A prospective evaluation of the efficacy of the laryngeal mask airway during neonatal resuscitation

Abstract Objective To study the feasibility, efficacy and safety of using the laryngeal mask airway (LMA) in neonatal resuscitation. Methods In total, 369 neonates (gestational age ≥34 weeks, expected birth weight ≥2.0 kg) requiring positive pressure ventilation at birth were quasi-randomised to res...

Full description

Saved in:
Bibliographic Details
Published in:Resuscitation 2011-11, Vol.82 (11), p.1405-1409
Main Authors: Zhu, Xiao-Yu, Lin, Bing-Chun, Zhang, Qian-Shen, Ye, Hong-Mao, Yu, Ren-Jie
Format: Article
Language:English
Subjects:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Asphyxia
Biological and medical sciences
Emergency
Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care
Feasibility Studies
Female
Humans
Infant
Infant, Newborn
Intensive care medicine
Intubation, Intratracheal
Laryngeal mask airway
Laryngeal Masks
Male
Medical sciences
Newborn
Prospective Studies
Resuscitation
Resuscitation - instrumentation
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Objective To study the feasibility, efficacy and safety of using the laryngeal mask airway (LMA) in neonatal resuscitation. Methods In total, 369 neonates (gestational age ≥34 weeks, expected birth weight ≥2.0 kg) requiring positive pressure ventilation at birth were quasi-randomised to resuscitation by LMA (205 neonates) or bag-mask ventilation (164 neonates). Results (1) Successful resuscitation rate was higher with the LMA compared with bag-mask ventilation ( P < 0.001) and the total ventilation time was shorter with the LMA than with bag-mask ventilation ( P < 0.001). Seven of nine neonates with an Apgar score of 2 or 3 at 1 min after birth were successfully resuscitated in the LMA group, while in the BMV group all six neonates with an Apgar score of 2 or 3 at 1 min required tracheal intubation and ventilation. In neonates with an Apgar score of 4 or 5 at 1 min after birth, successful resuscitation rate with the LMA was higher than with bag-mask ventilation ( P < 0.01). (2) Successful insertion rate of the LMA at the first attempt was 98.5% and the insertion time was 7.8 s ± 2.2 s. There were few adverse events (vomiting and aspiration) in the LMA group. Conclusion The LMA is safe, effective and easy to implement for the resuscitation of neonates with a gestational age of 34 or, more weeks.
ISSN:0300-9572
1873-1570
DOI:10.1016/j.resuscitation.2011.06.010