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BMC Pediatrics
Published in: BMC Pediatrics 1/2016

Open Access 01-12-2016 | Research article

Randomized, controlled trial comparing laryngeal mask versus endotracheal intubation during neonatal resuscitation---a secondary publication

Authors: Chuanzhong Yang, Xiaoyu Zhu, Weibin Lin, Qianshen Zhang, Jinqiong Su, Bingchun Lin, Hongmao Ye, Renjie Yu

Published in: BMC Pediatrics | Issue 1/2016

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Abstract

Background

This study aimed to study the feasibility, efficacy and safety of using laryngeal mask (LM) ventilation compared with endotracheal intubation (ETI) during neonatal resuscitation.

Methods

Neonates with a heart rate below 60 beats per minute despite 30 s of face mask ventilation were assigned quasi-randomly (odd/even birth date) to LM (n = 36) or ETI (n = 32) ventilation. Differences in first attempt insertion success, insertion time, Apgar score, resuscitation outcome, and adverse effects were compared.

Results

There were no significant differences in first attempt at successful insertion (LM, 94.4 % vs. ETI, 90.6 %), insertion time (LM, 7.58 ± 1.16 s vs. ETI, 7.89 ± 1.52 s), Apgar score at 1 and 5 min, response time, ventilation time, successful resuscitation (LM, 86.1 % vs. ETI,  96.9 %), and adverse events (LM, n =3 vs. ETI, n =4) between groups.

