Loading…

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:
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!
cited_by cdi_FETCH-LOGICAL-c467t-3382af9395518f858064f1dc7035fcec9df47456b6afcca0a9a2243e11244063
cites cdi_FETCH-LOGICAL-c467t-3382af9395518f858064f1dc7035fcec9df47456b6afcca0a9a2243e11244063
container_end_page 1409
container_issue 11
container_start_page 1405
container_title Resuscitation
container_volume 82
creator Zhu, Xiao-Yu
Lin, Bing-Chun
Zhang, Qian-Shen
Ye, Hong-Mao
Yu, Ren-Jie
description 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.
doi_str_mv 10.1016/j.resuscitation.2011.06.010
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_898842757</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0300957211003844</els_id><sourcerecordid>898842757</sourcerecordid><originalsourceid>FETCH-LOGICAL-c467t-3382af9395518f858064f1dc7035fcec9df47456b6afcca0a9a2243e11244063</originalsourceid><addsrcrecordid>eNqNUsFq3DAQFaWl2ST9hWIopSc7I0uWZAqFENK0EOghuYuJPEq18dpbyd6wf19td9OSnnISkt7MvPfmMfaBQ8WBq7NlFSnNyYUJpzAOVQ2cV6Aq4PCKLbjRouSNhtdsAQKgbBtdH7HjlJYAIJpWv2VHNddKiFYsmDsv1nFMa3JT2FBBG-znP22L0RfTz_zifXDotk_3HuN2uCfsixWmhwJDfMRt0c0xDPfFQOOAU_57xvCUvfHYJ3p3OE_Y7dfL24tv5fWPq-8X59elk0pPpRCmRt-Ktmm48aYxoKTnndOZtXfk2s5LLRt1p9A7h4At1rUUxHktJShxwj7t22ZBv2ZKk12F5KjvMdOakzWtMbLWjc7Iz3uky9JTJG_XMayyMMvB7jy2S_tMgd15bEHZ7HGufn-YM9-tqPtb-2RqBnw8ADA57H3EwYX0DydVq00jM-5yj6NsyiZQtHkgDY66EPM-bDeGFxL68l8f14chb61_oC2l5TjHIftuuU21BXuzi8UuFZznQBgpxW-iVbiK</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>898842757</pqid></control><display><type>article</type><title>A prospective evaluation of the efficacy of the laryngeal mask airway during neonatal resuscitation</title><source>Elsevier</source><creator>Zhu, Xiao-Yu ; Lin, Bing-Chun ; Zhang, Qian-Shen ; Ye, Hong-Mao ; Yu, Ren-Jie</creator><creatorcontrib>Zhu, Xiao-Yu ; Lin, Bing-Chun ; Zhang, Qian-Shen ; Ye, Hong-Mao ; Yu, Ren-Jie</creatorcontrib><description>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 &lt; 0.001) and the total ventilation time was shorter with the LMA than with bag-mask ventilation ( P &lt; 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 &lt; 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.</description><identifier>ISSN: 0300-9572</identifier><identifier>EISSN: 1873-1570</identifier><identifier>DOI: 10.1016/j.resuscitation.2011.06.010</identifier><identifier>PMID: 21763393</identifier><identifier>CODEN: RSUSBS</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>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</subject><ispartof>Resuscitation, 2011-11, Vol.82 (11), p.1405-1409</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2011 Elsevier Ireland Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-3382af9395518f858064f1dc7035fcec9df47456b6afcca0a9a2243e11244063</citedby><cites>FETCH-LOGICAL-c467t-3382af9395518f858064f1dc7035fcec9df47456b6afcca0a9a2243e11244063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=24697854$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21763393$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Xiao-Yu</creatorcontrib><creatorcontrib>Lin, Bing-Chun</creatorcontrib><creatorcontrib>Zhang, Qian-Shen</creatorcontrib><creatorcontrib>Ye, Hong-Mao</creatorcontrib><creatorcontrib>Yu, Ren-Jie</creatorcontrib><title>A prospective evaluation of the efficacy of the laryngeal mask airway during neonatal resuscitation</title><title>Resuscitation</title><addtitle>Resuscitation</addtitle><description>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 &lt; 0.001) and the total ventilation time was shorter with the LMA than with bag-mask ventilation ( P &lt; 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 &lt; 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.