Original scientific paper
https://doi.org/10.20471/acc.2023.62.s1.03
Laryngeal Mask Airway versus Endotracheal Intubation for Adenoidectomy in Outpatient Surgery – Single Center Experience
Elora Pavla Matanović
; Department of Anesthesiology, Resuscitation and Intensive Care, Zabok General Hospital, Zabok, Croatia; Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb University Hospital Center, Zagreb, Croatia
Tea Pašalić
; Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb University Hospital Center, Zagreb, Croatia
Iva Botica
; Department of Otorhinolaryngology and Head and Neck Surgery, Zagreb University Hospital Center, Zagreb, Croatia
Renata Curić Radivojević
; Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb University Hospital Center, Zagreb, Croatia
Abstract
Adenoidectomy with or without tonsillectomy remains one of the most routinely
performed surgical procedures in children. The duration of the procedure is usually less than half an
hour and is done in a day surgery setting. Airway management for adenoidectomy can be especially
challenging as the airway is shared between the surgeon and the anesthesiologist. The gold standard
for airway management is an endotracheal tube (ETT), even though there has been an increase in the
use of laryngeal mask airway (LMA) over the past decade. This retrospective study investigated patient
data collected over a 4-year period (2016 to 2020). Data included 210 cases in a day surgery setting.
We analyzed the choice of airway device and use of neuromuscular blockers and analgesics for pain
management. The use of LMA was noted in 67.62% while endotracheal intubation was performed in
32.38% of cases. LMA resulted in fewer respiratory complications compared to ETT (p=0.006). The
need for neuromuscular blockers was also lower in the LMA group (p=0.01). There was no statistically
significant difference in the intraoperative dose of opioid analgesia (p=0.09). Flexible LMA is a satisfactory
alternative to endotracheal intubation for outpatient pediatric adenoidectomy.
Keywords
Endotracheal tube; Laryngeal mask airway; Adenoidectomy
Hrčak ID:
307445
URI
Publication date:
1.4.2023.
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