{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T20:49:38Z","timestamp":1790023778522,"version":"4.0.1"},"reference-count":48,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2014,7,30]],"date-time":"2014-07-30T00:00:00Z","timestamp":1406678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Rate of perioperative respiratory complications between tracheal intubation (<jats:styled-content style=\"fixed-case\">TI<\/jats:styled-content>) and laryngeal mask airway remains unclear during pediatric anesthesia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of the present meta\u2010analysis was to compare the perioperative respiratory complications between laryngeal mask airway and <jats:styled-content style=\"fixed-case\">TI<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A meta\u2010analysis of available controlled studies comparing laryngeal mask airway to <jats:styled-content style=\"fixed-case\">TI<\/jats:styled-content> was conducted. Studies including patients with airway infection were excluded. Data from each trial were combined to calculate the pooled odds ratios (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) or mean difference (<jats:styled-content style=\"fixed-case\">MD<\/jats:styled-content>) and 95% confidence intervals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The meta\u2010analysis was performed on 19 studies. In 12 studies, patients were given muscle relaxation, and in 16 studies, ventilation was controlled. During recovery from anesthesia, the incidence of desaturation (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a00.34 [0.19\u20130.62]), laryngospasm (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a00.34 [0.2\u20130.6]), cough (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a00.18 [0.11\u20130.27]), and breath holding (0.19 [0.05\u20130.68]) was lower when laryngeal mask airway was used to secure the airway. Postoperative incidences of sore throat (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a00.87 [0.53\u20131.44]), bronchospasm (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a00.56 [0.25\u20131.25]), aspiration (1.33 [0.46\u20133.91]) and blood staining on the device (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a00.62 [0.21\u20131.82]) did not differ between laryngeal mask airway and <jats:styled-content style=\"fixed-case\">TI<\/jats:styled-content>. Results were homogenous across the studies, with the exceptions of blood staining on the device.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This meta\u2010analysis found that the use of laryngeal mask airway in pediatric anesthesia results in a decrease in a number of common postanesthetic complications. It is therefore a valuable device for the management of the pediatric airway.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.12495","type":"journal-article","created":{"date-parts":[[2014,7,30]],"date-time":"2014-07-30T08:49:38Z","timestamp":1406710178000},"page":"1088-1098","source":"Crossref","is-referenced-by-count":92,"title":["Supraglottic airway devices vs tracheal intubation in children: a quantitative meta\u2010analysis of respiratory complications"],"prefix":"10.1111","volume":"24","author":[{"given":"Virginie","family":"Luce","sequence":"first","affiliation":[{"name":"Department of Anesthesia Intensive Care RobertDebr\u00e9 University Hospital Paris France"},{"name":"University Paris Diderot Paris VII. 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