Comparison of Endotracheal Tube (ETT) and Laryngeal Mask Airway (LMA) in Pediatric Anesthesia: A Systematic Review
DOI:
https://doi.org/10.56570/jimgs.v3i2.163Keywords:
Laryngeal mask airway (LMA), Endotracheal tube (ETT), Pediatric anesthesia, Hemodynamic response, Postoperative complicationsAbstract
The present systematic review compares the effects of the laryngeal mask airway (LMA) and the endotracheal tube (ETT) on hemodynamic response and airway difficulties in pediatric anesthesia patients. The terms "children," "postoperative," "pediatrics," "laryngeal mask airway," "endotracheal tube," and "subglottic" were utilized. The scope of the literature review was limited to randomized controlled trials (RCTs), and PubMed, Google Scholar, and the Cochrane Library were among the databases searched. Two reviewers used the Cochrane Risk of Bias Tool to assess quality. Eight RCTs in total were included. When compared to the ETT, results showed that the number of attempts for endotracheal intubation was fewer than for the placement of the LMA. Additionally, there was an increase in blood pressure, heart rate, and mean arterial pressure with the use of the ETT. The incidence of postoperative respiratory complications, including laryngospasm, bronchospasm, and sore throat, was higher with the use of the ETT. We conclude that the use of the LMA can be a safe alternative to the ETT in pediatric patients, producing fewer hemodynamic changes and postoperative complications.References
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