Comparison of Proseal Laryngeal Mask Airway and Endotracheal Tube for intubation in Paediatric Patients for Surgical Procedures of Short Duration

Abstract

The laryngeal mask airway is a supraglottic device to secure the airway. Proseal laryngeal mask airway has several modification compared to the classic laryngeal mask airway with respect to a modified cuff design, gastric drainage tube placed lateral to main airway tube helps in passage of gastric contents and to prevent aspiration. This study was conducted to compare the efficacy of proseal laryngeal mask airway with the endotracheal tube in paediatric patients undergoing surgical procedures with respect to number of attempts of device placement, haemodynamic response and postoperative respiratory complication. 80 of patients ASA1 and 11 category of 2-8 years of age of weight 10-20 kg were randomly divided into two groups of 40 patients. The number of attempts of insertion of endotracheal tube is less than the proseal laryngeal mask airway. Significant changes in haemodynamic parameters were observed in the endotracheal tube group. The post-operative respiratory complication of cough and bronchospasm was found to be more in the endotracheal group. The proseal laryngeal mask airway produced more of soft tissue trauma. There were no significant difference in SPO2 and Etco2 levels between the two groups. There is no incidence of aspiration in either of group. It is concluded that proseal laryngeal mask airway can be used as a safe and effective alternative device to the endotracheal tube for the paediatric patients undergoing elective short duration procedure.