Laryngeal mask anesthesia versus tracheal intubation anesthesia in pediatric ophthalmic surgery

Abstract

Objective To investigate the application of laryngeal mask anesthesia versus endotracheal intubation anesthesia in pediatric ophthalmic surgery. Methods Forty children undergoing pediatric ophthalmic surgery in our ward from March, 2017 to May, 2018 were selected, and randomly divided into an observation group and a control group, 20 cases for each group. The observation group took laryngeal mask anesthesia before the operation, and the control group tracheal intubation anesthesia. The anesthetic effects, recovery times, extubation times, and adverse reactions of the two groups were compared and analyzed. The levels of HR and MAP in each anesthesia control point of the two groups were compared. Results There were no statistical differences in MAP between the two groups after entering the operating room and after anesthesia intubation (both P>0.05). The MAP of the observation group after anesthesia intubation and at the end of the operation were (80.5±5.9) mmHg and (81.1±5.9) mmHg, which were significantly lower than those of the control group; and was (80.4±5.5) mmHg during the operation, which was higher than that of the control group; with statistical differences (all P 0.05). The HR of the observation group when the operation was over and after extubation were (147.5±10.7) beats/min and (144.8±9.6) beats/min, which were lower than those of the control group; and was (152.6±18.1) beats/min after anesthesia intubation, which was higher than that of the control group; with statistical differences (all P<0.05). The total anesthesia effective rate was 95.00% in the observation group, and 70.00% in the control group (P<0.05). The recovery time and extubation time of the observation group were (12.5±3.8) min and (2.1±0.7) min, which were significantly shorter than those of the control group (both P<0.05). The incidence of adverse reactions was 10.00% in the observation group and 30.00% in the control group (P<0.05). Conclusions In pediatric ophthalmic surgery, laryngeal mask anesthesia has a smaller hemodynamic effect and is safer than tracheal intubation anesthesia, significantly shortening the extubation time and recovery time. Key words: Laryngeal mask anesthesia; Tracheal intubation anesthesia; Anesthesia effect