Comparison of laryngeal mask airway and endotracheal tube placement in neonates

Amanda A. Wanous, Roland Brown, Kyle D. Rudser, Kari D. Roberts

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: We hypothesize that the time, number of attempts, and physiologic stability of placement of an LMA would be superior compared to ETT. Study design: Videotape and physiologic parameters of LMA (n = 36) and ETT (n = 31) placement procedures for infants 28–36 weeks gestation were reviewed. Results: Duration of attempts (32 vs 66 s, p < 0.001) and mean total airway insertion time (88 vs 153 s, p = 0.06) was shorter for LMA compared to ETT. Mean number of attempts for successful placement was fewer for LMA (1.5 vs 1.9, p = 0.11). Physiologic parameters remained near baseline in both groups despite very different degrees of premedication. Conclusion: Placement of an LMA required less time and fewer number of attempts compared to ETT. Physiologic stability of an LMA was maintained without the use of an analgesic and muscle relaxant. Use of an LMA is a favorable alternative to ETT placement for surfactant delivery in neonates. Trial Registration: NCT01116921.

Original languageEnglish (US)
Pages (from-to)239-243
Number of pages5
JournalJournal of Perinatology
Volume44
Issue number2
DOIs
StatePublished - Feb 2024

Bibliographical note

Publisher Copyright:
© The Author(s), under exclusive licence to Springer Nature America, Inc. 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

PubMed: MeSH publication types

  • Clinical Trial
  • Comparative Study
  • Journal Article

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