Abstract PR555

Abstract

Background & Objectives: Postoperative sore throat, cough, nausea, apnea and laryngospasm are common complications of intubation by endotracheal tube (ETT) in pediatrics. Laryngeal mask airway (LMA) is a supraglottic device used as alternative equipment for ETT in order to decrease the complications. Objective: to compare the incidence of postoperative sore throat after LMA with ETT in pediatrics. Materials & Methods: Seventy six patients between 2-12 years old with ASA class I-II who underwent cochlear implant surgery were enrolled and randomly divided in to two groups including ETT or LMA for airway management. The incidence of complications including sore throat, apnea, vomiting, laryngospasm, post operative cough, intra and post operative arrhythmia and the influence of these equipments on O2 saturation,End tidal co2, airway pressure, hemodynamic changes during operation were compared. Wong-Baker facial grimace scale was used to evaluate the severity of pain. Results: The rate of post operative sore throat and laryngospasm in ETT group was significantly higher than LMA group (p=0. 002, 0.011; respectively). Apnea and vomiting were not significantly different. Rate of post operative cough, incidence of intra and post operative arrhythmia were not significantly different between two groups. Mean arterial pressure, peak airway pressure, end tidal CO2, and Oxygen saturation during operation which measured continuously had not significantly different between two groups. Conclusion: LMA significantly decreases the rate of post operative sore throat and laryngospasm in pediatric. However, the rates of apnea, Oxygen saturation, and nausea were similar in both groups. Application of LMA for airway management is appropriate alternative to ETT in pediatric. Disclosure of Interest: None declared