Translational pediatrics · 2025
Laryngeal mask versus intubation on adverse reactions in pediatric retinoblastoma patients.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Huo Fei, Liang Hansheng, Gao Lan, Liang Jianhong, Liu Huixin, Feng Yi, An Haiyan
Аннотация
BACKGROUND: Children undergoing enucleation surgery for conditions such as retinoblastoma require general anesthesia with airway management techniques. Both laryngeal mask airway (LMA) and endotracheal intubation (ETT) are commonly used in pediatric anesthesia, but their comparative efficacy and safety in this specific context remain unclear. The objective of this study was to compare the efficacy and safety of LMA versus ETT in children undergoing enucleation surgery.
METHODS: A retrospective review of consecutive patients in Peking University People's Hospital from 2007 to 2020 who underwent eye removal surgery was included in our study. Fifty-eight eligible patients were divided into Group A (ETT, n=35) and Group B (LMA, n=23) according to the type of anesthesia. The patients' demographic data were recorded and analyzed. The heart rate (HR) and mean arterial pressure (MAP) were retrieved at different time points to compare the efficacy between LMA and ETT. Perioperative complications were recorded to compare the safety between LMA and ETT.
RESULTS: In total, 39.66% (23/58) of the patients received LMA. Patients with LMA placement in Group B had a significantly lower HR before skin incision than those in Group A (P=0.02). In Group B, one patient experienced laryngeal spasm after the removal of the laryngeal mask, and one patient experienced a second attempt of LMA insertion due to poor alignment of the laryngeal mask at the first time.
CONCLUSIONS: LMA intubation provides more stable perioperative conditions for children undergoing eye enucleation surgery. LMA intubation does not generate more adverse events than ETT.
METHODS: A retrospective review of consecutive patients in Peking University People's Hospital from 2007 to 2020 who underwent eye removal surgery was included in our study. Fifty-eight eligible patients were divided into Group A (ETT, n=35) and Group B (LMA, n=23) according to the type of anesthesia. The patients' demographic data were recorded and analyzed. The heart rate (HR) and mean arterial pressure (MAP) were retrieved at different time points to compare the efficacy between LMA and ETT. Perioperative complications were recorded to compare the safety between LMA and ETT.
RESULTS: In total, 39.66% (23/58) of the patients received LMA. Patients with LMA placement in Group B had a significantly lower HR before skin incision than those in Group A (P=0.02). In Group B, one patient experienced laryngeal spasm after the removal of the laryngeal mask, and one patient experienced a second attempt of LMA insertion due to poor alignment of the laryngeal mask at the first time.
CONCLUSIONS: LMA intubation provides more stable perioperative conditions for children undergoing eye enucleation surgery. LMA intubation does not generate more adverse events than ETT.