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Asphyxia</subject><subject>Biological and medical sciences</subject><subject>Emergency</subject><subject>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Intensive care medicine</subject><subject>Intubation, Intratracheal</subject><subject>Laryngeal mask airway</subject><subject>Laryngeal Masks</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Newborn</subject><subject>Prospective Studies</subject><subject>Resuscitation</subject><subject>Resuscitation - instrumentation</subject><issn>0300-9572</issn><issn>1873-1570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNqNUsFq3DAQFaWl2ST9hWIopSc7I0uWZAqFENK0EOghuYuJPEq18dpbyd6wf19td9OSnnISkt7MvPfmMfaBQ8WBq7NlFSnNyYUJpzAOVQ2cV6Aq4PCKLbjRouSNhtdsAQKgbBtdH7HjlJYAIJpWv2VHNddKiFYsmDsv1nFMa3JT2FBBG-znP22L0RfTz_zifXDotk_3HuN2uCfsixWmhwJDfMRt0c0xDPfFQOOAU_57xvCUvfHYJ3p3OE_Y7dfL24tv5fWPq-8X59elk0pPpRCmRt-Ktmm48aYxoKTnndOZtXfk2s5LLRt1p9A7h4At1rUUxHktJShxwj7t22ZBv2ZKk12F5KjvMdOakzWtMbLWjc7Iz3uky9JTJG_XMayyMMvB7jy2S_tMgd15bEHZ7HGufn-YM9-tqPtb-2RqBnw8ADA57H3EwYX0DydVq00jM-5yj6NsyiZQtHkgDY66EPM-bDeGFxL68l8f14chb61_oC2l5TjHIftuuU21BXuzi8UuFZznQBgpxW-iVbiK</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>Zhu, Xiao-Yu</creator><creator>Lin, Bing-Chun</creator><creator>Zhang, Qian-Shen</creator><creator>Ye, Hong-Mao</creator><creator>Yu, Ren-Jie</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20111101</creationdate><title>A prospective evaluation of the efficacy of the laryngeal mask airway during neonatal resuscitation</title><author>Zhu, Xiao-Yu ; Lin, Bing-Chun ; Zhang, Qian-Shen ; Ye, Hong-Mao ; Yu, Ren-Jie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-3382af9395518f858064f1dc7035fcec9df47456b6afcca0a9a2243e11244063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Asphyxia</topic><topic>Biological and medical sciences</topic><topic>Emergency</topic><topic>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Intensive care medicine</topic><topic>Intubation, Intratracheal</topic><topic>Laryngeal mask airway</topic><topic>Laryngeal Masks</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Newborn</topic><topic>Prospective Studies</topic><topic>Resuscitation</topic><topic>Resuscitation - instrumentation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhu, Xiao-Yu</creatorcontrib><creatorcontrib>Lin, Bing-Chun</creatorcontrib><creatorcontrib>Zhang, Qian-Shen</creatorcontrib><creatorcontrib>Ye, Hong-Mao</creatorcontrib><creatorcontrib>Yu, Ren-Jie</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Resuscitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhu, Xiao-Yu</au><au>Lin, Bing-Chun</au><au>Zhang, Qian-Shen</au><au>Ye, Hong-Mao</au><au>Yu, Ren-Jie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A prospective evaluation of the efficacy of the laryngeal mask airway during neonatal resuscitation</atitle><jtitle>Resuscitation</jtitle><addtitle>Resuscitation</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>82</volume><issue>11</issue><spage>1405</spage><epage>1409</epage><pages>1405-1409</pages><issn>0300-9572</issn><eissn>1873-1570</eissn><coden>RSUSBS</coden><abstract>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 &lt; 0.001) and the total ventilation time was shorter with the LMA than with bag-mask ventilation ( P &lt; 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 &lt; 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.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>21763393</pmid><doi>10.1016/j.resuscitation.2011.06.010</doi><tpages>5</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0300-9572
ispartof Resuscitation, 2011-11, Vol.82 (11), p.1405-1409
issn 0300-9572
1873-1570
language eng
recordid cdi_proquest_miscellaneous_898842757
source Elsevier
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
title A prospective evaluation of the efficacy of the laryngeal mask airway during neonatal resuscitation
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-22T19%3A45%3A52IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20prospective%20evaluation%20of%20the%20efficacy%20of%20the%20laryngeal%20mask%20airway%20during%20neonatal%20resuscitation&rft.jtitle=Resuscitation&rft.au=Zhu,%20Xiao-Yu&rft.date=2011-11-01&rft.volume=82&rft.issue=11&rft.spage=1405&rft.epage=1409&rft.pages=1405-1409&rft.issn=0300-9572&rft.eissn=1873-1570&rft.coden=RSUSBS&rft_id=info:doi/10.1016/j.resuscitation.2011.06.010&rft_dat=%3Cproquest_cross%3E898842757%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c467t-3382af9395518f858064f1dc7035fcec9df47456b6afcca0a9a2243e11244063%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=898842757&rft_id=info:pmid/21763393&rfr_iscdi=true