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Canadian Journal of Anesthesia 47:315-318 (2000)
© Canadian Anesthesiologists' Society, 2000

Reports of Investigation

Airway complications in infants: comparison of laryngeal mask airway and the facemask-oral airway

Miriam Harnett, MB FFARCSI, Brian Kinirons, MB FFARCSI, Anne Heffernan, MB FFARCSI, Catherine Motherway, MB FFARCSI and William Casey, MB FFARCSI

From the Department of Anaesthesia, Our Lady's Hospital for Sick Children, Crumlin, Dublin 12, Ireland.

Address correspondence to: Dr. Miriam Harnett, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA 02115, U.S.A. Phone: 617-732-8218; Fax: 617-732-6798; E-mail: mharnett{at}bics.bwh.harvard.edu

Objectif : Comparer l'incidence de complications de la canulation chez des enfants de moins d'un an dont l'accès aux voies aériennes a été maintenu pendant l'anesthésie, soit avec un masque laryngé (ML), soit avec un masque et une canule orale (M-CO).

Méthode : Nous avons réparti 49 enfants - ASA I et II - en groupes ML ou M-CO. Tous les enfants devaient subir une intervention mineure, urologique ou orthopédique. L'anesthésie a été induite et maintenue avec de l'halothane dans un mélange à 50 % de protoxyde d'azote et d'oxygène. La canule a été retirée chez tous les enfants à leur réveil. On a noté l'occurrence de complications de la canulation (arrêt de la respiration, toux, laryngospasme, sécrétions, obstruction et saturation en oxygène < 95%) lors de l'induction de l'anesthésie, pendant l'opération et pendant la récupération de l'anesthésie.

Résultats : Les complications peropératoires de la canulation sont survenues chez 15 des 27 enfants du groupe ML et chez 5 des 22 enfants du groupe M-CO (P : 0,02).

Conclusion : Chez les enfants, l'usage du ML, comparé à celui d'un masque et d'une canule orale, est associé à une incidence accrue de complications de la canulation.




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