Impact of laryngeal mask airway versus endotracheal intubation on emergence delirium in children undergoing same-day endoscopic-assisted coblation adenoidectomy: a randomized, single-center clinical trial

作者：Ying Chen, Qian Li, Shoudong Pan, Fuxia Yan, Han Ding · 发表于：Minerva Anestesiologica · 年份：2025 · DOI：10.23736/s0375-9393.25.19156-6 · 被引用次数：2 · 研究领域：Airway Management and Intubation Techniques、Anesthesia and Sedative Agents、Enhanced Recovery After Surgery

BACKGROUND: Postoperative emergence delirium (ED), a frequent complication following general anesthesia, poses significant clinical risks including traumatic injuries and cardiorespiratory compromise. The primary objective of this study was to evaluate the effects of laryngeal mask airway versus endotracheal intubation on the incidence of ED in pediatric patients undergoing endoscopic-assisted coblation adenoidectomy. The secondary objective of this study was to evaluate and compare additional intraoperative and postoperative outcomes. METHODS: A total of 78 patients aged three - six years undergoing same-day endoscopic-assisted coblation adenoidectomy under general anesthesia were randomly allocated to either laryngeal mask airway group (Group L) or endotracheal intubation group (Group T). ED and pain were assessed using the Pediatric Anesthesia Emergence Delirium (PAED) and the Face, Legs, Activity, Cry, Consolability (FLACC) scale, respectively. The primary outcome was the incidence of ED within 30 minutes post-extubation. The secondary outcomes included the highest FLACC score, vital signs, the duration of surgery, anesthesia time, extubation time, length of Post-Anesthesia Care Unit (PACU) stay, adverse events post-extubation, sore throat score, and the satisfaction levels of ward nurses and caregivers. RESULTS: The incidence of ED was significantly lower in Group L than in Group T (15.4% vs. 41%, P<0.05). The systolic blood pressure (106.8±14.4 mmHg vs. 122.5±17.6 mmHg)...