Perioperative Respiratory Adverse Events in Infants: LMA vs. Endotracheal Intubation

Infants who underwent endotracheal intubation had three times greater risk for perioperative respiratory adverse events than those with a laryngeal mask airway.

Investigators prospectively compared the incidence of perioperative respiratory adverse events among infants (ages 0–12 months) randomized to receive either a laryngeal mask airway (LMA) or endotracheal intubation for airway management during minor elective surgery at a tertiary pediatric hospital in Australia.

Of 177 infants enrolled over 5 years, 83 were assigned to the LMA group and 94 to the intubation group. Overall, 65 patients (37%) experienced perioperative respiratory adverse events. Infants in the intubation group had a greater risk of adverse events than those in the LMA group (53% vs. 18%; relative risk [RR], 2.9). The intubation group had a higher risk of major adverse events (laryngospasm and bronchospasm; RR, 5.3) as well as m…

Reviewing Author

Katherine Bakes, MD

Disclosures

RoyaltiesEmergency Medicine Secrets (Elsevier)

Grant/Research SupportDepartment of Justice

Editorial BoardsEmergency Medicine Secrets (Elsevier); Rosen’s Emergency Medicine (Elsevier)

Katherine Bakes, MD

Disclosures

RoyaltiesEmergency Medicine Secrets (Elsevier)

Grant/Research SupportDepartment of Justice

Editorial BoardsEmergency Medicine Secrets (Elsevier); Rosen’s Emergency Medicine (Elsevier)

Perioperative Respiratory Adverse Events in Infants: LMA vs. Endotracheal Intubation

Topics

Reviewing Author