Safety of removal of ProSeal laryngeal mask airway in children in the supine versus lateral position in a deep plane of anesthesia:A randomized controlled trial

作     者：Shweta Dhiman Anju R.Bhalotra Kavita R.Sharma Shweta Dhiman;Anju R. Bhalotra;Kavita R. Sharma

作者机构：Department of Anaesthesiology and Intensive CareMaulana Azad Medical College and Associated HospitalsNew DelhiIndia Department of AnaesthesiologyVardhaman Mahavir Medical College and Safdarjung HospitalNew DelhiIndia 

出 版 物：《Pediatric Investigation》 (儿科学研究（英文）)

年 卷 期：2023年第7卷第4期

页      面：233-238页

核心收录：

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：Airway management General anesthesia Laryngeal masks Pediatrics 

摘      要：Importance:When a ProSeal laryngeal mask airway(PLMA)is removed with the child in a deep plane of anesthesia,the upper airway muscle tone and protective upper airway reflexes may be ***:To determine whether the supine or lateral position is safer for the removal of a PLMA in deeply anesthetized children by comparing the incidence of upper airway ***:This randomized single-blind comparative trial was conducted at a tertiary care hospital between January 2020 and September *** children of the American Society of Anesthesiologists class I/II of ages 1–12 years age undergoing surgery under general anesthesia with PLMA used as the definitive airway device were *** were randomly allocated to lateral group or supine group for PLMA removal in a deep plane of anesthesia in the lateral or supine *** primary outcome was the number of patients experiencing one or more upper airway complications and the secondary outcomes were incidence of individual respiratory adverse effects and of severe airway ***:The incidence of airway complications was 30%in the supine group and 20%in the lateral group(P=0.6641).Incidence of laryngospasm,immediate stridor,and excessive secretions were *** stridor and oxygen desaturation were higher in the supine group(P=0.0374,P=0.0183 respectively).Interpretation:The overall incidence of upper airway complications was similar with the removal of a PLMA in the supine or lateral position in deeply anesthetized *** incidence of oxygen desaturation and stridor were higher with PLMA removal in the supine as compared to the lateral position.