Paediatric supraglottic airway devices update
Keywords:
Anesthesia, Child, Laryngeal mask, Airway management, Glotis
Abstract
Introduction:
Following the introduction of the laryngeal mask in the 1980s, several similar devices have been developed, changing paediatric airway management under anaesthesia. This reflective article describes and examines the different paediatric supraglottic airway devices currently available in the U.K.
Methodology:
This perspective article is based on a narrative review of articles that discussed paediatric supraglottic airway devices using Cochrane, meddling, Ovid and pubmed databases as well as text books.
Results:
As new devices continue to be developed with a clear indication of clinical relevance and genuine advantages, so high quality research will also continue to be required in order to improve features in new devices.
References
1. Cook TM. Editorial I: The classic laryngeal mask airway: tried and tested airway. What now? Br J Anaesth. 2006;96: 149-52.
2. Brain AI. The development of the laryngeal mask?a brief history of the invention, early clinical studies and experimental work from which the laryngeal mask evolved. Eur J Anaesth. 1991;4:5-17.
3. Schmiesing CA, Brock-Utne JG. An airway management device: the laryngeal mask airway - a review. J intensive Care Med. 1998;13:32-43.
4. Brain AU. The laryngeal mask airway?a new concept in airway management. Br J Anaesth. 1983;55:801-5.
5. Brain AU, McGhee. The laryngeal mask airway, development and preliminary trials of a new type of airway. Anaesthesia. 1985;40:365-71.
6. Brodrick PM, Webster NR, Nunn JF. The laryngeal mask airway, a study of 100 patients during spontaneous breathing patients. Acta Anaesth. 1990;34:669-72.
7. Sarma. The use of a laryngeal mask airway in spontaneously breathing. Acta Anaesth. 1990;34:669-72.
8. White MC, Cook T. A critique of elective pediatric supraglottic airway devices. PediatrAnesth. 2009;19:55-65.
9. Mason DG, Bingham RM. The laryngeal mask airway in children. Anaesthesia. 1990;45:760-3.
10. Lopez-GilM, Brimacombe J, Alvarez M. Safety and efficacy of the laryngeal mask airway. A prospective survey of 1400 children. Anaesthesia. 1996;51:969-72.
11. Naguib ML, Streetman DS, Clifton S, Nasr S. Use oflaryngeal mask airway in flexible bronchoscopy in infants and children. Pediatr Pulmonol. 2005;39:56-63.
12. Difficult Airway Society. Available from: https:?www.das.uk.com/guidelines/das_intubation_guidelines; 2015 [accessed 08.08.17].
13. American Society of Anaesthesiologists 1995-2017. Available from: https://www.asahq.org/[accessed 16.02.17].
14. Australian and New Zealand College of Anaesthetists. Available from: www.anzca.edu.au [accessed 19.03.17].
15. Patel B. Laryngeal mask airway and other supraglottic airway devices in paediatric practice. Contin Educ Anaesth Crit Care Pain. 2009;9:6-9.
16. Harless R. Pediatric airway management. Int J Crit Ill Inj Sci. 2014;4:65-70.
17. Maino P, Dullenkopf A, Keller C, Bernet-BuettikerV, Weiss M. Cuff filling volumes and pressures in pediatric laryngeal mask airways. Paediatr Anaesth. 2006;16: 25-30.
18. Asai T, Brimacombe J. Cuff volume and size selection with the laryngeal mask. Anaesthesia. 2000;55:1179-84.
19. Davey AJ, Diba A. Ward's anaesthetic equipment. London: Saunders Elsevier; 2012. p. 139-205.
20. Tait AR, Pandit UA, Voepel-Lewis T, Munro HM, Malviya S. Use of the laryngeal mask airway in children with upper respiratory tract infections: a comparison with endotracheal intubation. Anesth Analg. 1998;86:706-11.
21. Goldmann K, Jakob C. Size 2 ProSeal laryngeal mask airway: a randomized, crossover investigatio with the standard laryngea mask airway in paediatric patients. Br J Anaesth. 2005;94:385-9.
22. Goldmann K, Roettger C, Wulf H. The size 1(1/2) ProSeal laryngeal mask airway in infants: a randomized, crossover investigation with the Classic laryngeal mask airway. Anesth Analg. 2006;102:405-10.
