Comparison of Incidence of Laryngospasm between Laryngeal Mask Airway and Endotracheal Tube during the Recovery Phase following Urological Procedure in Paediatric Patients

Authors

  • Lipon Kanti Bhowmick Assistant Professor, Department of Anaesthesiology and Intensive Care Unit (ICU), Community Based Medical College, Mymensingh, Bangladesh
  • Mohammad Mahabubuzzaman Junior Consultant, Department of Anaesthesiology and Intensive Care Unit (ICU), National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Dhaka, Bangladesh
  • Md Saiful Islam Assistant Professor, Department of Anaesthesiology and Intensive Care Unit (ICU), Green Life Medical College Hospital, Dhaka, Bangladesh
  • Sharmin Ara Begum Assistant Professor, Department of Anaesthesiology and Intensive Care Unit (ICU), Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh
  • Md Ishaq Babu Residential Surgeon, Department of Anaesthesiology and Intensive Care Unit (ICU), National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Dhaka, Bangladesh
  • Shafiqul Bari Tuhin Assistant Professor, Department of Paediatric Surgery, Mymensingh Medical College, Mymensingh, Bangladesh
  • Mahmud Javed Hasan Associate Professor & Head, Department of Nephrology, Community Based Medical College, Mymensingh, Bangladesh

Keywords:

Laryngospasm, laryngeal mask airway, endotracheal tube, urological procedure

Abstract

Airway-related issues pose significant perioperative complications in paediatric anaesthesia, with laryngospasm being particularly noteworthy. The choice of airway device has been identified as a contributing factor to this concern. This research was conducted from January to December of 2023; it specifically investigated and compared the incidence of laryngospasm following removal of a laryngeal mask airway (LMA) versus an endotracheal tube (ET) in paediatric patients undergoing elective urological procedure. Sixty ASA – I/II patients, aged 2 to 5 years and of both genders, were randomly allocated into two groups: Group I received ETT, while Group II received LMA. Various parameters including hemodynamic measures and the occurrence of laryngospasm, cough, and other complications were assessed. Results demonstrated a higher incidence of laryngospasm and cough in the ET group compared to the LMA group (p<0.05). However, no significant differences were observed between the groups regarding other complications such as bradycardia, apnoea, desaturation, shivering, and abdominal distension. Adoption of a laryngeal mask airway (LMA) instead of an endotracheal tube (ET) during elective urological procedures in paediatric patients may lead to a lower occurrence of laryngospasm.

CBMJ 2024 July: vol. 13 no. 02 P: 183-191

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Published

2024-08-07

How to Cite

Comparison of Incidence of Laryngospasm between Laryngeal Mask Airway and Endotracheal Tube during the Recovery Phase following Urological Procedure in Paediatric Patients. (2024). Community Based Medical Journal, 13(2), 183-191. https://doi.org/10.3329/cbmj.v13i2.75307

Issue

Vol. 13 No. 2 (2024)

Section

Original Articles

License

Copyright (c) 2024 Lipon Kanti Bhowmick, Mohammad Mahabubuzzaman, Md Saiful Islam, Sharmin Ara Begum, Md Ishaq Babu, Shafiqul Bari Tuhin, Mahmud Javed Hasan

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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How to Cite

Comparison of Incidence of Laryngospasm between Laryngeal Mask Airway and Endotracheal Tube during the Recovery Phase following Urological Procedure in Paediatric Patients. (2024). Community Based Medical Journal, 13(2), 183-191. https://doi.org/10.3329/cbmj.v13i2.75307