A randomised trial of laryngeal mask airway in neonatal resuscitation

2021 ◽  
Author(s):  
Ashajyothi Mooganayakanakote Siddappa
Keyword(s):  
Laryngeal Mask Airway ◽  
Randomised Trial ◽  
Neonatal Resuscitation ◽  
Laryngeal Mask

scholarly journals Neonatal resuscitation using a laryngeal mask airway: a randomised trial in Uganda

2017 ◽  
Vol 103 (3) ◽  
pp. 255-260 ◽  
Author(s):  
Nicolas J Pejovic ◽  
Daniele Trevisanuto ◽  
Clare Lubulwa ◽  
Susanna Myrnerts Höök ◽  
Francesco Cavallin ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Laryngeal Mask Airway ◽  
Low Income ◽  
Spontaneous Breathing ◽  
Randomised Trial ◽  
Neonatal Resuscitation ◽  
Face Mask ◽  
Laryngeal Mask ◽  
Positive Pressure ◽  
Link Type

ObjectiveMortality rates from birth asphyxia in low-income countries remain high. Face mask ventilation (FMV) performed by midwives is the usual method of resuscitating neonates in such settings but may not always be effective. The i-gel is a cuffless laryngeal mask airway (LMA) that could enhance neonatal resuscitation performance. We aimed to compare LMA and face mask (FM) during neonatal resuscitation in a low-resource setting.SettingMulago National Referral Hospital, Kampala, Uganda.DesignThis prospective randomised clinical trial was conducted at the labour ward operating theatre. After a brief training on LMA and FM use, infants with a birth weight >2000 g and requiring positive pressure ventilation at birth were randomised to resuscitation by LMA or FM. Resuscitations were video recorded.Main outcome measuresTime to spontaneous breathing.ResultsForty-nine (24 in the LMA and 25 in the FM arm) out of 50 enrolled patients were analysed. Baseline characteristics were comparable between the two arms. Time to spontaneous breathing was shorter in LMA arm than in FM arm (mean 153 s (SD±59) vs 216 s (SD±92)). All resuscitations were effective in LMA arm, whereas 11 patients receiving FM were converted to LMA because response to FMV was unsatisfactory. There were no adverse effects.ConclusionA cuffless LMA was more effective than FM in reducing time to spontaneous breathing. LMA seems to be safe and effective in clinical practice after a short training programme. Its potential benefits on long-term outcomes need to be assessed in a larger trial.Clinical trial registryThis trial was registered in https://clinicaltrials.gov, with registration number NCT02042118.

Supreme Laryngeal Mask Airway versus Face Mask during Neonatal Resuscitation: A Randomized Controlled Trial

2015 ◽  
Vol 167 (2) ◽  
pp. 286-291.e1 ◽  
Author(s):  
Daniele Trevisanuto ◽  
Francesco Cavallin ◽  
Loi Ngoc Nguyen ◽  
Tien Viet Nguyen ◽  
Linh Dieu Tran ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Laryngeal Mask Airway ◽  
Controlled Trial ◽  
Neonatal Resuscitation ◽  
Face Mask ◽  
Laryngeal Mask ◽  
Randomized Controlled

Safe emergency neonatal airway management: current challenges and potential approaches

2021 ◽  
pp. fetalneonatal-2020-319398
Author(s):  
Joyce E O'Shea ◽  
Alexandra Scrivens ◽  
Gemma Edwards ◽  
Charles Christoph Roehr
Keyword(s):  
Laryngeal Mask Airway ◽  
Airway Management ◽  
Neonatal Resuscitation ◽  
Laryngeal Mask ◽  
Viable Alternative ◽  
Supraglottic Airway ◽  
Success Rates ◽  
Facemask Ventilation

This review examines the airway adjuncts currently used to acutely manage the neonatal airway. It describes the challenges encountered with facemask ventilation and intubation. Evidence is presented on how to optimise intubation safety and success rates with the use of videolaryngoscopy and attention to the intubation environment. The supraglottic airway (laryngeal mask airway) is emerging as a promising neonatal airway adjunct. It can be used effectively with little training to provide a viable alternative to facemask ventilation and intubation in neonatal resuscitation and be used as an alternative conduit for the administration of surfactant.

Neonatal resuscitation using the laryngeal mask airway

Resuscitation ◽  
1995 ◽  
Vol 29 (2) ◽  
pp. 180
Author(s):  
SJ Paterson ◽  
PJ Byrne ◽  
MG Molesky ◽  
RF Seal ◽  
BT Finucane
Keyword(s):  
Laryngeal Mask Airway ◽  
Neonatal Resuscitation ◽  
Laryngeal Mask

Efficacy of Laryngeal Mask Airway in Neonatal Resuscitation

2018 ◽  
Vol 70 (10) ◽  
pp. 1767-1772 ◽  
Author(s):  
Mohamed S. El-Shimi ◽  
Ibrahim S. Abusaif ◽  
Soha M. Khafagy
Keyword(s):  
Laryngeal Mask Airway ◽  
Neonatal Resuscitation ◽  
Laryngeal Mask
Sign in / Sign up

Export Citation Format

Share Document