Scientific Online Resource System

International Bulletin of Otorhinolaryngology

Laryngeal mask ventilation during myringotomy

Ts. Marinov, M. Belitova, B. Dimitrova, M. Gaydarova, J. Kasaboglu, T. Popov

Abstract

Introduction: Children account for approximately one-third of all patients undergoing ear, nose, and throat (ENT) surgery. The most common surgical procedures on the ear are those performed to treat otitis media and its complications.
The Aim of the study is to determine and characterize the specifics and complications of laryngeal mask airway (LMA) use during myringotomy.
Materials and methods: A 1-year prospective cohort study of 20 patients who underwent myringotomy in the Department of ENT Surgery; University Hospital “Queen Giovanna”- ISUL; Medical University – Sofia.
Results and discussion: Mean age of the patients included in the study is 4.25 years. A predominance of female sex is observed: women – 60%, men – 40%. Most patients have low preoperative ASA grades. None of the patients suffered desaturation during the operation. LMA displacement and need for repositioning by the anesthesiologist was observed in 20% of the patients. In all patients ETCO2 values are in the normal range. Fifteen percent (15%) of the patients experienced postoperative nausea and vomiting (PONV). In none of the cases we observed aspiration under the LMA and laryngospasm.
Conclusion: The results from the study showed that LMA can be successfully and safely used in patients during myringotomy.

Keywords

Myringotomy, ventilation, laryngeal mask airway

Full Text


References

Ilechukwu, G. C., Ilechukwu, C. G. A., Ubesie, A. C., Ojinnaka, C. N., Emechebe, G. O., & Iloh, K. K. (2014). Otitis media in children. Open journal of pediatrics, 2014.

van den Aardweg, M. T., Schilder, A. G., Herkert, E., Boonacker, C. W., & Rovers, M. M. (2010). Adenoidectomy for otitis media in children. Cochrane Database of Systematic Reviews, (1).

Leung, A. K., & Wong, A. H. (2017). Acute otitis media in children. Recent patents on inflammation & allergy drug discovery, 11(1), 32-40.

Rovers, M. M., Schilder, A. G., Zielhuis, G. A., & Rosenfeld, R. M. (2004). Otitis media. The lancet, 363(9407), 465-473.

Ruby, R. R. F. (2000). The laryngeal mask airway for outpatient otolaryngologic surgery. Current Opinion in Otolaryngology & Head and Neck Surgery, 8(3), 217-220.

Daum, R. E. O., & O’Reilly, B. J. (1992). The laryngeal mask airway in ENT surgery. The Journal of Laryngology & Otology, 106(1), 28-30.

Watcha, M. F., Garner, F. T., White, P. F., & Lusk, R. (1994). Laryngeal mask airway vs face mask and Guedel airway during pediatric myringotomy. Archives of Otolaryngology–Head & Neck Surgery, 120(8), 877-880.

Choi, W. J., & Kim, Y. H. (2007). The influence of head rotation on ProSeal™ laryngeal mask airway sealing during paediatric myringotomy. Anaesthesia and intensive care, 35(6), 957-960.

B. Patel, R. Bingham. Laryngeal mask airway and other su-praglottic airway devices in paediatric practice. Contin Educ Anaesth Crit Care Pain, 9 (2009), pp. 6-9.

A.J. Kitching, A.R. Walpole, C.E. Blogg. Removal of the laryngeal mask airway in children: anaesthetized compared with awake. Br J Anaesth, 76 (1996), pp. 874-876.

J.S. Park, K.J. Kim, J.T. Oh, E.K. Choi, J.R. Lee. A randomized controlled trial comparing laryngeal mask airway removal during adequate anesthesia and after awakening in children aged 2 to 6 years. J Clin Anesth, 24 (2012), pp. 537-541.

Son SC, Ko YK, Lee SJ. Comparison of ETT and LMA on respiratory mechanics during the induction of general anesthesia in children. Korean J Anesthesiol. 2004;47:772–778.

Evans RG, Crawford MW, Noseworthy MD, Yoo SJ. Effect of increasing depth of propofol anesthesia on upper airway configuration in children. Anesthesiology. 2003;99:596–602.

Ishikawa T, Isono S, Aiba J, Tanaka A, Nishino T. Prone position increases collapsibility of the passive pharynx in infants and small children. Am J Respir Crit Care Med. 2002;166:760–764.

Miller RD, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Young WL. Miller’s Anesthesia. 6th ed. USA: Churchill Livingstone; 2009. pp. 2317–33.




DOI: http://dx.doi.org/10.14748/orl.v20i1.10013

Refbacks

Font Size


|