Research & Innovation in Anesthesia

Register      Login

VOLUME 3 , ISSUE 2 ( July-December, 2018 ) > List of Articles

Original Article

An Audit of Use of Supraglottic Airway Devices in Pediatric Patients

Neha Dargad, Nandini Dave

Keywords : Bronchospasm, Dislodgement, Laryngospasm, Pediatric

Citation Information : Dargad N, Dave N. An Audit of Use of Supraglottic Airway Devices in Pediatric Patients. Res Inno Anesth 2018; 3 (2):33-36.

DOI: 10.5005/jp-journals-10049-0047

License: CC BY-NC 4.0

Published Online: 01-09-2019

Copyright Statement:  Copyright © 2018; The Author(s).


Aim: Pediatric patients have unique anatomical, physiological and pharmacological characteristics. The process of administering anesthesia for pediatric surgeries is quite challenging. Such cases are usually performed under general anesthesia using face masks, endotracheal tubes (ETT) or supraglottic airways (SGA) depending upon type and duration of surgery. Use of SGA has various advantages over the other two and their use is increasing day by day. We carried out an audit retrospectively to extract data of surgeries where SGA were used over a duration of six months. Primary objective was to delineate percentage of usage of SGA and secondary were to study associated complications and identify areas of improvement, if any. Materials and methods: Subsequent to International Electrotechnical Commission (IEC) approval, all perioperative details related to patients and surgeries were collected from anesthesia records. A number of other parameters were also recorded. Results: Number of patients managed under SGA during 6 months duration were 120 as compared to total of 400. Thus, the usage was 30%. There was no difficult SGA placement. Neuromuscular blockers were used in 10% cases. Dislodgement of device was noted in 12.5% patients and laryngospasm in 10%. Change of size of device was required in seven patients weighing 10 kg. Conclusion: The practice of use of these devices has revolutionized the field of pediatric anesthesia with advantages like avoidance of use of muscle relaxant. They are very tachydidactic and freindly to use. Some vigilance is required to prevent and treat complications associated with their use. Clinical siginficance: The implications of SGAs are becoming wider day by day and in near future with more advance devices, they might still have wider applications than endotracheal tubes.

PDF Share
  1. Brain AI. The development of the Laryngeal Mask–a brief history of the invention, early clinical studies and experimental work from which the Laryngeal Mask evolved. Eur J Anaesthesiol 1991;4(Supp l):5-17.
  2. Beringer RM, Kelly F, Cook TM, et al. A cohort evaluation of the paediatric i-gel™ airway during anaesthesia in 120 children. Journal of the Association of the Anaesthetist of Great Britain and Ireland 2011;66:1121-1126.
  3. Mason DG, Bingham RM. The laryngeal mask airway in children. Anaesthesia 1990;45:760-763.
  4. Lopez-Gil M, Brimacombe J, Alvarez M. Safety and efficacy of the laryngeal mask airway: A prospective survey of 1400 children. Anaesthesia 1996;51:969-972.
  5. Jagannathan N, Sommers K, Sohn LE, et al. A randomized equivalence trial comparing the I-gel and laryngeal mask airway Supreme in children. Pediatr Anesth 2013;23: 127-133.
  6. Abukawa Y, Hiroki K, Ozaki M. Initial experience of the i-gel supraglottic airway by the residents in pediatric patients. J Anesth 2012;26:357-361.
  7. Hughes C, Place K, Berg S, et al. A clinical evaluation of the i-gel(TM) supraglottic airway device in children. Pediatr Anesth 2012;22:765-771.
  8. Kitching AJ, Walpole AR, Blogg CE. Removal of the laryngeal mask airway in children: anaesthetized compared with awake. Br J Anaesth 1996;76:874-876.
  9. Lee J, Kim J, Kim S, Kim C, et al. Removal of the laryngeal tube in children: anaesthetized compared with awake. Br J Anaesth 2007;98:802-805.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.