This purpose of this study is to determine the effectiveness, risk factors, and complications associated with use of supraglottic airway devices for primary airway maintenance during routine anesthesia in children.
This study aims to understand the efficacy of supraglottic airway (SGA) use in children in a tertiary care Children's Hospital. Observational data regarding the type of SGA, experience level of practitioner, placement technique, number of placement attempts or placement failure, device failure, and cause of any related peri-operative complications will be prospectively collected. The data collected in this study will allow the investigators to assess the overall safety and efficacy of SGA use in various medical and surgical procedures performed under general anesthesia in children.
Study Type
OBSERVATIONAL
Enrollment
10,000
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States
RECRUITINGSupraglottic Airway Device Failure
Occurrence and reason for supraglottic airway device failure (ie inadequate ventilation, laryngospasm, bronchospasm, etc) will be recorded in addition to conversion to tracheal intubation
Time frame: participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
Ease of Placement of Supraglottic Airway Device
Ease of placement of supraglottic airway device ranging from 1 (easy) to 4 (difficult)
Time frame: participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
Multiple Attempts to Place Supraglottic Airway Device
change in device, placement method, and provider will be recorded
Time frame: participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
Airway Maneuvers/interventions
the number and type of airway maneuvers performed after device placement and during maintenance will be recorded
Time frame: participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
Occurrence of Inadequate Ventilation
cause and solution for inadequate ventilation will be recorded
Time frame: participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
Intraoperative Complications
Time period of complication (ie during device placement, maintenance, or removal) and cause of complication (ie. dental injury, light anesthesia, regurgitation, laryngospasm, bronchospasm, aspiration, etc.) will be recorded
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Time frame: participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
Postoperative Complications
Complications noted postoperatively relating to reflex activation of the airway, sore throat, or hoarseness
Time frame: participants will be followed for the duration of anesthesia and 24 hours postoperatively