TY - CHAP M1 - Book, Section TI - Laryngeal Mask Airway A1 - Gomella, Tricia Lacy A1 - Eyal, Fabien G. A1 - Bany-Mohammed, Fayez Y1 - 2020 N1 - T2 - Gomella's Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 8e AB - The laryngeal mask airway (LMA) is an alternative airway device that consists of a soft elliptical mask with an inflatable cuff that is attached to a flexible airway tube. The mask covers the glottis (laryngeal opening), and the inflatable cuff occludes the esophagus. Placement of the LMA is feasible in neonates. A study shows it was successfully placed in 2000 g. The seventh edition of the American Academy of Pediatrics/American Heart Association Textbook of Neonatal Resuscitation states: “When you ‘can’t ventilate and can’t intubate,’ a laryngeal mask may provide a successful rescue airway.” The International Liaison Committee on Resuscitation and the European Resuscitation Council recommend that LMA can be used as an alternative to intubation with an ETT in late preterm, term, and infants >2000 g when face mask ventilation is unsuccessful or intubation is not possible. A recent Cochrane review (2018) states: The LMA can achieve effective ventilation during neonatal resuscitation in a time frame consistent with current guidelines. It is more effective than bag-mask ventilation in terms of shorter resuscitation and ventilation times, and less need for endotracheal intubation. Bansal et al in a critical review of the LMA in neonatal resuscitation 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, but state it is not recommended as initial respiratory support since evidence is still insufficient. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/12 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1168356425 ER -