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

DOI:

https://doi.org/10.3329/cbmj.v13i2.75307

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

Bhowmick, L. K., Mahabubuzzaman, M., Islam, M. S., Begum, S. A., Babu, M. I., Tuhin, S. B., & Hasan, M. J. (2024). Comparison of Incidence of Laryngospasm between Laryngeal Mask Airway and Endotracheal Tube during the Recovery Phase following Urological Procedure in Paediatric Patients. 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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