The use of a flexible laryngeal mask airway as an alternative to nasotracheal intubation in dentoalveolar surgery



Year of publication 2009
Type Article in Proceedings
Conference European Journal of Anaesthesiology , Volume 26, Suplement 45, 2009
MU Faculty or unit

Faculty of Medicine

Field ORL, ophthalmology, stomatology
Keywords nasotracheal intubation - flexible laryngeal mask airway
Description Data presented as median (min; max). We studied 47 children(M/F 22/25); age 10 (3;17); weight 36kg (14; 82); height 149cm (106;182). FLMA No.2,5: 18x; No.3: 20x; No.4: 7x; No.5: 2x. were used. Ventilation time with FLMA 101 min (50; 176). Perioperative complications: 2 patients: Correctable obstruction of airway after manual depression of mandible made by surgeon in one case, difficult placement (3rd attempt)- wrong palatopharyngeal angle in cleidocranial dysplasia. All procedures were finished with FLMA in situ, there was perfect protection against aspiration of blood from above. Internal parts of all the FLMA were clean. There were no complaints from surgeons concerning perioperative comfort. The postoperative period went smoothly,epistaxis or vomiting of blood was not observed. Conclusion(s): The FLMA has been a safe method of choice in mouth and throat surgery in children since 1990. It allows surgical comfort and increases operation theatre turnover. The use of the FLMA is not connected with anesthesiological postoperative morbidity in contrast to the use of NTI.
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