Evaluation of Laryngeal Mask Airway Use in Pediatric Bronchoscopy: A 10-Year Retrospective Study
Pediatric Pulmonology, cilt.61, sa.3, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 61 Sayı: 3
- Basım Tarihi: 2026
- Doi Numarası: 10.1002/ppul.71566
- Dergi Adı: Pediatric Pulmonology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
- Anahtar Kelimeler: airway management, anesthesia, bronchoscopy, hypoxia, laryngeal mask airway, pediatric, pulse oximetry
- İstanbul Medipol Üniversitesi Adresli: Evet
Özet
Background: The effectiveness and safety of laryngeal mask airway (LMA) use in pediatric flexible bronchoscopy remains insufficiently documented, particularly regarding age-specific outcomes. This study aimed to evaluate LMA compared to mask ventilation during pediatric flexible bronchoscopy, focusing on oxygenation parameters and complications across different age groups. Methods: This retrospective study analyzed 212 pediatric patients (1–12 years) who underwent flexible bronchoscopy between 2014 and 2023. Patients were stratified into early childhood (1–5 years, n = 153) and late childhood (5–12 years, n = 59) groups. Primary outcomes included oxygen saturation levels and desaturation events. Secondary outcomes included total anesthesia time and complications. Results: LMA use resulted in significantly higher intraoperative SpO2 levels in both early (94.4% vs. 92.6%, p < 0.001) and late childhood (93.9% vs. 92.3%, p = 0.038). Early childhood LMA group showed lower complication rates (7.9% vs. 19.5%, p = 0.037) and fewer desaturation events (7.9% vs. 22.1%, p = 0.031). Although procedure duration was longer with LMA use (p < 0.001), it was associated with fewer interruptions and more stable oxygenation. Conclusions: LMA provides superior oxygenation and fewer complications compared to mask ventilation during pediatric bronchoscopy, particularly in early childhood. Despite longer procedure times, the improved safety profile supports LMA as an effective airway management option for pediatric bronchoscopy.