This prospective randomized study will evaluate the effectiveness of laryngeal mask airway (LMA) versus endotracheal intubation (ETT) for patients undergoing laparoscopic inguinal hernia at CMH.
This study aims to evaluate the effectiveness during general anesthesia of laryngeal mask airway versus endotracheal tube for laparoscopic inguinal hernia repair. There are limited pediatric literature evaluating the use of laryngeal mask airway for laparoscopic procedures compared with traditional endotracheal intubation. This study aims to add to this literature in providing information comparing the two techniques. The rationale for this study is to show that general anesthesia with laryngeal mask airway is an effective and non-inferior technique compared with general anesthesia with endotracheal intubation in pediatric patients undergoing laparoscopic inguinal hernia repair and may offer benefits in terms of efficiency of care and respiratory complications.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
62
Laryngeal mask airway will be used as an airway device for Cohort A in the standard fashion.
Endotracheal tube airway will be used as an airway device for Cohort B in the standard fashion.
Children's Mercy Hospital
Kansas City, Missouri, United States
Oxygen Saturation Measured by Pulse Oximetry in Percent Saturation
Oyxgen saturation will be measured by pulse oximetry in percent saturation at three time points during the anesthetic
Time frame: Patients will have oxygen saturation measured directly after placement airway device, the first oxygen saturation recorded five minutes after the start of surgery, and immediately prior to removal airway device, assessed up to 2 hours.
End-tidal Carbon Dioxide Measured by Capnography in mm Hg
Patients will have end-tidal carbon dioxide measured by capnography in mm Hg at three standardized time points during anesthesia.
Time frame: Patients will have end-tidal carbon dioxide measured directly after placement of device, the first end-tidal carbon dioxide measurement recorded five minutes after the start of surgery, and immediately prior to removal of device, assessed up to 2 hours.
Peak Airway Pressure Will be Measured in cm H2O
Patients will have peak airway pressure in cm H2O measured at three standardized time points during anesthesia.
Time frame: Patients will have peak airway pressure measured directly after placement airway device, the first airway pressure recorded five minutes after the start of surgery, and immediately prior to removal airway device, assessed up to 2 hours.
Documentation of Laryngospasm Occurrence
Will document if laryngospasm occurs in both groups at any time during the surgery.
Time frame: Patients will have the occurrence of laryngospasm documented at any time point during the surgery, assessed up to 2 hours.
Documentation of Oxygen Desaturation
Will document if oxygen desaturation occurs at any time during the surgery as defined as an oxygen saturation of less than 90%.
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Time frame: Patients will have the occurrence of oxygen desaturation documented if it occurs at any time point during the surgery, assessed up to 2 hours.