23. Flynn P, Ahmed FB, Mitchell V, Patel A, Clarke S. A randomised comparison of the single use LMA Flexible with the reusable LMA flexible in paediatric dental day-case patients. Anaesthesia. 2007;62:1281-4.
24. Aziz L, Bashir K. Comparison of armoured laryngeal mask airway with endotracheal tube for adenotonsillectomy. J Coll Physicians Surg Pak. 2006;16:685-8.
25. Williams PJ, Bailey PM. Comparison of the reinforced laryngeal mask airway and tracheal intubation for adenotonsillectomy. Br JAnaesth. 1993;70:30-3.
26. Webster AC, Morley-Forster PK, Dain S, Ganapathy S, Ruby R, Au A, et al. Anaesthesia for adenotonsillectomy: a comparison between tracheal intubation and the armoured laryngeal mask airway. Can J Anaesth. 1993;40:1171-7.
27. Cook TM, Lowe JM. An evaluation of the Cobra Perilaryngeal Airway: study halted after two cases of pulmonary aspiration. Anaesthesia. 2005;60:791-6.
28. Agro F, Barzoi G, Galli B. The CobraPLA in 110 anaesthetized and paralysed patients: what size to choose? Br J Anaesth. 2004;92:777-8.
29. Akca O, Wadhwa A, Sengupta P, Durrani J, Hanni K, Wenke M, et al. The new perilaryngeal airway (CobraPLA) is as efficient as the laryngeal mask airway (LMA) but provides better airway sealing pressures. Anesth Analg. 2004;99: 272-8.
30. Gaitini L, Yanovski B, Somri M, Vaida S, Read T, Alfery D. A comparison between the PLA Cobra and the Laryngeal Mask Airway Unique during spontaneous ventilation: a randomized prospective study. Anesth Analg. 2006;102: 631-6.
31. Gaitini L, Carmi N, Yanovski B, Tome R, Resnikov I, Gankin I, et al. Comparison of the CobraPLA (Cobra Perilaryngeal Airway) and the Laryngeal Mask Airway Unique in children under pressure controlled ventilation. Pediatr Anesth. 2008;18:313-9.
32. Passariello M, Almenrader N, Coccetti B, Haiberger R, Pietropaoli P. Insertion characteristics, sealing pressure and fiberoptic positioning of CobraPLA in children. Pediatr Anesth. 2007;17:977-82.
33. Sinha A, Sharma B, Sood J. Proseal as an alternative to tracheal intubation for paediatric laparoscopy. Pediatr Anesth. 2007;17:327-32.
34. Lopez-Gil M, Brimacombe J, Garcia G. A randomized non-crossover study comparing the ProSeal and classic laryngeal mask airway in anaesthetized children. Br J Anaesth. 2005;95:827-30.
35. Wheeler M. ProSeal laryngeal mask airway in 120 pediatric surgical patients: a prospective evaluation of characteristics and performance. Pediatr Anesth. 2006;16:297-301.
36. Lopez-Gil M, Brimacombe J. The ProSeal laryngeal mask air-way i children. Pediatr Anesth. 2005;15:229-34.
37. Kelly F, Sale S, Bayley G, Cook T, Stoddart P, White M. A cohort evaluation of the pediatric ProSeal laryngeal mask airway in 100 children. Pediatr Anesth. 2008;18:947-51.
38. Shimbori H, Ono K, Miwa T, Norimura N, Noguchi M, Hiroki K. Comparison of the LMA-ProSeal and LMA-Classic in children. BrJ Anaesth. 2004;93:528-31.
39. Lardner DR, Cox RG, Ewen A, Dickinson D. Comparison of laryngeal mask airway (LMA)-Proseal and the LMA-Classic in ventilated children receiving neuromuscular blockade. Can J Anaesth. 2008;55:29-35.
40. Goldmann K, Jakob C. A randomized crossover comparison of the size 2 1/2 laryngeal mask airway ProSeal versus laryngeal mask airway-Classic in pediatric patients Anesth Analg. 2005;100:1605-10.
