Abraham Maslow’s Legacy: A Personal Exploration of Hierarchy

Abstract

The present systematic review compares the effects ofthe laryngeal mask airway (LMA) and the endotrachealtube (ETT) on hemodynamic response and airwaydifficulties in pediatric anesthesia patients. The terms"children," "postoperative," "pediatrics," "laryngealmask airway," "endotracheal tube," and "subglottic"were utilized. The scope of the literature review waslimited to randomized controlled trials (RCTs), andPubMed, Google Scholar, and the Cochrane Library wereamong the databases searched. Two reviewers used theCochrane Risk of Bias Tool to assess quality. Eight RCTsin total were included. When compared to the ETT,results showed that the number of attempts forendotracheal intubation was fewer than for theplacement of the LMA. Additionally, there was anincrease in blood pressure, heart rate, and mean arterialpressure with the use of the ETT. The incidence ofpostoperative respiratory complications, includinglaryngospasm, bronchospasm, and sore throat, washigher with the use of the ETT. We conclude that the useof the LMA can be a safe alternative to the ETT inpediatric patients, producing fewer hemodynamicchanges and postoperative complications.