Conclusions

Laryngeal mask ventilation is an effective alternative to endotracheal intubation during resuscitation of depressed newborns who do not respond to face-mask ventilation. During an emergency, laryngeal mask ventilation may be a preferred technique for medical staff who are unable to acquire or maintain endotracheal intubation skills. Trial registration: Current Controlled Trials ChiCTR-IOQ-15006488. Registered on 2 June 2015.
Literature
1.
Lin W, Zhu X, Yang C, Su J, Lin B, Liu T, et al. Case control study of laryngeal mask airway versus endotracheal intubation in neonatal resuscitation. J Chin Pediatr Emerg Med. 2012;19(3):259–63.
2.
Schmölzer GM, Dawson JA, Kamlin CO, O'Donnell CP, Morley CJ, Davis PG. Airway obstruction and gas leak during mask ventilation of preterm infants in the delivery room. Arch Dis Child Fetal Neonatal Ed. 2011;96(4):F254–7.CrossRefPubMed
3.
O’Donnell CP, Kamlin CO, Davis PG, Carlin JB, Morley CJ. Interobserver variability of the 5-min Apgar score. J Pediatr. 2006;149(4):486–9.CrossRefPubMed
4.
Finucane T, Santora H. The laryngeal mask airway (LMA). In: Principles of airway management. New York: Springer; 2003. p. 438–490s.
5.
Niermeyer S, Kattwinkel J, Reempts PV, Nadkarni V, Phillips B, Zideman D, et al. International guidelines for neonatal resuscitation: an excerpt from the guideline 2000 for cardiopulmonary resuscitation and emergency cardiovascular care: international consensus on science. J Pediatr. 2000;106:e29.CrossRef
6.
American Heart Association,American Academy of Pediatrics. Guide1ines for Cardiopulmonary Resuscitation(CPR) and Emergency Cardiovascular Care(ECC) of pediatric and neonatal patients: Neonatal resuscitation guidelines. J Pediatr. 2005;117(5):e1029–38.CrossRef
7.
Wyckoff MH, Aziz K, Escobedo MB, Kapadia VS, Kattwinkel J, Perlman JM, et al. Part 13: neonatal resuscitation: 2015 American Heart Association Guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132(18 Suppl 2):S543–60.CrossRefPubMed
8.
American Academy of Pediatrics and American Heart Association. Textbook of neonatal resuscitation. 5th ed. Elk Grove Village, IL: American Academy of Pediatrics and American Heart Association; 2006.
9.
Perlman JM, Wyllie J, Kattwinkel J, Wyckoff MH, Aziz K, Guinsburg R, et al. Part 7: neonatal resuscitation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation. 2015;132(16 Suppl 1):S204–41.CrossRefPubMed
10.
Zhu XY, Lin BC, Zhang QS, Ye HM, Yu RJ. A prospective evaluation of the efficacy of the laryngeal mask airway during neonatal resuscitation. Resuscitation. 2011;82(11):1405–9.CrossRefPubMed
11.
Paterson SJ, Byrne PJ, Molesky MG, Seal RF, Finucane BT. Neonatal resuscitation using the laryngeal mask airway. Anesthesiology. 1994;80:1248–53.CrossRefPubMed
12.
Richmond S, Wyllie J. European resuscitation council guidelines for resuscitation 2010: section 7. Resuscitation of babies at birth. Resuscitation. 2010;81(10):1389–99.CrossRefPubMed
13.
14.
Reinhart DJ, Simmons G. Comparison of placement of the laryngeal mask airway with endotracheal tube by paramedics and respiratory therapists. Ann Emerg Med. 1994;24:260–3.CrossRefPubMed
15.
Zanardo V, Simbi AK, Savio V, Micaglio M, Trevisanuto D. Neonatal resuscitation by laryngeal mask airway after selective cesarean section. Fetal Diagn Ther. 2004;19:228–31.CrossRefPubMed
16.
Esmail N, Saleh M, Ali A. Laryngeal mask airway versus endotracheal intubation for Apgar score improvement in neonatal resuscitation. Egyptian Journal of Anesthesiology. 2002;18:115–21.
17.
Leone TA, Rich W, Finer NN. Intubation training in neonatal patients: a review of one trainee’s first 150 procedures. J Matern Fetal Neonatal Med. 2012;25(8):1302–4.CrossRef
18.
Trevisanuto D, Micaglio M, Pitton M, Magarotto M, Piva D, Zanardo V. Laryngeal mask airway: is the management of neonates requiring positive pressure ventilation at birth changing? Resuscitation. 2004;62(2):151–7.CrossRefPubMed
19.
Micaglio M, Doglioni N, Parotto M, Zanardo V, Ori C, Trevisanuto D. Training for neonatal resuscitation with the laryngeal mask airway: a comparison of the LMA-ProSeal and the LMA-Classic in an airway management manikin. Paediatr Anaesth. 2006;16(10):1028–31.CrossRefPubMed
20.
Brimacombe J, Gandini D. Airway rescue and drug delivery in an 800 g neonate with the laryngeal mask airway. Paediatr Anaesth. 1999;9(2):178.CrossRefPubMed
21.
Trevisanuto D, Grazzinaa N, Ferraresea P, Micaglio M, Verghese C, Zanardo V. Laryngeal mask airway used as a delivery conduit for the administration of surfactant to preterm infants with respiratory distress syndrome. Biol Neonate. 2005;87(4):217–20.CrossRefPubMed
22.
Lin B, Zhu X, Su J, Ye H, Yu R. The application and evaluation of laryngeal mask airway for neonatal resuscitation(in Chinese). J Chin Perinatol Med. 2010;13(5):379–83.
23.
Trevisanuto D, Cavallin F, Nguyen LN, Nguyen TV, Tran LD, Tran CD, et al. Supreme laryngeal mask airway versus face mask during neonatal resuscitation: a randomized controlled trial. J Pediatr. 2015;167:286–91.CrossRefPubMed
Metadata
Title
Randomized, controlled trial comparing laryngeal mask versus endotracheal intubation during neonatal resuscitation---a secondary publication
Authors
Chuanzhong Yang
Xiaoyu Zhu
Weibin Lin
Qianshen Zhang
Jinqiong Su
Bingchun Lin
Hongmao Ye
Renjie Yu
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2016
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-016-0553-6

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