Pediatric anesthesia & critical care
Comparison of Intubation-Related Complications Between Laryngeal Mask and Endotracheal Intubation with Bronchial Blocker for One-Lung Ventilation in Pediatric Patients
Authors' conclusion
In pediatric patients requiring OLV, the LMA-BB technique may be associated with reduced early postoperative airway adverse effects compared to the ETT-BB approach.
Study context
- Population
- Children aged 3 months to 8 years undergoing elective thoracoscopic mediastinal mass resection with one-lung ventilation (OLV)
- Participants
- 48 children
- Exposure
- Laryngeal mask airway (LMA) with bronchial blocker vs endotracheal tube (ETT) with bronchial blocker for OLV
- LMA-BBn = 24
- ETT-BBn = 24reference
- Outcome
- Postoperative intubation-related complications (sore throat severity, secretion grade, laryngospasm), assessed in the PACU
Methodological detailssingle-centre
- Single-centre
Secondary outcomes
Hemodynamic response during airway manipulation (percent change in SBP)
- Comparable between the 2 groups: 0.80 [IQR, 0.02-0.19] vs 0.07 [IQR, 0.05-0.16]
- P = 0.975
- Group order as printed (LM cohort first)
Chest radiograph scores (early postoperative pulmonary complications)
- Comparable between the 2 groups: median 0 [IQR, 0-1] vs 1 [IQR, 0-1.75]
- P = 0.124
- Group order as printed (LM cohort first)
Safety
Laryngospasm (PACU)
- No laryngospasm cases in either group
Original publication
Comparison of Intubation-Related Complications Between Laryngeal Mask and Endotracheal Intubation with Bronchial Blocker for One-Lung Ventilation in Pediatric Patients. J Cardiothorac Vasc Anesth. Published 17 September 2025. doi:10.
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