Laryngeal Mask Ventilation during Neonatal Resuscitation: A Case Series

White, Lauren; Gerth, Katelyn; Threadgill, Vicki; Bedwell, Susan; Szyld, Edgardo; Shah, Birju A.

doi:10.3390/children9060897

Cited by 6 publications

(12 citation statements)

References 17 publications

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“…In contrast to neonatal intubation, LM insertion is a low-frequency emergency procedure with easier skill acquisition and maintenance than endotracheal intubation 21,22. LM insertion has been successfully taught to diverse healthcare providers using manikin-based training sessions 6,17,20,22,30. For providers who perform low-volume procedures infrequently, such as LM insertion, and have infrequent or no opportunity for proctored supervision, simulation may be the only feasible method for achieving the Do and Maintain steps of this training program.…”

Section: How Could a Laryngeal Mask Training Program Be Developed?mentioning

confidence: 99%

“…On the basis of this information, OCH (level IV NICU), in collaboration with a level II nursery staffed by OCH providers, implemented a quality improvement initiative to increase availability of LMs, improve LM training at NRP provider courses, and "promote awareness of LM as a safe and effective alternative airway for neonatal resuscitation." 30 A retrospective medical record review revealed 10 cases of LM insertion by nurses, nurse practitioners, and physicians over a 15-month period. 30 There were 4 cases in each hospital's delivery room, one case during neonatal transport, and one case in the NICU.…”

Section: Figurementioning

confidence: 99%

“…However, several studies of note have been published since 2018. 17,29,30 Neonatal resuscitation guidelines in Japan recommend LM insertion when face-mask ventilation and endotracheal intubation fail, although LM use is low in Japan due to limited experience of neonatal providers. 17…”

Section: Most Studies Investigating the Effect Of Lm Training And Imp...mentioning

confidence: 99%

“…23 Changes in clinical practices have decreased the frequency of neonatal intubation, resulting in fewer opportunities for healthcare professionals to learn and maintain competence. [20][21][22] Laryngeal mask insertion has been successfully taught to midwives and providers in low-resource countries 6,7 and in 2 high-resource countries 17,30 by using short-duration manikin-based training.…”

Section: Endotracheal Intubation Laryngeal Mask Insertionmentioning

confidence: 99%

“…30 A retrospective medical record review revealed 10 cases of LM insertion by nurses, nurse practitioners, and physicians over a 15-month period. 30 There were 4 cases in each hospital's delivery room, one case during neonatal transport, and one case in the NICU. All staff members were successful on the first LM insertion attempt in 9 cases (one infant dislodged the LM and it was reinserted).…”

Section: Figurementioning

confidence: 99%

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The Laryngeal Mask

Zaichkin

McCarney

Rhein

2022

Advances in Neonatal Care

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Background: Since 2005, the Neonatal Resuscitation Program (NRP) has recommended the laryngeal mask (LM) as an alternative airway when positive-pressure ventilation (PPV) is unsuccessful and intubation is unsuccessful or unfeasible. There is a paucity of literature regarding LM use in high-resource countries; however, anecdotal information and recent studies suggest low implementation. Purpose: This article increases awareness of LM safety and efficacy, provides guidance for determining nursing scope of practice, and includes suggestions for developing a training program. Methods: Methods include considering NRP customers' questions, recent systematic reviews of the literature, how NRP recommendations are developed, how to determine nursing scope of practice, and how to develop a training program. Findings/Results: Recent studies support the NRP recommendation to use the LM as a rescue airway when PPV fails and intubation is not feasible. The LM provides more effective PPV than face-mask ventilation. The LM may be effective as the initial PPV device for infants of at least 34 weeks' gestation. To use the LM, nurses may require training, which may include a simulation-based curriculum. Implications for Practice: Nurses can increase their awareness of the advantages of LM use, determine their scope of practice, and develop a training program. When face-mask ventilation is unsuccessful and intubation is unfeasible, LM insertion will likely increase the newborn's heart rate and avoid intubation. Implications for Research: Future research should determine training requirements, efficacy of the LM as the initial PPV device in high-resource settings, and LM use during complex resuscitation and in preterm newborns.

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Section: How Could a Laryngeal Mask Training Program Be Developed?mentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

Section: Most Studies Investigating the Effect Of Lm Training And Imp...mentioning

confidence: 99%

Section: Endotracheal Intubation Laryngeal Mask Insertionmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

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The Laryngeal Mask

Zaichkin

McCarney

Rhein

2022

Advances in Neonatal Care

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Neonatal resuscitation

Wanous

Ibrahim²,

Vats³

2022

Seminars in Pediatric Surgery

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Indications, Measurements, and Complications of Ten Essential Neonatal Procedures

Zubi,

Abdullah,

Helmi

et al. 2023

International Journal of Pediatrics

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About 10% of newborns require some degree of assistance to begin their breathing, and 1% necessitates extensive resuscitation. Sick neonates are exposed to a number of invasive life-saving procedures as part of their management, either for investigation or for treatment. In order to support the neonates with the maximum possible benefits and reduce iatrogenic morbidity, health-care providers performing these procedures must be familiar with their indications, measurements, and potential complications. Hence, the aim of this review is to summarise ten of the main neonatal intensive care procedures with highlighting of their indications, measurements, and complications. They include the umbilical venous and arterial catheterizations and the intraosseous line which represent the principal postnatal emergency vascular accesses; the peripherally inserted central catheter for long-term venous access; the endotracheal tube and laryngeal mask airway for airway control and ventilation; chest tube for drainage of air and fluid from the thorax; and the nasogastric/orogastric tube for enteral feeding. Furthermore, lumber puncture and heel stick were included in this review as very important and frequently performed diagnostic procedures in the neonatal intensive care unit.

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Laryngeal Mask Ventilation during Neonatal Resuscitation: A Case Series

Cited by 6 publications

References 17 publications

The Laryngeal Mask

The Laryngeal Mask

Neonatal resuscitation

Indications, Measurements, and Complications of Ten Essential Neonatal Procedures

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