RT Book, Section
A1 Gomella, Tricia Lacy
A1 Eyal, Fabien G.
A1 Bany-Mohammed, Fayez
SR Print(0)
ID 1168356425
T1 Laryngeal Mask Airway
T2 Gomella's Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 8e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781259644818
LK accesspediatrics.mhmedical.com/content.aspx?aid=1168356425
RD 2024/10/03
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.