Comparison of laryngeal mask, endotracheal intubation under sevoflurane induced anesthesia in interventional surgery of maxillofacial vascular malformation in infants

doi:10.19438/j.cjoms.2022.03.013

Abstract

Abstract: PURPOSE: By observing and comparing the use of endotracheal intubation or laryngeal mask after sevoflurane inhalation induced anesthesia in infants with maxillofacial vascular malformation, to evaluate what kind of safe and reasonable ventilation methods should be used in these children undergoing general anesthesia. METHODS: From January 2020 to June 2020, 80 children with maxillofacial vascular malformation undergoing interventional surgery at Shanghai Ninth People's Hospital Shanghai Jiao Tong University School of Medicine were selected and divided into laryngeal mask group (group A, n=40) and endotracheal intubation group (group B, n=40). Heart rate (HR) and mean artery pressure (MAP) were measured pre-induction of anesthesia(T0), after induction of anesthesia(T1), immediately after intubation (T2), at the beginning of operation (T3), at the end of operation (T4) and 1 min after extubation (T5). The operation time, recovery time (time from stopping anesthesia to extubation) and the time out of the operating room of the two groups were counted. The occurrence of restlessness, cough, aspiration, nausea and vomiting, hoarseness and sore throat were observed. Statistical analysis was performed using SPSS 26.0 software package. RESULTS: There was no significant difference in HR and MAP at each time point in group A. The HR and MAP after intubation and extubation in group B were significantly higher than those before induction, and higher than those at corresponding time points in group A(P<0.05). There was no significant difference in operation time, recovery time and the time out of the operating room between the two groups(P>0.05). The incidence of restlessness and cough in group B was significantly higher than that in group A (P<0.05). CONCLUSIUNS: Laryngeal mask or endotracheal intubation after sevoflurane inhalation induced anesthesia can successfully complete interventional operation of maxillofacial vascular malformation in infants. Laryngeal mask anesthesia has the advantages of stable hemodynamics and fewer postoperative complications, which is a safe, effective and rapid anesthesia method.

Key words: Sevoflurane, Laryngeal mask airway, Endotracheal intubation, Maxillofacial vascular malformation

CLC Number:

R782.05

ZHANG Ying, ZHOU Jia-qian, KANG Hua. Comparison of laryngeal mask, endotracheal intubation under sevoflurane induced anesthesia in interventional surgery of maxillofacial vascular malformation in infants[J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(3): 277-281.

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