Laryngeal mask airway: is the management of neonates requiring positive pressure ventilation at birth changing?

Trevisanuto, Daniele; Micaglio, Massimo; Pitton, Mariangela; Magarotto, Mirko; Piva, Daniele; Zanardo, Vincenzo

doi:10.1016/j.resuscitation.2004.03.006

Cited by 71 publications

(37 citation statements)

References 16 publications

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“…Interestingly, the LMA was correctly positioned in the first attempt by a pediatrician inexperienced in its use, confirming the ease of placement by inexperienced personnel that was reported previously. 2,4,5 Case 2 involved an infant who could not be intubated by either the referring physicians or the transport team personnel, because of a severe congenital airway malformation. In this situation, the LMA allowed effective ventilation and oxygenation and permitted transfer to a safe setting.…”

Section: Discussionmentioning

confidence: 99%

“…1 Since its introduction into clinical practice, the LMA has gained increasing popularity among medical and paramedical staff members, for anesthesia and resuscitation of adult and pediatric patients. 2 For neonates, although education of personnel, competence, and use of this device remain low, 3 the LMA has been used successfully for resuscitation, 4,5 intrapulmonary administration of therapeutic agents, 6,7 management of difficult airways, 8 and respiratory support for prolonged periods. 9 In addition, 2 previous reports showed that the LMA may be useful for neonatal transportation if other forms of airway management fail.…”

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confidence: 99%

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Laryngeal Mask Airway for the Interhospital Transport of Neonates

et al. 2005

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ABSTRACT. Airway control during interhospital transport may present enormous management difficulties, even for experienced personnel. The laryngeal mask airway is an airway management device that has been established as a safe reliable tool in adult and pediatric practice. We describe 2 cases of successful interhospital transfer of infants with congenital airway malformations with the use of the laryngeal mask airway, and we review the literature. Pediatrics 2005;115:e109-e111. URL: www. pediatrics.org/cgi

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Laryngeal Mask Airway for the Interhospital Transport of Neonates

et al. 2005

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“…In the setting of neonatal resuscitation, previous observational studies have showed that LMA allowed effective PPV in most of the patients that were treated, with a range of 95–99% 6, 7, 8. One quasi‐randomised study showed that the LMA was more effective than face mask ventilation for neonates with an Apgar score of 2–5 at one minute after birth.…”

Section: Discussionmentioning

confidence: 99%

“…The laryngeal mask airway (LMA) may be considered during resuscitation as an alternative to FMV or ETT for PPV in newborns weighing more than 2000 g or delivered around, or after, 34 weeks of gestation 5. Several publications including a Cochrane review have shown that LMA achieved effective PPV in most of the treated patients, with a range of 95–99% 6, 7, 8, 9 and reduced the need for ETT 1, 10. In all of the previous studies, a classic inflatable size 1 LMA was used.…”

Section: Introductionmentioning

confidence: 99%

Pilot manikin study showed that a supraglottic airway device improved simulated neonatal ventilation in a low‐resource setting

et al. 2016

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AimWe compared the performance of personnel in a low‐resource setting when they used the I‐gel cuffless neonatal laryngeal mask or a face mask on a neonatal airway management manikin.MethodsAt Mulago Hospital, Uganda, 25 doctors, nurses and midwives involved in neonatal resuscitation were given brief training with the I‐gel and face mask. Then, every participant was observed positioning both devices on three consecutive occasions. The success rate and insertion times leading to effective positive pressure ventilation (PPV) were recorded. Participants rated the perceived efficiency of the devices using a five‐point Likert scale.ResultsThe I‐gel achieved a 100% success rate on all three occasions, but the face mask was significantly less effective in achieving effective PPV and the failure rates at the first, second and third attempts were 28%, 8% and 20%, respectively. The perceived efficiency of the devices was significantly superior for the I‐gel (4.7 ± 0.4) than the face mask (3.3 ± 0.8).ConclusionThe I‐gel was more effective than the face mask in establishing PPV in the manikin, and user satisfaction was higher. These encouraging manikin data could be a stepping stone for clinical research on the use of the I‐gel for neonatal resuscitation in low‐resource settings.

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“…Eine Larynxmaske kann auch als Alternative für eine Intubation bei Neugeborenen > 2000 g bzw. ≥ 34 Schwangerschaftswochen in Erwägung gezogen werden [201][202][203][204][205][206]. Sie wird für die Beatmung von Früh-und Neugeborenen ≥ 34 Schwangerschaftswochen empfohlen, wenn eine Intubation nicht gelingt oder nicht mög-lich ist.…”

Section: Larynxmasken (Lma)unclassified