Laryngeal mask vs. laryngeal tube trial in paediatric patients (LaMaTuPe)

• Verfasst von: Katzenschlager, Stephan [VerfasserIn]
• Verfasst von: Mohr, Stefan [VerfasserIn]
• Verfasst von: Kaltschmidt, Nikolai [VerfasserIn]
• Verfasst von: Peterstorfer, Franziska [VerfasserIn]
• Verfasst von: Weilbacher, Frank [VerfasserIn]
• Verfasst von: Günther, Patrick [VerfasserIn]
• Verfasst von: Ries, Markus [VerfasserIn]
• Verfasst von: Weigand, Markus A. [VerfasserIn]
• Verfasst von: Popp, Erik [VerfasserIn]
• Titel: Laryngeal mask vs. laryngeal tube trial in paediatric patients (LaMaTuPe)
• Titelzusatz: a single-blinded, open-label, randomised-controlled trial
• Verf.angabe: Stephan Katzenschlager, Stefan Mohr, Nikolai Kaltschmidt, Franziska Peterstorfer, Frank Weilbacher, Patrick Günther, Markus Ries, Markus A. Weigand and Erik Popp
• E-Jahr: 2024
• Jahr: September 12, 2024
• Umfang: 8 S.
• Fussnoten: Gesehen am 16.09.2024
• Titel Quelle: Enthalten in: European journal of emergency medicine
• Ort Quelle: London : Lippincott, Williams & Wilkins, 1994
• Jahr Quelle: 2024
• Band/Heft Quelle: (2024), Artikel-Nummer 1178, online ahead of print, Seite 1-8
• ISSN Quelle: 1473-5695
• DOI: doi:10.1097/MEJ.0000000000001178
• Datenträger: Online-Ressource
• Sprache: eng
• Bibliogr. Hinweis: Forschungsdaten: Katzenschlager, Stephan, 1989 - : Laryngeal mask vs. laryngeal tube trial in pediatric patients (LaMaTuPe)
• K10plus-PPN: 1902561317

Abstract

Background: In hypoxemic children with difficult airway, or for minor elective procedures, the use of a supraglottic airway device may be preferred to endotracheal intubation, whether with a laryngeal mask or laryngeal tube. Second-generation laryngeal masks may offer a better safety profile. Whether they should be preferred to laryngeal tubes is unknown. This study aimed to compare the efficacy and safety of second-generation laryngeal masks and laryngeal tubes in children. - Methods: This randomised-controlled trial was conducted in a single university hospital in children <18 years undergoing elective anaesthesia in urology, minor paediatric surgery and gynaecology. Patients were 1 : 1 randomised to the laryngeal mask or laryngeal tube group. Children were allocated a second-generation laryngeal tube or a second-generation laryngeal mask as the primary airway device. The primary endpoint was insertion time. Secondary endpoints included first-attempt success, overall success and complications, which included hypoxia (SpO2 < 90%), laryngospasm, bronchospasm, aspiration and bleeding. - Results: In total, 135 patients were randomised, with 61 allocated to the laryngeal tube and 74 to the laryngeal mask group, with a median age of 5.4 and 4.9 years, respectively. Median insertion time was significantly longer in the laryngeal tube group (37 vs. 31 s; difference of medians: 6.0 s; 95% confidence interval: 0.0-13.0). The laryngeal tube had a significantly lower first-attempt (41.0%) and overall success rate (45.9%) than the laryngeal mask (90.5% and 97.3%, respectively). Those allocated to the laryngeal tube group had a higher ratio of complications (27.8%) compared to the laryngeal mask group (2.7%). - Conclusion: This randomised-controlled trial reported that in children undergoing elective anaesthesia, the use of a laryngeal tube was associated with a longer insertion time.