The Laryngeal Mask Airway: Potential Applications in Neonatal Health Care

Brimacombe, J.; Gandini, Donna

doi:10.1111/j.1552-6909.1997.tb02130.x

Cited by 11 publications

(3 citation statements)

References 56 publications

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“…20 In addition to its indication for neonatal resuscitation, the LMA has been used for the administration of surfactant, and the feasibility of epinephrine administration via the LMA has been evaluated in animal models. [21][22][23][24][25][26] Although the LMA was first applied to neonatal resuscitation in 1997 27 and its benefits have been well established, little is known about the use of the LMA by neonatal HCPs in North America. Thus, the aim of this study was to explore and compare North American neonatal HCPs' experience, confidence, skill and training with the LMA as an alternate airway device for neonatal resuscitation and in the neonatal intensive care unit (NICU).…”

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confidence: 99%

“…Although the LMA was first applied to neonatal resuscitation in 1997 27 and its benefits have been well established, little is known about the use of the LMA by neonatal HCPs in North America. Thus, the aim of this study was to explore and compare North American neonatal HCPs' experience, confidence, skill and training with the LMA as an alternate airway device for neonatal resuscitation and in the neonatal intensive care unit (NICU).…”

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confidence: 99%

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Laryngeal Mask Airway Clinical Use and Training: A Survey of North American Neonatal Health Care Professionals

et al. 2023

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Objective The aim of this study was to explore North American neonatal health care professionals' (HCPs) experience, confidence, skill, and training with the laryngeal mask airway (LMA). Study Design This was a cross-sectional survey. Results The survey was completed by 2,159 HCPs from Canada and the United States. Seventy nine percent had no clinical experience with the LMA, and less than 20% considered the LMA an alternative to endotracheal intubation (EI). The majority had received LMA training; however, 28% of registered nurses, 18% of respiratory therapists, 17% of physicians, and 12% of midwives had never inserted an LMA in a mannequin. Less than a quarter of respondents agreed that the current biennial Neonatal Resuscitation Program instruction paradigm is sufficient for LMA training. All groups reported low confidence and skill with LMA insertion, and compared with all other groups, the respiratory therapists had the highest reported confidence and skill. Conclusion This survey study, which is the first of its kind to include midwives, demonstrates that neonatal HCPs lack experience, confidence, skill, and training with the LMA, rarely use the device, and in general, do not consider the LMA as an alternative to EI. These findings contribute to, and support the findings of previous smaller studies, and in conjunction with the diminishing opportunities for EI, highlight the need for programs to emphasize the importance of the LMA for neonatal airway management and prioritize regular LMA training, with focus that parallels the importance placed on the skills of EI and mask ventilation. Key Points

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Laryngeal Mask Airway Clinical Use and Training: A Survey of North American Neonatal Health Care Professionals

et al. 2023

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“…The use of the LMA in neonatal resuscitation was first demonstrated over 2 decades ago [13,14]. It has been suggested, time and again, that the ease of LMA insertion without the use of instruments and its reliability in ventilation make it an optimal alternative to the ETT [15].…”

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The Laryngeal Mask Airway and Its Use in Neonatal Resuscitation: A Critical Review of Where We Are in 2017/2018

Bansal

Caoci

Dempsey³

et al. 2017

Neonatology

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fants, but the evidence is still insufficient to recommend the LMA instead of FM ventilation in the DR. There is, in particular, a dearth of evidence of the use of LMA in neonates born before 34 weeks' gestational age or weighing <1,500 g at birth. There were no reports on significant complications following the use of LMA; however, evidence is still limited regarding short-and long-term outcomes. We conclude that the limited currently available evidence suggests that the use of the LMA is a feasible and safe alternative to mask ventilation of late preterm and term infants in the DR. The potential use of LMA resuscitation, in particular for low-gestation and low-birth-weight infants, needs further study.

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