Short-lasting pediatric laparoscopic surgery: Are muscle relaxants necessary? Endotracheal intubation vs. laryngeal mask airway

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dc.authorid0000-0001-5337-5226en_US
dc.authorid0000-0001-5337-5226en_US
dc.authorid0000-0002-8278-5934en_US
dc.authorid0000-0003-1996-7505en_US
dc.contributor.authorTulgar, Serkan
dc.contributor.authorBoga, Ibrahim
dc.contributor.authorCakiroglu, Basri
dc.contributor.authorThomas, David Terence
dc.date.accessioned2024-07-12T21:51:16Z
dc.date.available2024-07-12T21:51:16Z
dc.date.issued2017en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractPurpose: Technical advances have led to lower insufflation pressures and shorter anesthesia times for children undergoing laparoscopic procedures. In this study we compared the use of endotracheal tube (ETT) and laryngeal mask airway (LMA) with or without muscle relaxant (MR) in children undergoing laparoscopic repair for inguinal hernia. Methods: Children undergoing laparoscopic inguinal hernia repair were randomized into four groups which underwent procedure with either ETT + MR (group 1), ETT without MR (group 2), LMA with subparalytic dose of MR (group 3) or LMA without MR (group 4). Surgical, anesthesia and recovery times, intragastric pressures and peak airway pressures during insufflation were compared. Results: After exclusion criteria and discontinued interventions, groups 1 and 3 contained 20, groups 2 and 4 contained 19 patients each. Surgical times were similar between groups. Anesthesia times were statistically significantly different between groups with shortest time in group 4 and longest time in group 1. Recovery time was statistically significantly longer in group 1 when compared to other groups. There was no difference between basal intragastric pressure, average intragastric pressure during insufflation, peak airway pressure, and average peak airway pressure during insufflation of groups. Conclusion: Use of muscle relaxants in short-lasting laparoscopic procedures in children is not absolutely necessary and LMA with subparalytic dose of muscle relaxant or with no muscle relaxant is a safe alternative. (C) 2017 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jpedsurg.2017.02.010
dc.identifier.endpage1710en_US
dc.identifier.issn0022-3468
dc.identifier.issn1531-5037
dc.identifier.issue11en_US
dc.identifier.pmid28249684en_US
dc.identifier.scopus2-s2.0-85013810210en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1705en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.jpedsurg.2017.02.010
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8253
dc.identifier.volume52en_US
dc.identifier.wosWOS:000415328600001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherW B SAUNDERS CO-ELSEVIER INCen_US
dc.relation.ispartofJOURNAL OF PEDIATRIC SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY02006
dc.subjectLaparoscopyen_US
dc.subjectPediatricen_US
dc.subjectMuscle relaxanten_US
dc.titleShort-lasting pediatric laparoscopic surgery: Are muscle relaxants necessary? Endotracheal intubation vs. laryngeal mask airwayen_US
dc.typeArticle
dspace.entity.typePublication

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