The curative effect of double-tube laryngeal mask on fast-track surgery in pediatric patients

Abstract

Objective To explore the value of double-tube laryngeal mask in fast-track surgery in pediatric patients.Methods 60 pediatric patients scheduled for fast-track surgery were randomly divided into group of double-tube laryngeal mask (group A) and group of tracheal intubation (group B).At the same time points,mean arterial pressure (MAP),heart rate (HR),oxyhemoglobin saturation (SpO2),surgical duaration,awakening time,success rate of one-off tube placement and agitation after awakening were recorded in both groups before and after induction of anesthesia,1,3,and 5 min after placement of laryngeal mask or tracheal tube,and 5 min before and after removal of laryngeal mask or tracheal tube were recorded.A statistical analysis was conducted.Results No statistical difference was observed between the two groups in general conditions,MAP,HR and SpO2before and after induction of anesthesia,surgical duration,and success rate of one-off tube placement (P＞0.05).MAP and HR were significantly lower in group B than in group A after placement or removal of tube (P ＜ 0.05 or P ＜ 0.01).Conclusions Double-tube laryngeal mask is easy to apply and less invasive.It can be an ideal choice for anesthesia in fast-track surgery in pediatric patients if intraoperative ventilation monitoring is strengthened. Key words: Double-tube laryngeal mask; Pediatric patients; Fast-track surgery; Anesthesia