Use of laryngeal mask for neonatal resuscitation in Brazil: A national survey

Lyra, João César; Guinsburg, Ruth; Almeida, Maria Fernanda Branco de; Variane, Gabriel Fernando Todeschi; Rugolo, Lígia Maria Suppo de Souza

doi:10.1016/j.resplu.2022.100336

Cited by 5 publications

(7 citation statements)

References 35 publications

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“…Our results are similar to surveys of neonatal providers in the United Kingdom, Brazil, and North America. 12 , 13 , 14 We found that 67% of respondents have a LM available where they perform newborn resuscitation. Similarly, Goel et al recently reported that a LM is available in 67% of NICUs and neonatal transport services in Australia and New Zealand.…”

Section: Discussionmentioning

confidence: 88%

Laryngeal mask use during neonatal resuscitation at birth: A United States-based survey of neonatal resuscitation program providers and instructors

Foglia,

Shah,

DeShea

et al. 2024

Resuscitation Plus

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Section: Discussionmentioning

confidence: 88%

Laryngeal mask use during neonatal resuscitation at birth: A United States-based survey of neonatal resuscitation program providers and instructors

Foglia,

Shah,

DeShea

et al. 2024

Resuscitation Plus

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“…The lack of neonatal HCPs' clinical experience with LMA insertion in our study is consistent with findings of other survey studies in South America, United States, Europe, and Australasia (►Table 4). [28][29][30][31] For example, a survey of Brazilian neonatal HCPs found that while the majority of respondents recognized the utility of the LMA for providing PPV, 92% had never placed an LMA in an actual patient, and a recent survey of neonatal HCPs in a single center in the United States found that 88% of respondents had no clinical experience with the LMA. 28,29 In addition to lack of clinical experience with the LMA, the neonatal HCPs in our study reported low perceived confidence with LMA insertion, which has been shown in other studies.…”

Section: Discussionmentioning

confidence: 99%

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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“…However, published examples of routine SALSA implementation are still scarce [14]. This is likely explainable by the very limited experience of neonatologists with laryngeal mask use [15][16][17] for its primary indication, delivery room resuscitation [10]. The unavailability of laryngeal mask/supraglottic airway devices appropriately sized for extremely low birthweight neonates restricts the applicability of SALSA to neonates weighing more than 800 g, even under research conditions [18]; guidelines from other experienced groups restrict their use of size 1 laryngeal mask devices to neonates who weigh more than 1250 g [19].…”

Section: Overview Of Published Articlesmentioning

confidence: 99%