| Laryngeal mask airway: is the management of neonates requiring positive pressure ventilation at birth changing? | |
| | |
MedLine Citation:
|
PMID: 15294400 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To evaluate the impact of the laryngeal mask airway (LMA) on neonatal resuscitation policy. DESIGN: We analyzed retrospectively the records of neonates requiring positive pressure ventilation (PPV) at birth before (1996) and after (2000) the introduction of the LMA into our delivery suites. In addition, the outcome of neonates treated with the LMA was compared with that of neonates matched for gestational age and mode of delivery who were resuscitated using a face mask. RESULTS: During the year 2000, 95 out of 380 (25%) resuscitated neonates were treated with the LMA. The LMA was effective in 94 out of 95 (99%) of these infants. Over the same period, the percentage of neonates receiving tracheal intubation (TI) at birth (34%) was significantly reduced compared with the figure for 1996 (67%). There were no reported complications associated with the use of the LMA. Seventy-four out of the 95 neonates treated with the LMA were considered suitable for matching for gestational age and mode of delivery with 74 neonates treated with a face mask. No differences were found between the two groups for birth weight, Apgar scores, need for tracheal intubation, need for admission to the Neonatal Intensive Care Unit (NICU), primary diagnosis at discharge and primary outcomes. The LMA provided effective ventilation in four neonates in whom the face mask failed. CONCLUSIONS: The LMA is changing neonatal resuscitation practice in our Institution. Our data suggest that it is a safe and useful alternative method for respiratory support in neonates requiring PPV at birth, which merits further study. |
| | |
Authors:
|
Daniele Trevisanuto; Massimo Micaglio; Mariangela Pitton; Mariella Magarotto; Daniele Piva; Vincenzo Zanardo |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Resuscitation Volume: 62 ISSN: 0300-9572 ISO Abbreviation: Resuscitation Publication Date: 2004 Aug |
Date Detail:
|
Created Date: 2004-08-05 Completed Date: 2004-12-22 Revised Date: 2009-08-25 |
Medline Journal Info:
|
Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
|
Languages: eng Pagination: 151-7 Citation Subset: IM |
Affiliation:
|
Pediatric Department, University of Padova, Via Giustiniani, Neonatal Intensive Care Unit, Azienda Ospedaliera Padova, 3, 35158 Padova, Italy. trevo@pediatria.unipd.it |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Birth Weight Female Humans Infant, Newborn* Intubation, Intratracheal Laryngeal Masks* Male Masks Positive-Pressure Respiration* Resuscitation / methods* Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A prospective, multicenter pilot study to evaluate the feasibility and safety of using the CoolGard ...
Next Document: Learning effect of a novel interactive basic life support CD: the JUST system.