Cargando…
A Survey of Current Practice of Supraglottic Airway Devices in Pediatric Anesthesia from India
BACKGROUND AND OBJECTIVES: Supraglottic airway devices (SADs) have revolutionized the pediatric anesthetic practice and got a key role in difficult airway (DA) management. Several modifications of SADs design had come up to improve their safety. AIM: The aim of this survey was to determine the curre...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5594770/ https://www.ncbi.nlm.nih.gov/pubmed/28928551 http://dx.doi.org/10.4103/0259-1162.206870 |
_version_ | 1783263254895656960 |
---|---|
author | Kaniyil, Suvarna Smithamol, P. B. Joseph, Elizabeth Krishnadas, A. Ramadas, K. T. |
author_facet | Kaniyil, Suvarna Smithamol, P. B. Joseph, Elizabeth Krishnadas, A. Ramadas, K. T. |
author_sort | Kaniyil, Suvarna |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: Supraglottic airway devices (SADs) have revolutionized the pediatric anesthetic practice and got a key role in difficult airway (DA) management. Several modifications of SADs design had come up to improve their safety. AIM: The aim of this survey was to determine the current usage of SADs in pediatric anesthetic practice, their availability, and to know any difficulties noted in practice. METHODS: It was a questionnaire survey among the anesthesiologists who attended the National Pediatric Anesthesia Conference-2016. The questionnaire assessed the current practice preferences of SADs in routine pediatric cases and DA management, availability of various devices, and any difficulties noted in their usage. RESULTS: First-generation SADs were widely available (97%), and 64% of respondents preferred to use it for pediatric short cases. 64% felt the use of SADs free their hands from holding the facemask and 58% found better airway maintenance with it. Intraoperative displacement (55%) was the common problem reported and only 11% felt aspiration as a problem. Most of the respondents (73%) accepted its use as rescue device in airway emergency, and 84% felt the need of further randomized controlled studies on safety of SADs in children. The majority were not confident to use SADs in neonates. INTERPRETATION AND CONCLUSIONS: The key role of SADs in DA management was well accepted, and aspiration was not a major problem with the use of SADs. Although many newer versions of SADs are available, classic laryngeal mask remains the preferred SAD for the current practitioner. Further, RCTs to ensure the safety of SADs in children are warranted. |
format | Online Article Text |
id | pubmed-5594770 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-55947702017-09-19 A Survey of Current Practice of Supraglottic Airway Devices in Pediatric Anesthesia from India Kaniyil, Suvarna Smithamol, P. B. Joseph, Elizabeth Krishnadas, A. Ramadas, K. T. Anesth Essays Res Original Article BACKGROUND AND OBJECTIVES: Supraglottic airway devices (SADs) have revolutionized the pediatric anesthetic practice and got a key role in difficult airway (DA) management. Several modifications of SADs design had come up to improve their safety. AIM: The aim of this survey was to determine the current usage of SADs in pediatric anesthetic practice, their availability, and to know any difficulties noted in practice. METHODS: It was a questionnaire survey among the anesthesiologists who attended the National Pediatric Anesthesia Conference-2016. The questionnaire assessed the current practice preferences of SADs in routine pediatric cases and DA management, availability of various devices, and any difficulties noted in their usage. RESULTS: First-generation SADs were widely available (97%), and 64% of respondents preferred to use it for pediatric short cases. 64% felt the use of SADs free their hands from holding the facemask and 58% found better airway maintenance with it. Intraoperative displacement (55%) was the common problem reported and only 11% felt aspiration as a problem. Most of the respondents (73%) accepted its use as rescue device in airway emergency, and 84% felt the need of further randomized controlled studies on safety of SADs in children. The majority were not confident to use SADs in neonates. INTERPRETATION AND CONCLUSIONS: The key role of SADs in DA management was well accepted, and aspiration was not a major problem with the use of SADs. Although many newer versions of SADs are available, classic laryngeal mask remains the preferred SAD for the current practitioner. Further, RCTs to ensure the safety of SADs in children are warranted. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5594770/ /pubmed/28928551 http://dx.doi.org/10.4103/0259-1162.206870 Text en Copyright: © 2017 Anesthesia: Essays and Researches http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Kaniyil, Suvarna Smithamol, P. B. Joseph, Elizabeth Krishnadas, A. Ramadas, K. T. A Survey of Current Practice of Supraglottic Airway Devices in Pediatric Anesthesia from India |
title | A Survey of Current Practice of Supraglottic Airway Devices in Pediatric Anesthesia from India |
title_full | A Survey of Current Practice of Supraglottic Airway Devices in Pediatric Anesthesia from India |
title_fullStr | A Survey of Current Practice of Supraglottic Airway Devices in Pediatric Anesthesia from India |
title_full_unstemmed | A Survey of Current Practice of Supraglottic Airway Devices in Pediatric Anesthesia from India |
title_short | A Survey of Current Practice of Supraglottic Airway Devices in Pediatric Anesthesia from India |
title_sort | survey of current practice of supraglottic airway devices in pediatric anesthesia from india |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5594770/ https://www.ncbi.nlm.nih.gov/pubmed/28928551 http://dx.doi.org/10.4103/0259-1162.206870 |
work_keys_str_mv | AT kaniyilsuvarna asurveyofcurrentpracticeofsupraglotticairwaydevicesinpediatricanesthesiafromindia AT smithamolpb asurveyofcurrentpracticeofsupraglotticairwaydevicesinpediatricanesthesiafromindia AT josephelizabeth asurveyofcurrentpracticeofsupraglotticairwaydevicesinpediatricanesthesiafromindia AT krishnadasa asurveyofcurrentpracticeofsupraglotticairwaydevicesinpediatricanesthesiafromindia AT ramadaskt asurveyofcurrentpracticeofsupraglotticairwaydevicesinpediatricanesthesiafromindia AT kaniyilsuvarna surveyofcurrentpracticeofsupraglotticairwaydevicesinpediatricanesthesiafromindia AT smithamolpb surveyofcurrentpracticeofsupraglotticairwaydevicesinpediatricanesthesiafromindia AT josephelizabeth surveyofcurrentpracticeofsupraglotticairwaydevicesinpediatricanesthesiafromindia AT krishnadasa surveyofcurrentpracticeofsupraglotticairwaydevicesinpediatricanesthesiafromindia AT ramadaskt surveyofcurrentpracticeofsupraglotticairwaydevicesinpediatricanesthesiafromindia |