The place of ultrasonography in confirming the position of the laryngeal mask airway in pediatric patients: an observational study

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dc.contributor.authorArican, Sule
dc.contributor.authorPekcan, Sevgi
dc.contributor.authorHacibeyoglu, Gulcin
dc.contributor.authorYusifov, Merve
dc.contributor.authorYuce, Sait
dc.contributor.authorUzun, Sema Tuncer
dc.date.accessioned2024-02-23T14:02:20Z
dc.date.available2024-02-23T14:02:20Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractBackground and objectives: Laryngeal mask airways are increasingly used as supraglottic devices during general anesthesia. Ultrasonography can provide a dynamic image simultaneous to placing the supraglottic airway device. In the current study, the incidence of suboptimal laryngeal mask airway position and replacement in children was evaluated using simultaneous ultrasonographic imaging. Methods: A prospective observational study was conducted on 82 patients aged 3-15 years with American Society of Anesthesiologists (ASA) physical status I or II. Patients under general anesthesia and with airway provided by a laryngeal mask airway were included. The position of the laryngeal mask airway was evaluated by ultrasonography on two planes. According to our scoring system, Grade I and Grade II were determined to indicate acceptable placement, while Grade III was determined to indicate unacceptable placement. Suboptimal laryngeal mask airway placement rates and the requirement of replacement were determined. Laryngeal mask airway placement optimized by ultrasonography was evaluated with both leak tests and a fiberoptic laryngoscope. Results: The average age of the patients was 6.27 +/- 4.66 years. After evaluation with ultrasonography, 65 (79.3%) of the laryngeal mask airways were found to be optimally positioned, while the position of 13 (15.9%) had to be corrected, and 4 (4.9%) had to be replaced. There was a moderate positive correlation between the ultrasonographic evaluation and leak test evaluation (p < 0.001; r = 0.628). Relocation of the laryngeal mask airway was determined to be an independent risk factor affecting the development of complications (OR = 2.961; p = 0.046; 95% Cl 2.850-30.745). Conclusion: The use of ultrasonography to verify and relocate laryngeal mask airway placement is noninvasive and effective. (c) 2021 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).en_US
dc.identifier.doi10.1016/j.bjane.2020.12.014
dc.identifier.endpage529en_US
dc.identifier.issn0104-0014
dc.identifier.issn2352-2291
dc.identifier.issue5en_US
dc.identifier.pmid34537123en_US
dc.identifier.scopus2-s2.0-85120362709en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage523en_US
dc.identifier.urihttps://doi.org/10.1016/j.bjane.2020.12.014
dc.identifier.urihttps://hdl.handle.net/20.500.12452/11655
dc.identifier.volume71en_US
dc.identifier.wosWOS:000739668300010en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofBrazilian Journal Of Anesthesiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAnesthesiaen_US
dc.subjectChilden_US
dc.subjectLaryngeal Masken_US
dc.subjectAirwayen_US
dc.subjectUltrasonographyen_US
dc.titleThe place of ultrasonography in confirming the position of the laryngeal mask airway in pediatric patients: an observational studyen_US
dc.typeArticleen_US

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