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1- Anesthesiologist, Sari, Iran
2- Department of Anesthesiology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran ,
3- Department of Anesthesiology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Abstract:   (359 Views)
Context: Supraglottic airway devices (SADs) in airway management during and emergency conditions in pediatric.
Objective: The objective of this review was to examine the literature that evaluated pediatric supraglottic airway devices, to find the optimal device exists in term of oropharyngeal leak pressure, risk of insertion failure at first attempt and risk of blood staining of the device.
Data Sources: An electronic search was conducted of MEDLINE, EMBASE, CINAHL and pubmed databases. We also searched the Cochrane database (CENTRAL) and Web of Science up to July 1, 2017.
Study Selection: Of 112 potential studies; The full texts of 53 articles were existed in detail; in which 15 were duplicated and was omitted from the study. Papers which were not directly discussed SADs were also excluded. In total, 30 papers were identified which were related to the Children supraglottic  devices.
Data Extraction: The current review was conducted and reported in accordance with the Preferred Reporting Items for systematicreviews and meta-analyses (PRISMA) statement
 Results: We found that the LMA-Proseal may be the best supraglottic airway device for children up to now due to its high oropharyngeal leak pressure (OLP) and a low risk of insertion failure. Although the i-gel seems a very functional tool either.
Conclusions: We recommend that there is a need for more research to find out which supraglottic airway provides the best devices in diverse clinical situations and with children of various conditions.
Full-Text [PDF 617 kb]   (257 Downloads)    
Type of Study: Systematic Review | Subject: Anesthesiology
Received: 2018/03/18 | Accepted: 2018/05/15 | Published: 2018/06/11

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