Positive pressure ventilation with the laryngeal mask airway in children

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dc.contributor.authorGursoy, F
dc.contributor.authorAlgren, JT
dc.contributor.authorSkjonsby, BS
dc.date.accessioned2024-08-04T20:11:50Z
dc.date.available2024-08-04T20:11:50Z
dc.date.issued1996
dc.departmentİnönü Üniversitesien_US
dc.description.abstractWe studied the safety of positive pressure ventilation (PPV) when using the size 2 laryngeal mask airway (LMA) in 46 ASA physical status I or II children (aged 38 +/- 21 mo) undergoing elective surgery. The LMA cuff was inflated in incremental steps to achieve a cuff leak pressure greater than or equal to 15 cm H2O. Abdominal circumference was measured before and after PPV in study patients, as well as in a control group managed with tracheal intubation. Cuff leak pressure was 17 +/- 4 cm H2O (range 12-34 cm H2O). Forty-five patients successfully underwent PPV. Gas leak around the LMA cuff prevented PPV in one infant. The only respiratory variable that changed significantly was end-tidal CO2, which decreased from 40 +/- 6 to 34 +/- 5 mm Hg. Abdominal circumference increased in 28 patients but was not associated with any complications. Change in abdominal circumference in the study group was not significantly different from that observed in the control group. However, abdominal circumference increased 8 cm in one study patient, prompting insertion of an orogastric tube. The size 2 LMA provides an effective airway for PPV. Mild gastric distention often occurs. The risk of clinically significant gastric distention appears to be small, but it warrants close monitoring. We conclude that with certain precautions described in the text, the size 2 LMA provides a relatively safe airway for PPV in children.en_US
dc.identifier.doi10.1097/00000539-199601000-00007
dc.identifier.endpage38en_US
dc.identifier.issn0003-2999
dc.identifier.issue1en_US
dc.identifier.pmid8712422en_US
dc.identifier.scopus2-s2.0-0030053061en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage33en_US
dc.identifier.urihttps://doi.org/10.1097/00000539-199601000-00007
dc.identifier.urihttps://hdl.handle.net/11616/93034
dc.identifier.volume82en_US
dc.identifier.wosWOS:A1996TN21000007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofAnesthesia and Analgesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEndotracheal-Tubeen_US
dc.subjectAnesthesiaen_US
dc.subjectInfantsen_US
dc.titlePositive pressure ventilation with the laryngeal mask airway in childrenen_US
dc.typeArticleen_US

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