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Laryngeal Mask Airway in Neonatal Resuscitation: A Survey of the Union of European Neonatal and Perinatal Societies.
Trevisanuto, Daniele; Gizzi, Camilla; Cavallin, Francesco; Beke, Artur; Buonocore, Giuseppe; Charitou, Antonia; Cucerea, Manuela; Filipovic-Grcic, Boris; Jekova, Nelly Georgieva; Koç, Esin; Saldanha, Joana; Stoniene, Dalia; Varendi, Heili; De Bernardo, Giuseppe; Madar, John; Hogeveen, Marije; Orfeo, Luigi; Mosca, Fabio; Vertecchi, Giulia; Moretti, Corrado.
Afiliación
  • Trevisanuto D; Department of Women's and Children's Health, University Hospital of Padua, Padua, Italy.
  • Gizzi C; Department of Neonatology and NICU, Ospedale Sant'Eugenio, Rome, Italy.
  • Cavallin F; Union of European Neonatal and Perinatal Societies (UENPS), Milan, Italy.
  • Beke A; Independent statistician, Solagna, Italy.
  • Buonocore G; Union of European Neonatal and Perinatal Societies (UENPS), Milan, Italy.
  • Charitou A; Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary.
  • Cucerea M; Union of European Neonatal and Perinatal Societies (UENPS), Milan, Italy.
  • Filipovic-Grcic B; Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy.
  • Jekova NG; Union of European Neonatal and Perinatal Societies (UENPS), Milan, Italy.
  • Koç E; Neonatal Department and Neonatal Intensive Care Unit, Rea Maternity Hospital, Athens, Greece.
  • Saldanha J; Union of European Neonatal and Perinatal Societies (UENPS), Milan, Italy.
  • Stoniene D; Neonatology Department, University of Medicine Pharmacy Science and Technology "George Emil Palade", Târgu Mures, Romania.
  • Varendi H; Union of European Neonatal and Perinatal Societies (UENPS), Milan, Italy.
  • De Bernardo G; Department of Pediatrics, University of Zagreb School of Medicine, HR, Zagreb, Croatia.
  • Madar J; Union of European Neonatal and Perinatal Societies (UENPS), Milan, Italy.
  • Hogeveen M; Department of Pediatrics, University Hospital "Majchin Dom", Sofia, Bulgaria.
  • Orfeo L; Union of European Neonatal and Perinatal Societies (UENPS), Milan, Italy.
  • Mosca F; Division of Neonatology, Department of Pediatrics, School of Medicine, Gazi University, Ankara, Turkey.
  • Vertecchi G; Union of European Neonatal and Perinatal Societies (UENPS), Milan, Italy.
  • Moretti C; Department of Pediatrics, Neonatology Division, Hospital Beatriz Ângelo, Loures, Portugal.
Neonatology ; : 1-11, 2024 Jun 04.
Article en En | MEDLINE | ID: mdl-38834044
ABSTRACT

INTRODUCTION:

Laryngeal mask airway (LMA) use in neonatal resuscitation is limited despite existing evidence and recommendations. This survey investigated the knowledge and experience of healthcare providers on the use of the LMA and explored barriers and solutions for implementation.

METHODS:

This online, cross-sectional survey on LMA in neonatal resuscitation involved healthcare professionals of the Union of European Neonatal and Perinatal Societies (UENPS).

RESULTS:

A total of 858 healthcare professionals from 42 countries participated in the survey. Only 6% took part in an LMA-specific course. Some delivery rooms were not equipped with LMA (26.1%). LMA was mainly considered after the failure of a face mask (FM) or endotracheal tube (ET), while the first choice was limited to neonates with upper airway malformations. LMA and FM were considered easier to position but less effective than ET, while LMA was considered less invasive than ET but more invasive than FM. Participants felt less competent and experienced with LMA than FM and ET. The lack of confidence in LMA was perceived as the main barrier to its implementation in neonatal resuscitation. More training, supervision, and device availability in delivery wards were suggested as possible actions to overcome those barriers.

CONCLUSION:

Our survey confirms previous findings on limited knowledge, experience, and confidence with LMA, which is usually considered an option after the failure of FM/ET. Our findings highlight the need for increasing the availability of LMA in delivery wards. Moreover, increasing LMA training and having an LMA expert supervisor during clinical practice may improve the implementation of LMA use in neonatal clinical practice.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Idioma: En Revista: Neonatology Asunto de la revista: PERINATOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Italia

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Idioma: En Revista: Neonatology Asunto de la revista: PERINATOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Italia