Retrospective analysis shows lower pulmonary complications with non-intubated ventilation in pediatric patients, suggesting safety in anesthesia choice.
In this retrospective propensity-score-matched pediatric cohort, a laryngeal mask airway-assisted non-intubated spontaneous ventilation anesthesia was feasible and was not associated with worse perioperative outcomes than a conventional endotracheal intubation anesthesia. A lower observed incidence of postoperative pulmonary complications was noted. Given regimen-level differences, prospective studies with standardized analgesia are needed to confirm safety and potential benefits.
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Chen et al. (2026) studied this question.
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