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Laryngeal mask vs intubation for adenoidectomies in children: Analysis of 1,500 operations

The Laryngoscope Nov 03, 2019

Gehrke T, et al. - In pediatric patients in terms of safety and duration of surgery, researchers ascertained if endotracheal intubations are superior to the use of laryngeal masks in the airway management for adenoidectomies. Between 2009 and 2017, 1,500 adenoidectomies in children using a laryngeal mask or endotracheal intubation for intraoperative ventilation were analyzed. Laryngeal masks use did not speed up the time needed for anesthesia induction and emergence, although the duration of the surgery itself increased significantly. During and after anesthesia, there also were significantly more complications when using a laryngeal mask. The laryngeal mask had to be replaced by an endotracheal tube intraoperatively in 10% of the children. There is no need to consider using a laryngeal mask as the first method for airway management in children with respect to adenoidectomies.
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