Laryngeal mask vs. laryngeal tube trial in paediatric patients (LaMaTuPe): a single-blinded, open-label, randomised-controlled trial
Background: In hypoxemic children with difficult airway, or for minor elective procedures, the use of a supraglottic airway device may be preferred to endotracheal intubation, whether with a laryngeal mask or laryngeal tube. Second-generation laryngeal masks may offer a better safety profile. Whethe...
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| Main Authors: | , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
April 2025
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| In: |
European journal of emergency medicine
Year: 2025, Volume: 32, Pages: 123-130 |
| ISSN: | 1473-5695 |
| DOI: | 10.1097/MEJ.0000000000001178 |
| Online Access: | Resolving-System, kostenfrei, Volltext: https://doi.org/10.1097/MEJ.0000000000001178 Verlag, kostenfrei, Volltext: https://journals.lww.com/euro-emergencymed/fulltext/9900/laryngeal_mask_vs__laryngeal_tube_trial_in.149.aspx 
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| Author Notes: | Stephan Katzenschlager, Stefan Mohr, Nikolai Kaltschmidt, Franziska Peterstorfer, Frank Weilbacher, Patrick Günther, Markus Ries, Markus A. Weigand and Erik Popp |
| Summary: | Background: In hypoxemic children with difficult airway, or for minor elective procedures, the use of a supraglottic airway device may be preferred to endotracheal intubation, whether with a laryngeal mask or laryngeal tube. Second-generation laryngeal masks may offer a better safety profile. Whether they should be preferred to laryngeal tubes is unknown. This study aimed to compare the efficacy and safety of second-generation laryngeal masks and laryngeal tubes in children. - Methods: This randomised-controlled trial was conducted in a single university hospital in children <18 years undergoing elective anaesthesia in urology, minor paediatric surgery and gynaecology. Patients were 1 : 1 randomised to the laryngeal mask or laryngeal tube group. Children were allocated a second-generation laryngeal tube or a second-generation laryngeal mask as the primary airway device. The primary endpoint was insertion time. Secondary endpoints included first-attempt success, overall success and complications, which included hypoxia (SpO2 < 90%), laryngospasm, bronchospasm, aspiration and bleeding. - Results: In total, 135 patients were randomised, with 61 allocated to the laryngeal tube and 74 to the laryngeal mask group, with a median age of 5.4 and 4.9 years, respectively. Median insertion time was significantly longer in the laryngeal tube group (37 vs. 31 s; difference of medians: 6.0 s; 95% confidence interval: 0.0-13.0). The laryngeal tube had a significantly lower first-attempt (41.0%) and overall success rate (45.9%) than the laryngeal mask (90.5% and 97.3%, respectively). Those allocated to the laryngeal tube group had a higher ratio of complications (27.8%) compared to the laryngeal mask group (2.7%). - Conclusion: This randomised-controlled trial reported that in children undergoing elective anaesthesia, the use of a laryngeal tube was associated with a longer insertion time. |
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| Item Description: | Online veröffentlicht: 12. September 2024 Gesehen am 16.09.2024 |
| Physical Description: | Online Resource |
| ISSN: | 1473-5695 |
| DOI: | 10.1097/MEJ.0000000000001178 |