15 April 2025 : Clinical Research
Effect of Airway Devices on Emergence Delirium in Pediatric Strabismus Surgery
Eun Ji Park BE 1, Boo-young Hwang
DG 1,2*, Jae-young Kwon C 1,2, Young-hoon Jung DF 1, Hyeon Jeong Lee E 1,2, Soeun Jeon C 3,4
DOI: 10.12659/MSM.948351
Med Sci Monit 2025; 31:e948351
Table 2 Anesthetic data.
| Group E (n=37) | Group L (n=36) | P | ||
|---|---|---|---|---|
| Intubation time | 11.11±4.60 | 6.20±2.049 | 0.0* | |
| Intubation attempt | 1 (100) | 1 (100) | 1.0 | |
| Airway response after intubation | 1 | 31 (83.8) | 34 (94.9) | 0.261 |
| 2 | 6 (16.2) | 2 (5.6) | ||
| Extubation time | 7.58±1.85 | 7.46±1.72 | 0.631 | |
| Crying time | 8.63±2.15 | 8.52±1.72 | 0.834 | |
| Laryngospasm | 1 (2.7) | 0 | 1.0 | |
| Coughing | 5 (13.5) | 0 | 0.054 | |
| Nausea | Mild | 5 (13.5) | 3 (8.3) | 0.269 |
| Moderate | 2 (5.4) | 0 | ||
| Vomiting | 3 (8.1) | 0 | 0.240 | |
| Administration of propofol | 5 (13.5) | 1 (2.8) | 0.095 | |
| Administration of fentanyl | 15 (40.5) | 7 (19.4) | 0.05 | |
| PACU stay | 28.27±11.45 | 21.92±8.62 | 0.020* | |
| The intubation time and post-anesthesia care unit (PACU) stay were shorter in the laryngeal mask airway group (group L) than in the endotracheal tube group (group E). No significant differences were observed in intubation attempts, airway response grades after intubation, extubation time, crying time, or adverse effects, such as laryngospasm, coughing, nausea, vomiting, and administration of propofol and fentanyl between the groups. Airway responses after intubation were categorized into 4 grades: (1) no gagging, coughing, or laryngospasm; (2) mild gagging, coughing, or laryngospasm; (3) moderate gagging, coughing, or laryngospasm; and (4) severe gagging, coughing, or laryngospasm. Data are expressed as means and standard deviations or numbers and percentages. Group L – laryngeal mask airway group; group E – endotracheal tube group; PACU – post-anesthesia care unit. * | ||||