41. Cook TM, Gibbison B, Hersch P, Simpson TP. A cohort evaluation of the pediatric proseal laryngeal mask airway in 100 children. Pediatr Anesth. 2009;19:171-2.
42. Jagannathan N, Ramsey MA, White MC, Son L. An update on newer pediatric supraglottic airways with recommendation for clinical use. Pediatr Anesth. 2015;25: 334-45.
43. Jagannathan N, Sohn L, Sommers K, et al. A randomized comparison of the laryngeal mask airway supreme and laryngeal mask airway unique in infants and children: does cuff pressure influence leak pressure? Pediatr Anesth. 2013;23:127-33.
44. Jagannathan N, Sohn LE, Sawardekar A, Cha E, Langen KE, Anderson K. A randomised trial comparing the laryngeal mask airway Supreme with the laryngeal mask airway Unique in children. Anaesthesia. 2012;67:139-44.
45. Trevisanuto D, Parotto M, Doglioni N, Ori C, Zanardo V, Micaglio M. The Supreme Laryngeal Mask Airway (LMA): a new neonatal supraglottic device: comparison with Classic and ProSeal LMA in a manikin. Resuscitation. 2012;83:97-100.
46. Jagannathan N, Sohn LE, Chang E, Sawardekar A. A cohort evaluation of the Laryngeal Mask Airway-Supreme in children. PediatrAnesth. 2012;22:759-64.
47. Beringer RM, Kelly F, Cook TM, Nolan J, Hardy R, Simpson T, White MC. A cohort evaluation of the paediatric i-gelTM airway during anaesthesia in 120 children. Anaesthesia. 2011;66:1121-6.
48. Abukawa Y, Hiroki K, Ozaki M. Initial experience of the i-gel supraglottic airway by the residents in pediatric patients. J Anesth. 2012;26:357-61.
49. Hughes C, Place K, Berg S, Manson D. A clinical evaluation of the i-gelTM supraglottic air-way devic in children. Pediatr Anesth. 2012;22:765-71.
50. Beylacq L, Bordes M, Semjen F, Cros AM. The I-gel, a single-use supraglottic airway device with a non-inflatable cuff and an oesophagea vent: an observational study in children. Acta Anaesthesiol Scand. 2009;53: 376-9.
51. Lee JR, Kim MS, Kim JT, Byon HJ, Park YH, Kim HS, et al. A randomised trial comparing the i-gelTM with the LMA ClassicTM in children. Anaesthesia. 2012;67: 606-11.
52. Kim MS, Oh JT, Min JY, Lee KH, Lee JR. A randomised comparison of the i-gel and the Laryngeal Mask Airway Classic in infants. Anaesthesia. 2014;69: 362-7.
53. Sohn L, Nour R, Jagannathan N. Update on airway devices. PaediatrAnaesth. 2015;5:147-55.
54. Choi, Kang, Baek. A systemati review and meta-analysis of the igel vs laryngeal mask airway in children. Anaesthesia. 2014;69:1258-65.
55. Jagannathan N, Kozlowski RJ, Sohn LE, Langen KE, Roth A, Mukherji M, et al. A clinical evaluation of the intubating laryngeal airway as a conduit for tracheal intubation in children. Anesth Analg. 2011;112: 176-82.
56. Jagannathan N, Sohn LE, Sawardekar A, Gordon J, Shah R, Mukherji M, et al.A randomized trial comparing the Ambu Aura-i with the air-Qintubating laryngeal airway as conduits for tracheal intubation in children. Pediatr Anesth. 2012;22:1197-204.
57. Jagannathan N, Roth AG, Sohn LE, Pak T, Amin S, Suresh S. The new air-Q intubating laryngeal airway for tracheal intubation in children with anticipated difficult airway: a case series. Pediatr Anesth. 2009;19: 618-22.
58. Jagannathan N, Sohn L, Ramsey M, Huang A, Sawardekar A, Sequera-Ramos L, et al. A randomized comparison ofthe i-gel and air-Q supraglottic airways as conduits for tracheal intubation in children by anesthesiology trainees. Can J Anaesth. 2015;62:587-94.
59. Ahn EJ, Choi GJ, Kang H, Baek CW, Jung YH, Woo YC, et al. Comparative efficacy of the Air Q intubating laryngeal airway during general anaesthesia in paediatric patients: a systematic review and meta-analysis. BioMed Res Int. 2016;2016. Article ID 6406391.
