Comparative Evaluation of three different techniques of cLMA insertion (midline, lateral and rotational) in paediatric patients.

Dr. Nandita Kad; Dr. Neha Hasija; Dr. Kirti Vashist

Volume : VIII, Issue : XII, December - 2018

Comparative Evaluation of three different techniques of cLMA insertion (midline, lateral and rotational) in paediatric patients.

Dr. Nandita Kad, Dr. Neha Hasija, Dr. Kirti Vashist

Abstract :

Classic laryngeal mask airway^TM (cLMA) is frequently used in management of paediatric airway. We compared the success and ease of insertion of three techniques of cLMA insertion; the midline, lateral and rotational technique with cuff partially inflated in 120 children. Patients were randomly allocated into one of the three groups i.e. Group I (midline), Group II (lateral) and Group III (rotational). First attempt success rate in group II (100%) and III (97.5%) were significantly better as compared to group I (87.5%), p=0.025. Time for successful insertion was significantly lower in groups II and III compared with group I (p < 0.05). Group II and III demonstrated improved fieoptic view as compared to Group I. This study demonstrated that lateral and rotational techniques of partially inflated cLMA insertion in paediatric age group are better than midline technique with respect to ease of insertion, first attempt and overall success rate.