[The use of the flexible laryngeal mask in children with adenoidectomy--a retrospective comparison with endotracheal intubation].
BACKGROUND
While adenoidectomy in childhood is a standard procedure, different alternatives of airway and anaesthesiologic management are discussed. Therefore we investigated retrospectively paediatric anaesthesias with laryngeal mask (LMA) or endotracheal intubation (ITN) during adenoidectomies in our department of otorhinolaryngology.


METHODS
A retrospective analysis of 385 anaesthesia records of the last three years was performed. Variables were age and weight of the children, anaesthetics, surgical procedures, size of LMA, recovery time, anaesthesiological complications as well as the incidence of abandoning the laryngeal mask in favour of a tracheal intubation.


RESULTS
Recovery time was significantly reduced (3.63 min) in LMA group compared to ITN group (p < 0.001). Complications did not arise more frequently in the LMA group. LMA had to be changed into ITN in 11 cases (5,6 %) only.


CONCLUSIONS
Our study shows the LMA being a safe and effective alternative to ITN in airway treatment of children undergoing adenoidectomy.
Rehberg
S
S
Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin, Universitätsklinikum Münster, Germany. Sebastian_Rehberg@web.de
Wienstroth
S S
SS
Hüppe
M
M
Sommer
K
K
Gehring
H
H
Meier
T
T
D000233:Adenoidectomy / Q000706:statistics & numerical data*; D017677:Age Distribution; D000769:Anesthesia, Inhalation / Q000379:methods / Q000706:statistics & numerical data*; D001835:Body Weight; D002648:Child; D002675:Child, Preschool; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology*; D007442:Intubation, Intratracheal / Q000706:statistics & numerical data*; D017214:Laryngeal Masks / Q000706:statistics & numerical data*; D008297:Male; D011379:Prognosis; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D016896:Treatment Outcome