2. Brain AI. The development of the laryngeal mask?a brief history of the invention, early clinical studies and experimental work from which the laryngeal mask evolved. Eur J Anaesth. 1991;4:5-17.
3. Schmiesing CA, Brock-Utne JG. An airway management device: the laryngeal mask airway - a review. J intensive Care Med. 1998;13:32-43.
4. Brain AU. The laryngeal mask airway?a new concept in airway management. Br J Anaesth. 1983;55:801-5.
5. Brain AU, McGhee. The laryngeal mask airway, development and preliminary trials of a new type of airway. Anaesthesia. 1985;40:365-71.
6. Brodrick PM, Webster NR, Nunn JF. The laryngeal mask airway, a study of 100 patients during spontaneous breathing patients. Acta Anaesth. 1990;34:669-72.
7. Sarma. The use of a laryngeal mask airway in spontaneously breathing. Acta Anaesth. 1990;34:669-72.
8. White MC, Cook T. A critique of elective pediatric supraglottic airway devices. PediatrAnesth. 2009;19:55-65.
9. Mason DG, Bingham RM. The laryngeal mask airway in children. Anaesthesia. 1990;45:760-3.
10. Lopez-GilM, Brimacombe J, Alvarez M. Safety and efficacy of the laryngeal mask airway. A prospective survey of 1400 children. Anaesthesia. 1996;51:969-72.
11. Naguib ML, Streetman DS, Clifton S, Nasr S. Use oflaryngeal mask airway in flexible bronchoscopy in infants and children. Pediatr Pulmonol. 2005;39:56-63.
12. Difficult Airway Society. Available from: https:?www.das.uk.com/guidelines/das_intubation_guidelines; 2015 [accessed 08.08.17].
13. American Society of Anaesthesiologists 1995-2017. Available from: https://www.asahq.org/[accessed 16.02.17].
14. Australian and New Zealand College of Anaesthetists. Available from: www.anzca.edu.au [accessed 19.03.17].
15. Patel B. Laryngeal mask airway and other supraglottic airway devices in paediatric practice. Contin Educ Anaesth Crit Care Pain. 2009;9:6-9.
16. Harless R. Pediatric airway management. Int J Crit Ill Inj Sci. 2014;4:65-70.
17. Maino P, Dullenkopf A, Keller C, Bernet-BuettikerV, Weiss M. Cuff filling volumes and pressures in pediatric laryngeal mask airways. Paediatr Anaesth. 2006;16: 25-30.
18. Asai T, Brimacombe J. Cuff volume and size selection with the laryngeal mask. Anaesthesia. 2000;55:1179-84.
19. Davey AJ, Diba A. Ward's anaesthetic equipment. London: Saunders Elsevier; 2012. p. 139-205.
20. Tait AR, Pandit UA, Voepel-Lewis T, Munro HM, Malviya S. Use of the laryngeal mask airway in children with upper respiratory tract infections: a comparison with endotracheal intubation. Anesth Analg. 1998;86:706-11.
21. Goldmann K, Jakob C. Size 2 ProSeal laryngeal mask airway: a randomized, crossover investigatio with the standard laryngea mask airway in paediatric patients. Br J Anaesth. 2005;94:385-9.
22. Goldmann K, Roettger C, Wulf H. The size 1(1/2) ProSeal laryngeal mask airway in infants: a randomized, crossover investigation with the Classic laryngeal mask airway. Anesth Analg. 2006;102:405-10.
23. Flynn P, Ahmed FB, Mitchell V, Patel A, Clarke S. A randomised comparison of the single use LMA Flexible with the reusable LMA flexible in paediatric dental day-case patients. Anaesthesia. 2007;62:1281-4.
24. Aziz L, Bashir K. Comparison of armoured laryngeal mask airway with endotracheal tube for adenotonsillectomy. J Coll Physicians Surg Pak. 2006;16:685-8.
25. Williams PJ, Bailey PM. Comparison of the reinforced laryngeal mask airway and tracheal intubation for adenotonsillectomy. Br JAnaesth. 1993;70:30-3.
