use of flexible laryngeal mask airway for Adenoidectomies: An experience of 814 Paediatric patients

Objective: To assess flexible laryngeal mask airway [F-LMA] use during pediatric adenoidectomies in terms of patient safety, comfort, complication rates and surgeon satisfaction levels

Methods: Patients who had undergone an elective adenoidectomy after receiving general anesthesia using F-LMA from June 2012 to November 2015 were included. Patients' demographics and the incidence of perioperative complications were investigated. The surgeon's satisfaction level was also evaluated by questionnaire

Results: Eight hundred fourteen patient were included in the study. Conversion from F-LMA to an endotracheal tube was carried out in two patients [0.2%]. Airway complications were identified in two patients. The mean duration of stay in the postoperative anesthesia care unit was 17 minutes. All patients were discharged the same day. According to the otolaryngologists F-LMA applications provide a significant reduction in the processing time [100%], postoperative patient comfort is better than when using endotracheal intubation [83.3%] and the consensus was that there should be a complete continuation of the use of the F-LMA [100%] in subsequent adenoidectomies

Conclusion: Our data show that the use of F-LMA for pediatric adenoidectomies has well tolerability profile and resulted in a lower incidence of complications. We think that the use of F-LMA for pediatric adenoidectomy is safer, simpler and speeder method

Anesthetic management of 29 week pregnant patient undergoing craniotomy for pituitary macroadenoma. A case report

Intracranial space-occupying lesions are rarely present during pregnancy and these disorders seldom require immediate surgical attention. The most common among them is pituitary tumor of which 15-35% has a chance of enlarging during pregnancy. The decision to proceed with surgical intervention depends on the site, size, and type of the tumor, gestational age and neurological signs as well as the patient's wishes. In case of surgery, multidisciplinary approach is essential in perioperative period. Maternal alterations during pregnancy may complicate the anesthetic management of patients and increase monitoring requirements for safety of both mother and fetus. Unfortunately, this may become a challenge to all attending physicians, but especially to the anesthesiologists, as the anesthetic plan must meet the needs of both pregnancy and neurosurgery. Here, we present 29-week pregnant patient undergoing craniotomy for pituitary adenoma and discuss the features of anesthesia providing maternal and fetal safety