Jain Ruchi A, Parikh Devangi A, Malde Anila D, Balasubramanium Bhuvneshwari
Department of Anaesthesiology, Lokmanya Tilak Municipal General Hospital, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India.
Indian J Anaesth. 2018 Apr;62(4):269-279. doi: 10.4103/ija.IJA_65_18.
Supraglottic airway devices (SGADs) are increasingly being used for airway management in paediatric patients undergoing general anaesthesia. This survey was designed to assess the nationwide practice patterns of SGAD usage in paediatric patients.
A questionnaire of 28 questions was circulated amongst 16,532 members of the Indian Society of Anaesthesiologists through online survey engine Google Forms and served manually to 500 delegates attending the Asian Society of Paediatric Anaesthesiologists conference 2017. Percentage, mean and standard deviation were calculated using Microsoft Excel 2016 (Redmond, WA, USA).
Four hundred and five (2.3%) valid responses were obtained. The most commonly used device was i-gel (60.74%). Three hundred and four (75.06%) respondents had access to second-generation SGADs. Second-generation devices (60.74%) were more commonly used than first-generation devices (39.26%). Anaesthesiologists utilised SGADs in various challenging scenarios such as in the difficult airway (53.33%), remote locations (55.47%), ophthalmologic (38.77%) and long-duration surgeries (17.53%). Sixty per cent respondents did not use SGADs in laparoscopic surgery. Disposable SGADs were reused by 77.28% respondents. Oropharyngeal seal and intracuff pressures were not measured by 86.91% and 56.92% respondents, respectively. Difficulty in size selection (84.19%), securing position (82.22%) and maintaining unobstructed ventilation (78.76%) were common problems encountered while using SGADs.
Although there is a widespread use of second-generation SGADs in Indian paediatric anaesthesia, safe practices such as using capnography, measurement of oropharyngeal seal pressure, cuff pressure and appropriate disinfection are lacking.
声门上气道装置（SGADs）越来越多地用于接受全身麻醉的儿科患者的气道管理。本调查旨在评估全国范围内儿科患者使用SGADs的实践模式。
通过在线调查引擎谷歌表单向印度麻醉医师协会的16532名成员发放了一份包含28个问题的问卷，并手动发放给参加2017年亚洲儿科麻醉医师协会会议的500名代表。使用微软Excel 2016（美国华盛顿州雷德蒙德）计算百分比、均值和标准差。
获得了405份（2.3%）有效回复。最常用的装置是i-gel（60.74%）。304名（75.06%）受访者可以使用第二代SGADs。第二代装置（60.74%）比第一代装置（39.26%）更常用。麻醉医师在各种具有挑战性的情况下使用SGADs，如困难气道（53.33%）、偏远地区（55.47%）、眼科手术（38.77%）和长时间手术（17.53%）。60%的受访者在腹腔镜手术中不使用SGADs。77.28%的受访者重复使用一次性SGADs。分别有86.91%和56.92%的受访者未测量口咽密封压和套囊压力。使用SGADs时常见的问题包括尺寸选择困难（84.19%）、固定位置困难（82.22%）和维持通气通畅困难（78.76%）。
尽管第二代SGADs在印度儿科麻醉中广泛使用，但缺乏诸如使用二氧化碳监测、测量口咽密封压、套囊压力和适当消毒等安全措施。