26. Webster AC, Morley-Forster PK, Dain S, Ganapathy S, Ruby R, Au A, et al. Anaesthesia for adenotonsillectomy: a comparison between tracheal intubation and the armoured laryngeal mask airway. Can J Anaesth. 1993;40:1171-7.
27. Cook TM, Lowe JM. An evaluation of the Cobra Perilaryngeal Airway: study halted after two cases of pulmonary aspiration. Anaesthesia. 2005;60:791-6.
28. Agro F, Barzoi G, Galli B. The CobraPLA in 110 anaesthetized and paralysed patients: what size to choose? Br J Anaesth. 2004;92:777-8.
29. Akca O, Wadhwa A, Sengupta P, Durrani J, Hanni K, Wenke M, et al. The new perilaryngeal airway (CobraPLA) is as efficient as the laryngeal mask airway (LMA) but provides better airway sealing pressures. Anesth Analg. 2004;99: 272-8.
30. Gaitini L, Yanovski B, Somri M, Vaida S, Read T, Alfery D. A comparison between the PLA Cobra and the Laryngeal Mask Airway Unique during spontaneous ventilation: a randomized prospective study. Anesth Analg. 2006;102: 631-6.
31. Gaitini L, Carmi N, Yanovski B, Tome R, Resnikov I, Gankin I, et al. Comparison of the CobraPLA (Cobra Perilaryngeal Airway) and the Laryngeal Mask Airway Unique in children under pressure controlled ventilation. Pediatr Anesth. 2008;18:313-9.
32. Passariello M, Almenrader N, Coccetti B, Haiberger R, Pietropaoli P. Insertion characteristics, sealing pressure and fiberoptic positioning of CobraPLA in children. Pediatr Anesth. 2007;17:977-82.
33. Sinha A, Sharma B, Sood J. Proseal as an alternative to tracheal intubation for paediatric laparoscopy. Pediatr Anesth. 2007;17:327-32.
34. Lopez-Gil M, Brimacombe J, Garcia G. A randomized non-crossover study comparing the ProSeal and classic laryngeal mask airway in anaesthetized children. Br J Anaesth. 2005;95:827-30.
35. Wheeler M. ProSeal laryngeal mask airway in 120 pediatric surgical patients: a prospective evaluation of characteristics and performance. Pediatr Anesth. 2006;16:297-301.
36. Lopez-Gil M, Brimacombe J. The ProSeal laryngeal mask air-way i children. Pediatr Anesth. 2005;15:229-34.
37. Kelly F, Sale S, Bayley G, Cook T, Stoddart P, White M. A cohort evaluation of the pediatric ProSeal laryngeal mask airway in 100 children. Pediatr Anesth. 2008;18:947-51.
38. Shimbori H, Ono K, Miwa T, Norimura N, Noguchi M, Hiroki K. Comparison of the LMA-ProSeal and LMA-Classic in children. BrJ Anaesth. 2004;93:528-31.
39. Lardner DR, Cox RG, Ewen A, Dickinson D. Comparison of laryngeal mask airway (LMA)-Proseal and the LMA-Classic in ventilated children receiving neuromuscular blockade. Can J Anaesth. 2008;55:29-35.
40. Goldmann K, Jakob C. A randomized crossover comparison of the size 2 1/2 laryngeal mask airway ProSeal versus laryngeal mask airway-Classic in pediatric patients Anesth Analg. 2005;100:1605-10.
41. Cook TM, Gibbison B, Hersch P, Simpson TP. A cohort evaluation of the pediatric proseal laryngeal mask airway in 100 children. Pediatr Anesth. 2009;19:171-2.
42. Jagannathan N, Ramsey MA, White MC, Son L. An update on newer pediatric supraglottic airways with recommendation for clinical use. Pediatr Anesth. 2015;25: 334-45.
43. Jagannathan N, Sohn L, Sommers K, et al. A randomized comparison of the laryngeal mask airway supreme and laryngeal mask airway unique in infants and children: does cuff pressure influence leak pressure? Pediatr Anesth. 2013;23:127-33.
44. Jagannathan N, Sohn LE, Sawardekar A, Cha E, Langen KE, Anderson K. A randomised trial comparing the laryngeal mask airway Supreme with the laryngeal mask airway Unique in children. Anaesthesia. 2012;67:139-44.
