Aim: ProSeal LMA (LMA) was developed on the basis of the classic LMA is a supraglottic airway device. In this study, anesthesia records of 428 pediatric patients who PLMA were inserted after induction of general anesthesia in pediatric surgery between May 2009 and June 2011 were reviewed retrospectively.
Material-Methods: Demographic characteristics, ASA score, type of surgery and anesthesia time, the premeditation, induction agents, positions of patients, PLMA placement technique, the number of attempts, the practitioners' experience of anesthesia and complications encountered were recorded retrospectively.
Results: Anesthesia was induced intravenously or inhalationally in 355 and 73 patients, respectively. PLMA was placed at the first trial to 411 patients and at the second trial to 14 patients. 342 patients who PLMA were inserted underwent to the operation in the supine position, 86 patients had the operation in lithotomy position. PLMA was placed with digital technique to 355 patients, introducer was used in 73 patients. After PLMA was placed, in 4 patients laryngospasm, in 3 patients bronchospasm, in one patient gastric distension, in two patients hiccup developed. After placement of PLMA two patients vomited. After removal of PLMA laryngospasm developed in three patients, blood transmission at PLMA has been found in 2 patients.
Conclusion: In children, PLMA with allowing high leak pressures than the classic LMA and separating glottis to esophagus, high placement success and low complication rate is an effective airway device.
Key Words: Proseal LMA; Children; Complication.
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