POSTOPERATIVE SORE THROAT IN CHILDREN AND THE LARYNGEAL MASK AIRWAY

Postoperative sore throat is a minor complaint after general anaesthes ia of multifactorial aetiology. The purpose of this study was to compa re the effect of the laryngeal mask airway (LMA) and endotracheal tube (ETT) on postoperative sore throat in children. We hypothesized that the incidence of sore throat would be less after the use of the LMA. T his was a randomized, single-blind study of 112 patients of age 3 to 1 2 yr undergoing minor peripheral surgery. The groups were similar, exc ept that airway maintenance was either with an LMA or ETT. After induc tion of anaesthesia with O-2, N2O and halothane, an LMA or ETT was ins erted. Anaesthesia was maintained with O-2, N2O and halothane. At the end of surgery, the ETT was removed in the operating room before airwa y reflexes had returned in the recovery room. On the first postoperati ve day, the parents were contacted and asked whether or not their chil d had had a sore throat. If a sore throat had been present, the parent s rated the discomfort as mild, moderate or severe. The groups were si milar with respect to age, weight, sex and duration or procedure. The overall incidence of sore throat 9%. The difference between the groups (LMA 13% vs ETT 5%) was not statistically significant. All the report ed sore throats were rated as mild. In conclusion, postoperative sore throat after minor paediatric surgery is uncommon. If it does occur, i t is mild and the incidence is unaffected by the choice of an LMA or E TT.