45. Trevisanuto D, Parotto M, Doglioni N, Ori C, Zanardo V, Micaglio M. The Supreme Laryngeal Mask Airway (LMA): a new neonatal supraglottic device: comparison with Classic and ProSeal LMA in a manikin. Resuscitation. 2012;83:97-100.
46. Jagannathan N, Sohn LE, Chang E, Sawardekar A. A cohort evaluation of the Laryngeal Mask Airway-Supreme in children. PediatrAnesth. 2012;22:759-64.
47. Beringer RM, Kelly F, Cook TM, Nolan J, Hardy R, Simpson T, White MC. A cohort evaluation of the paediatric i-gelTM airway during anaesthesia in 120 children. Anaesthesia. 2011;66:1121-6.
48. Abukawa Y, Hiroki K, Ozaki M. Initial experience of the i-gel supraglottic airway by the residents in pediatric patients. J Anesth. 2012;26:357-61.
49. Hughes C, Place K, Berg S, Manson D. A clinical evaluation of the i-gelTM supraglottic air-way devic in children. Pediatr Anesth. 2012;22:765-71.
50. Beylacq L, Bordes M, Semjen F, Cros AM. The I-gel, a single-use supraglottic airway device with a non-inflatable cuff and an oesophagea vent: an observational study in children. Acta Anaesthesiol Scand. 2009;53: 376-9.
51. Lee JR, Kim MS, Kim JT, Byon HJ, Park YH, Kim HS, et al. A randomised trial comparing the i-gelTM with the LMA ClassicTM in children. Anaesthesia. 2012;67: 606-11.
52. Kim MS, Oh JT, Min JY, Lee KH, Lee JR. A randomised comparison of the i-gel and the Laryngeal Mask Airway Classic in infants. Anaesthesia. 2014;69: 362-7.
53. Sohn L, Nour R, Jagannathan N. Update on airway devices. PaediatrAnaesth. 2015;5:147-55.
54. Choi, Kang, Baek. A systemati review and meta-analysis of the igel vs laryngeal mask airway in children. Anaesthesia. 2014;69:1258-65.
55. Jagannathan N, Kozlowski RJ, Sohn LE, Langen KE, Roth A, Mukherji M, et al. A clinical evaluation of the intubating laryngeal airway as a conduit for tracheal intubation in children. Anesth Analg. 2011;112: 176-82.
56. Jagannathan N, Sohn LE, Sawardekar A, Gordon J, Shah R, Mukherji M, et al.A randomized trial comparing the Ambu Aura-i with the air-Qintubating laryngeal airway as conduits for tracheal intubation in children. Pediatr Anesth. 2012;22:1197-204.
57. Jagannathan N, Roth AG, Sohn LE, Pak T, Amin S, Suresh S. The new air-Q intubating laryngeal airway for tracheal intubation in children with anticipated difficult airway: a case series. Pediatr Anesth. 2009;19: 618-22.
58. Jagannathan N, Sohn L, Ramsey M, Huang A, Sawardekar A, Sequera-Ramos L, et al. A randomized comparison ofthe i-gel and air-Q supraglottic airways as conduits for tracheal intubation in children by anesthesiology trainees. Can J Anaesth. 2015;62:587-94.
59. Ahn EJ, Choi GJ, Kang H, Baek CW, Jung YH, Woo YC, et al. Comparative efficacy of the Air Q intubating laryngeal airway during general anaesthesia in paediatric patients: a systematic review and meta-analysis. BioMed Res Int. 2016;2016. Article ID 6406391.
How to Cite
1.
Stendall C, Glaisyer H, Liversedge T. Paediatric supraglottic airway devices update. Colomb. J. Anesthesiol. [Internet]. 2017 Oct. 1 [cited 2024 Apr. 23];45(Supplement):39-50. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/195
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2017-10-01
How to Cite
1.
Stendall C, Glaisyer H, Liversedge T. Paediatric supraglottic airway devices update. Colomb. J. Anesthesiol. [Internet]. 2017 Oct. 1 [cited 2024 Apr. 23];45(Supplement):39-50. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/195
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