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Use of Laryngeal Mask Airway and Its Removal in a Deeply Anaesthetized State Reduces Emergence Agitation after Sevoflurane Anaesthesia in Children

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Author(s)
YC LEEJM KIMHB KOSR LEE
Keimyung Author(s)
Lee, Yong CheolKim, Jin MoLee, Seong Ryong
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Dept. of Pharmacology (약리학)
Institute for Medical Science (의과학연구소)
Journal Title
Journal of International Medical Research
Issued Date
2011
Volume
39
Keyword
SEVOFLURANEANAESTHETICSPAEDIATRIC ANAESTHESIACHILDRENLARYNGEAL MASK AIRWAYEMERGENCE AGITATION
Abstract
This study investigated the effect of
laryngeal mask airway (LMA) and removal
while in a deeply anaesthetized state (deep
removal) compared with endotracheal tube
and extubation when awake or deeply
anaesthetized on the incidence of
emergence agitation in children after
sevoflurane anaesthesia for subumbilical
surgery. Patients (2 – 7 years) were
randomly assigned to one of three groups:
ET-A group (n = 56, endotracheal tube and
extubation whilst awake); ET-D group (n =
56, endotracheal tube and deep extu -
bation); LMA-D group (n = 56, experienced
LMA and deep removal). The incidence of
postoperative emergence agitation was
significantly lower in the LMA-D patients
compared with patients in the ET-A group
(21.4% and 41.1%, respectively). Patients in
the LMA-D group required a significantly
shorter stay in the postanaesthetic care unit
(PACU) than ET-A patients. There were no
significant differences in the incidence of
postoperative emergence agitation or
length of stay in the PACU between the ETA
and ET-D groups, or between the ET-D and
LMA-D groups. In conclusion, using an
LMA and deep removal decreased
postoperative emergence agitation
compared with using an endotracheal tube
and awake extubation after paediatric
sevoflurane anaesthesia.
KEY WORDS: SEVOFLURANE; ANAESTHETICS; PAEDIATRIC ANAESTHESIA; CHILDREN; LARYNGEAL MASK
AIRWAY; EMERGENCE AGITATION
Keimyung Author(s)(Kor)
이용철
김진모
이성용
Publisher
School of Medicine
Citation
YC LEE et al. (2011). Use of Laryngeal Mask Airway and Its Removal in a Deeply Anaesthetized State Reduces Emergence Agitation after Sevoflurane Anaesthesia in Children. Journal of International Medical Research, 39, 2385–2392. doi: 10.1177/147323001103900639
Type
Article
ISSN
0300-0605
Source
http://journals.sagepub.com.proxy.dsmc.or.kr/doi/abs/10.1177/147323001103900639?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed
DOI
10.1177/147323001103900639
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34500
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
1. School of Medicine (의과대학) > Dept. of Pharmacology (약리학)
3. Research Institutues (연구소) > Institute for Medical Science (의과학연구소)
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