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Laryngeal mask airway in neonatal stabilization and transport: a retrospective study

Laryngeal mask airway (LMA) may be considered by health caregivers of level I–II hospitals for neonatal resuscitation and stabilization before and during interhospital care, but literature provides little information on this aspect. This study reviewed the use of LMA during stabilization and transpo...

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Autores principales: Cavallin, Francesco, Brombin, Laura, Turati, Marialuisa, Sparaventi, Chiara, Doglioni, Nicoletta, Villani, Paolo Ernesto, Trevisanuto, Daniele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10570173/
https://www.ncbi.nlm.nih.gov/pubmed/37401979
http://dx.doi.org/10.1007/s00431-023-05089-8
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author Cavallin, Francesco
Brombin, Laura
Turati, Marialuisa
Sparaventi, Chiara
Doglioni, Nicoletta
Villani, Paolo Ernesto
Trevisanuto, Daniele
author_facet Cavallin, Francesco
Brombin, Laura
Turati, Marialuisa
Sparaventi, Chiara
Doglioni, Nicoletta
Villani, Paolo Ernesto
Trevisanuto, Daniele
author_sort Cavallin, Francesco
collection PubMed
description Laryngeal mask airway (LMA) may be considered by health caregivers of level I–II hospitals for neonatal resuscitation and stabilization before and during interhospital care, but literature provides little information on this aspect. This study reviewed the use of LMA during stabilization and transport in a large series of neonates. This is a retrospective study evaluating the use of LMA in infants who underwent emergency transport by the Eastern Veneto Neonatal Emergency Transport Service between January 2003 and December 2021. All data were obtained from transport registry, transport forms, and hospital charts. In total, 64/3252 transferred neonates (2%) received positive pressure ventilation with an LMA, with increasing trend over time (p = 0.001). Most of these neonates were transferred after birth (97%), due to a respiratory or neurologic disease (95%). LMA was used before the transport (n = 60), during the transport (n = 1), or both (n = 3). No device-related adverse effects were recorded. Sixty-one neonates (95%) survived and were discharged/transferred from the receiving center. Conclusion: In a large series of transferred neonates, LMA use during stabilization and transport was rare but increasing over time, and showed some heterogeneity among referring centers. In our series, LMA was safe and lifesaving in “cannot intubate, cannot oxygenate” situations. Future prospective, multicenter research may provide detailed insights on LMA use in neonates needing postnatal transport. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00431-023-05089-8.
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spelling pubmed-105701732023-10-14 Laryngeal mask airway in neonatal stabilization and transport: a retrospective study Cavallin, Francesco Brombin, Laura Turati, Marialuisa Sparaventi, Chiara Doglioni, Nicoletta Villani, Paolo Ernesto Trevisanuto, Daniele Eur J Pediatr Research Laryngeal mask airway (LMA) may be considered by health caregivers of level I–II hospitals for neonatal resuscitation and stabilization before and during interhospital care, but literature provides little information on this aspect. This study reviewed the use of LMA during stabilization and transport in a large series of neonates. This is a retrospective study evaluating the use of LMA in infants who underwent emergency transport by the Eastern Veneto Neonatal Emergency Transport Service between January 2003 and December 2021. All data were obtained from transport registry, transport forms, and hospital charts. In total, 64/3252 transferred neonates (2%) received positive pressure ventilation with an LMA, with increasing trend over time (p = 0.001). Most of these neonates were transferred after birth (97%), due to a respiratory or neurologic disease (95%). LMA was used before the transport (n = 60), during the transport (n = 1), or both (n = 3). No device-related adverse effects were recorded. Sixty-one neonates (95%) survived and were discharged/transferred from the receiving center. Conclusion: In a large series of transferred neonates, LMA use during stabilization and transport was rare but increasing over time, and showed some heterogeneity among referring centers. In our series, LMA was safe and lifesaving in “cannot intubate, cannot oxygenate” situations. Future prospective, multicenter research may provide detailed insights on LMA use in neonates needing postnatal transport. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00431-023-05089-8. Springer Berlin Heidelberg 2023-07-04 2023 /pmc/articles/PMC10570173/ /pubmed/37401979 http://dx.doi.org/10.1007/s00431-023-05089-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research
Cavallin, Francesco
Brombin, Laura
Turati, Marialuisa
Sparaventi, Chiara
Doglioni, Nicoletta
Villani, Paolo Ernesto
Trevisanuto, Daniele
Laryngeal mask airway in neonatal stabilization and transport: a retrospective study
title Laryngeal mask airway in neonatal stabilization and transport: a retrospective study
title_full Laryngeal mask airway in neonatal stabilization and transport: a retrospective study
title_fullStr Laryngeal mask airway in neonatal stabilization and transport: a retrospective study
title_full_unstemmed Laryngeal mask airway in neonatal stabilization and transport: a retrospective study
title_short Laryngeal mask airway in neonatal stabilization and transport: a retrospective study
title_sort laryngeal mask airway in neonatal stabilization and transport: a retrospective study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10570173/
https://www.ncbi.nlm.nih.gov/pubmed/37401979
http://dx.doi.org/10.1007/s00431-023-05089-8
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