TY - JOUR T1 - Comparison of proseal laryngeal mask and endotracheal tube for airway safety in pediatric strabismus surgery. JF - Saudi Medical Journal JO - Saudi Med J SP - 388 LP - 394 VL - 33 IS - 4 AU - Rauf Gul AU - Sitki Goksu AU - Berna K. Ugur AU - Levent Sahin AU - Senem Koruk AU - Seydi Okumus AU - Ibrahim Erbagci Y1 - 2012/04/01 UR - http://smj.org.sa/content/33/4/388.abstract N2 - OBJECTIVES: To compare proseal laryngeal mask airway (PLMA) with an endotracheal tube (ET) for airway safety, maintained ease of insertion, and hemodynamic stability in pediatric strabismus surgery (PSS).METHODS: This prospective-randomized clinical study was carried out in the Department of Anesthesiology, Faculty of Medicine, Gaziantep University, Turkey between April 2008 and July 2009. Eighty American Society of Anesthesiology (ASA) I-II children, weight 10-30 kg, aged between 1-12 years undergoing PSS were selected. The anesthesia was induced with 8% sevoflurane, 50% nitrous oxide/oxygen mixture, and a neuromuscular blockade with 0.5 mg/kg atracurium in both groups. After a sufficient dosage of anesthesia, the patients were randomized into 2 groups (Group P: PLMA, n= 40, Group T: ET, n=40) and an airway management device; either a PLMA or ET was inserted. The number of placement attempts, placement success or failure, success or failure of a gastric suction tube placement during the procedures and perioperative complications were assessed.RESULTS: Thirty-eight patients (95%) in the PLMA group, 39 (97.5%) patients in the ET group were successfully placed with a PLMA and ET on the first attempt (p>0.05). There were no statistically significant differences in the hemodynamic parameters, end-tidal carbon dioxide, and complications.CONCLUSIONS: This study revealed that PLMA may offer an alternative airway to ET wherein positive pressure ventilation was the preferred choice for children undergoing PSS. ER -