Comparison of laryngeal mask airway and endotracheal tube placement in neonates

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

doi:10.1038/s41372-023-01818-x

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 journal › Article › peer-review

2 Scopus citations

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 language	English (US)
Pages (from-to)	239-243
Number of pages	5
Journal	Journal of Perinatology
Volume	44
Issue number	2
DOIs	https://doi.org/10.1038/s41372-023-01818-x
State	Published - Feb 2024

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© 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.

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Clinical Trial
Comparative Study
Journal Article

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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.",

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AU - Brown, Roland

AU - Rudser, Kyle D.

AU - Roberts, Kari D.

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PY - 2024/2

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N2 - 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.

AB - 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.

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Comparison of laryngeal mask airway and endotracheal tube placement in neonates

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