2 208

Cited 12 times in

Optimal conditions for Laryngeal Mask Airway insertion in children can be determined by the trapezius squeezing test.

Authors
 Chul Ho Chang  ;  Yon Hee Shim  ;  Yang-Sik Shin  ;  Ki-Young Lee 
Citation
 Journal of Clinical Anesthesia, Vol.20(2) : 99-102, 2008 
Journal Title
 Journal of Clinical Anesthesia 
ISSN
 0952-8180 
Issue Date
2008
MeSH
Anesthesia* ; Anesthetics, Inhalation ; Back ; Blood Pressure/physiology ; Child ; Child, Preschool ; Female ; Heart Rate/physiology ; Humans ; Infant ; Laryngeal Masks* ; Male ; Methyl Ethers ; Muscle, Skeletal/physiology* ; Neck ; Pressure ; Prospective Studies ; Sevoflurane ; Tidal Volume/physiology ; Time Factors
Keywords
Anesthesia* ; Anesthetics, Inhalation ; Back ; Blood Pressure/physiology ; Child ; Child, Preschool ; Female ; Heart Rate/physiology ; Humans ; Infant ; Laryngeal Masks* ; Male ; Methyl Ethers ; Muscle, Skeletal/physiology* ; Neck ; Pressure ; Prospective Studies ; Sevoflurane ; Tidal Volume/physiology ; Time Factors
Abstract
STUDY OBJECTIVE: To evaluate the trapezius squeezing test as a criterion of adequate anesthetic depth for Laryngeal Mask Airway (LMA) insertion in children without neuromuscular blocking agents. DESIGN: Prospective, randomized clinical trial. SETTING: Operating room of a university hospital. PATIENTS: 45 ASA physical status I and II children, aged one to 6 years, undergoing minor surgical procedures. INTERVENTIONS: An LMA was inserted in each child after the trapezius squeezing test turned to be negative. MEASUREMENTS: Presence of coughing, gagging, gross purposeful movements, breath holding, laryngospasm, or desaturation during or within one minute of LMA insertion were recorded. Elapsed time of LMA insertion, end-tidal sevoflurane concentration, blood pressure, and heart rate values were also noted. MAIN RESULTS: LMA insertion was successful in 41 patients. Elapsed time to complete insertion was 5.7 +/- 1.9 minutes, and end-tidal sevoflurane concentration was 3.6 +/- 1.1 vol%. No marked hemodynamic changes occurred in any child. CONCLUSIONS: The trapezius squeezing test is a reliable clinical indicator to assess adequate anesthetic depth for LMA insertion in children without neuromuscular blocking agents.
Full Text
http://www.sciencedirect.com/science/article/pii/S0952818007003649
DOI
10.1016/j.jclinane.2007.09.007
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Shin, Yang Sik(신양식)
Shim, Yon Hee(심연희) ORCID logo https://orcid.org/0000-0003-1921-3391
Lee, Ki Young(이기영) ORCID logo https://orcid.org/0000-0003-4893-3195
Chang, Chul Ho(장철호) ORCID logo https://orcid.org/0000-0001-5647-8298
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/108103
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse