Obstetric anesthesia

Pulmonary complications following postpartum tubal ligation with laryngeal mask vs. endotracheal intubation: a retrospective cohort study (2012–2024)

Int J Obstet AnesthPublished Retrospective cohort study

Authors' conclusion

In this retrospective analysis of postpartum tubal ligation under general anesthesia, there were no respiratory complications with either airway device.

Study context

Population
Patients undergoing postpartum tubal ligation under GA at a high-risk obstetric center, 2012–2024
Participants
1,095 patients
Exposure
LMA vs ETT for postpartum tubal ligation under GA
  • Supra-glottic airwayn = 592
  • Endotracheal intubationn = 503reference
Outcome
Respiratory complications (pneumonia, respiratory failure, anesthesia-related reactions, other significant adverse events)
Follow-up
Within seven postoperative days
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Supra-glottic airway

0

events

Endotracheal intubation

0

events

Upper bound of incidence (Poisson-based CI)
< 1 %

Observational data: associations, not effects.

Further findings

ASA I

BMI

P = 0.027

Conversion to ETT (supra-glottic airway)
2.6 %

Original publication

Pulmonary complications following postpartum tubal ligation with laryngeal mask vs. endotracheal intubation: a retrospective cohort study (2012–2024). Int J Obstet Anesth. Published 22 September 2025. doi:10.1016/j.ijoa.2025.104776

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