TY - JOUR TI - A French survey of paediatric airway management use in tonsillectomy and appendicectomy AU - Ecoffey, Claude AU - Auroy, Yves AU - Pequignot, Françoise AU - Jougla, Eric AU - Clergue, François AU - Laxenaire, Marie-Claire AU - Lienhart, André T2 - Paediatric anaesthesia AB - BACKGROUND: There are no epidemiological data describing tracheal intubation and laryngeal mask airway (LMATM) use in paediatric anaesthesia. This analysis focused on the factors leading to the indication for an airway management procedure, i.e. tracheal intubation and laryngeal mask airway vs face mask during general anaesthesia for tonsillectomy and appendicectomy. METHODS: The data were recorded in the French survey of Practical Anaesthesia performed in 1996. Two main types of surgical procedures were selected: tonsillectomy and appendicectomy because of the number of patients and the need to use an invasive airway management technique. RESULTS: During a 1-year period, 627 anaesthetics for appendicectomy and 653 anaesthetics for tonsillectomy were recorded in the sample under consideration. Tracheal intubation or laryngeal mask airway was undertaken in 66% of tonsillectomies and 84% of appendicectomies. Univariate analysis showed that tracheal intubation/laryngeal mask were used significantly more often in older children, with long duration of anaesthesia, in nonambulatory procedures and in procedures performed at an academic centre. When these variables were included in a multivariate analysis, the duration of anaesthesia over 30 min was a factor linked to the use of tracheal intubation/laryngeal mask airway for the two types of surgery (P < 0.0001). For tonsillectomy, inpatients were 2.9 times more likely to be intubated (or have an laryngeal mask airway) than were outpatients. For appendicectomy, older children were 3.4 times more likely to be intubated (or have an laryngeal mask airway) than younger children. CONCLUSIONS: This large French survey shows that the use of tracheal intubation/laryngeal mask airway in this country is primarily related to a predicted long duration of anaesthesia. DA - 2003/09// PY - 2003 DP - NCBI PubMed VL - 13 IS - 7 SP - 584 EP - 588 J2 - Paediatr Anaesth LA - eng SN - 1155-5645 KW - Adolescent KW - Age Distribution KW - Anesthesia, General KW - Appendectomy KW - Child KW - Child, Preschool KW - Female KW - France KW - Humans KW - Infant KW - Intubation, Intratracheal KW - Laryngeal Masks KW - Logistic Models KW - Male KW - Masks KW - Time Factors KW - Tonsillectomy ER -