO2 between the two groups.ConclusionsThe partially inflated cuff insertion technique does not increase the incidence of the downfolding of the epiglottis in children and would be an acceptable alternative to the standard technique.

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