Máscara laríngea ProSealTM como via de administração de surfactante no tratamento da síndrome do desconforto respiratório em recém-nascido pré-termo

Barbosa, Rosilu Ferreira; Marcatto, Juliana de Oliveira; Silva, Ana Cristina Simões e; Silva, Yerkes Pereira e

doi:10.1590/s0103-507x2012000200018

Rev. bras. ter. intensiva

2012

DOI: 10.1590/s0103-507x2012000200018

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Máscara laríngea ProSealTM como via de administração de surfactante no tratamento da síndrome do desconforto respiratório em recém-nascido pré-termo

Rosilu Ferreira Barbosa¹,

Juliana de Oliveira Marcatto²,

Ana Cristina Simões e Silva³

et al.

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Cited by 14 publications

(1 citation statement)

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“…to preterm infants, such as those with a gestational age of 30 weeks and a birth weight of 1.36 kg,26) a gestational age of 31 weeks and a birth weight of 1.335 kg,27) …”

mentioning

confidence: 99%

Updates in neonatal resuscitation: routine use of laryngeal masks as an alternative to face masks

Song¹,

Jeon²

2024

Clin Exp Pediatr

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Although positive-pressure ventilation (PPV) has traditionally been performed using a face mask in neonatal resuscitation, face mask ventilation for delivering PPV has a high failure rate due to mask leaks, airway obstruction, or gastric inflation. Furthermore, face mask ventilation is compromised during chest compressions. Endotracheal intubation in neonates requires a high skill level, with a first-attempt success rate of <50%. Laryngeal masks can transfer positive pressure more effectively even during chest compressions, resulting in a lower PPV failure rate compared to that of face masks in neonatal resuscitation. In addition, inserting a laryngeal mask is easier and more accessible than endotracheal intubation, and mortality rates do not differ between the 2 methods. Therefore, in neonatal resuscitation, laryngeal masks are recommended in infants with gestational age >34 weeks and/or with a birth weight >2 kg, in cases of unsuccessful face mask ventilation (as a primary airway device) or endotracheal intubation (as a secondary airway device, alternative airway). In other words, laryngeal masks are recommended when endotracheal intubation fails as well as when PPV cannot be achieved. Although laryngeal masks are commonly used in anesthetized pediatric patients, they are infrequently used in neonatal resuscitation due to limited experience, a preference for endotracheal tubes, or a lack of awareness among the healthcare providers. Thus, healthcare providers must be aware of the usefulness of laryngeal masks in depressed neonates requiring PPV or endotracheal intubation, which can promptly resuscitate these infants and improve their outcomes, resulting in decreased morbidity and mortality rates.

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“…to preterm infants, such as those with a gestational age of 30 weeks and a birth weight of 1.36 kg,26) a gestational age of 31 weeks and a birth weight of 1.335 kg,27) …”

mentioning

confidence: 99%

Updates in neonatal resuscitation: routine use of laryngeal masks as an alternative to face masks

Song¹,

Jeon²

2024

Clin Exp Pediatr

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Laryngeal mask airway versus bag-mask ventilation or endotracheal intubation for neonatal resuscitation

Qureshi

Kumar

2018

Cochrane Database of Systematic Reviews

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Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants with or at risk of respiratory distress syndrome

Abdel-Latif,

Walker,

Osborn

2024

Cochrane Database of Systematic Reviews

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Máscara laríngea ProSealTM como via de administração de surfactante no tratamento da síndrome do desconforto respiratório em recém-nascido pré-termo

Cited by 14 publications

References 11 publications

Updates in neonatal resuscitation: routine use of laryngeal masks as an alternative to face masks

Updates in neonatal resuscitation: routine use of laryngeal masks as an alternative to face masks

Laryngeal mask airway versus bag-mask ventilation or endotracheal intubation for neonatal resuscitation

Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants with or at risk of respiratory distress syndrome

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