The laryngeal mask airway: potential applications in neonates

Trevisanuto, Daniele; Micaglio, Massimo; Ferrarese, P.; Zanardo, Vincenzo

doi:10.1136/adc.2003.038430

Cited by 61 publications

(38 citation statements)

References 47 publications

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“…This may encourage the policy of 'minimal invasiveness' and may avoid respiratory and extra-respiratory complications associated with tracheal intubation [3][4][5] . The use of LMA TM resulted in less severe postoperative laryngeal swelling in comparison with tracheal intubation in adult patients who underwent elective minor surgery [5] .…”

Section: Discussionmentioning

confidence: 99%

“…After the patient was disconnected from the CPAP system (Drager Medizintechnik GmbH, Lubeck, Germany), a laryngeal mask airway (LMA TM , Laryngeal Mask Airway Co. Ltd, Jersey, UK) size 1 was inserted using the recommended insertion technique [3,4] . Sedative and analgesic drugs were not required for LMA TM insertion.…”

Section: Methodsmentioning

confidence: 99%

“…The LMA TM is a supraglottic device used routinely to administer positive pressure ventilation (PPV) in adult, pediatric and neonatal patients [3,4] sion, made of medical grade silicone, consists of an oval shaped mask with an infl atable outer rim and a wide bore airway tube, which originates from the back plate, and is joined at the proximal end with a 15-mm standard connector [4] . Ease of positioning and reduced invasiveness are the reported advantages of the LMA TM when compared to the tracheal tube [3][4][5] .…”

Section: Introductionmentioning

confidence: 99%

“…Ease of positioning and reduced invasiveness are the reported advantages of the LMA TM when compared to the tracheal tube [3][4][5] .…”

Section: Introductionmentioning

confidence: 99%

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Laryngeal Mask Airway Used as a Delivery Conduit for the Administration of Surfactant to Preterm Infants with Respiratory Distress Syndrome

et al. 2005

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Background: The laryngeal mask airway (LMA^TM, Laryngeal Mask Co. Ltd, Jersey, UK) is a supraglottic device used to administer positive pressure ventilation (PPV) in adults, pediatric and neonatal patients. Objectives: To avoid endotracheal intubation, we evaluated the feasibility and practicality of administering surfactant via the LMA^TM in preterm infants with respiratory distress syndrome (RDS). Methods: Infants less than 72 h old with a gestational age of ≤35 weeks and a birth weight of >800 g, treated with nasal continuous positive airway pressure (CPAP, 5 cm H₂O) for RDS were eligible for inclusion in the study if the arterial-to-alveolar oxygen tension ratio (a/APO₂) was <0.20 over a period of >60 min. Results: Eight preterm infants, median gestational age 31 (range 28–35) weeks; birth weight 1,700 (880–2,520) g, treated with nasal CPAP for RDS were enrolled. Three hours after surfactant instillation, the mean a/APO₂ was significantly increased (0.13 ± 0.04 to 0.34 ± 0.11; p < 0.01) without complications. Conclusions: The LMA^TM may be a useful and noninvasive conduit for the administration of surfactant therapy. A large randomized comparative clinical trial will be required to confirm the efficacy of this technique.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Ease of positioning and reduced invasiveness are the reported advantages of the LMA TM when compared to the tracheal tube [3][4][5] .…”

Section: Introductionmentioning

confidence: 99%

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Laryngeal Mask Airway Used as a Delivery Conduit for the Administration of Surfactant to Preterm Infants with Respiratory Distress Syndrome

et al. 2005

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“…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]. The LMA was first introduced in the American Academy of Pediatrics (AAP) and American Heart Association (AHA) guidelines for neonatal resuscitation in 2000.…”

mentioning

confidence: 99%

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

Grein

Weiner

2005

Cochrane Database of Systematic Reviews

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The laryngeal mask airway: potential applications in neonates

Cited by 61 publications

References 47 publications

Laryngeal Mask Airway Used as a Delivery Conduit for the Administration of Surfactant to Preterm Infants with Respiratory Distress Syndrome

Laryngeal Mask Airway Used as a Delivery Conduit for the Administration of Surfactant to Preterm Infants with Respiratory Distress Syndrome

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

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

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