Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2008
Randomized Controlled Trial Comparative StudyLaryngeal mask airway insertion in children: comparison between rotational, lateral and standard technique.
The purpose of the study was to compare the success and ease of insertion of three techniques of laryngeal mask airway (LMA) insertion; the standard Brain technique, a lateral technique with cuff partially inflated and a rotational technique with cuff partially inflated. ⋯ A rotational technique with partially inflated cuff is associated with the highest success rate of insertion and lowest incidence of complications and could be the technique of first choice for LMA insertion in pediatric patients.
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Pediatric laryngospasm is an anesthetic emergency. It is a relatively common phenomenon that occurs with varying frequency dependent on multiple factors. In view of this and the clear risks to the patient when it occurs, a consensus committee has been established to determine the evidence based management of this condition. This article will cover the definition, causes and recognition of laryngospasm and the evidence behind a proposed algorithm for its' management.
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Paediatric anaesthesia · Apr 2008
Intervention steps for treating laryngospasm in pediatric patients.
Laryngospasm, a potentially life-threatening complication of anesthesia, is reported more commonly in children (17.4/1000) than in the general population (8.7/1000). However, there are no clinical data on the optimal type and sequence of therapeutic interventions. We therefore characterized the interventions used at St. Jude Children's Research Hospital. ⋯ In the largest single-institution study to date of laryngospasm in pediatric patients, we found a rate of 1/1000 cases. Treatment followed a basic algorithm comprising continuous positive airway pressure, deepening of anesthesia, muscle relaxation and tracheal intubation.