Comparison of emergence agitation between tracheal tube and laryngeal mask airway in pediatric ophthalmic…

Cohort studyFrontiers in medicine· 2026

Comparison of emergence agitation between tracheal tube and laryngeal mask airway in pediatric ophthalmic surgery: a propensity-score matching analysis.

Jung A Lim, Jonghae Kim

Pediatric OphthalmologyCohort studyClinical practiceQ1IF 3.4

Breathing tube use linked to much higher agitation on waking than laryngeal mask in children

Comparison of emergence agitation between tracheal tube and laryngeal mask airway in pediatric ophthalmic surgery: a propensity-score matching analysis.

Jung A Lim, Jonghae Kim

Frontiers in medicine · 2026 · Q1 in General Medicine

Background

Although emergence agitation (emergence agitation) is common and can threaten patient safety in children undergoing ophthalmic surgery, large-scale studies examining the effects of airway management techniques on its development remain limited.

Purpose

This study aimed to compare the development of emergence agitation between tracheal tube and laryngeal mask airway (laryngeal mask airway) in pediatric ophthalmic surgery.

Methods

Were assigned to either the tracheal tube or laryngeal mask airway groups and matched in a 1:1 ratio using propensity scores.

n = 1029 children

Results

children woke up agitated far more often after a breathing tube than a laryngeal mask

RR 4.73 (95% CI 3.31 to 6.88)

null 1

3.31

6.88

CI excludes the null - significant

More results

Emergence agitation occurred in 543 patients (52.8%).

In the unmatched cohort, only when ketamine was used alone for anesthesia induction, the use of a tracheal tube was significantly associated with emergence agitation, compared with laryngeal mask airway use (odds ratio: 7.94, 95% CI: 3.38-18.63, P < 0.001).

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Conclusion

Laryngeal mask airway use is associated with a lower incidence of emergence agitation than tracheal tube use in pediatric ophthalmic surgery, particularly when anesthesia is induced with ketamine.

Comparison of emergence agitation between tracheal tube and laryngeal mask airway in pediatric ophthalmic surgery: a propensity-score matching analysis.

Comparison of emergence agitation between tracheal tube and laryngeal mask airway in pediatric ophthalmic surgery: a propensity-score matching analysis.

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