Randomized, controlled trial comparing laryngeal mask versus endotracheal intubation during neonatal resuscitation---a secondary publication

BMC Pediatrics

Research Article

Chuanzhong Yang¹  Jinqiong Su¹  Xiaoyu Zhu¹  Weibin Lin¹  Qianshen Zhang¹  Bingchun Lin¹  Renjie Yu²  Hongmao Ye³ 

[1] Neonatal Department, Shenzhen Maternal and Child Healthcare Hospital Affiliated to Southern Medical University, No.2004 Hong Li Road, Futian District, 518028, Shenzhen, China;Neonatal Department, the First Hospital Affiliated to Tsinghua University, Beijing, China;Neonatal Department, the Third Hospital of Peking University, Beijing, China;

关键词: Neonate;    Resuscitation;    Positive pressure ventilation;    Laryngeal mask airway;    Endotracheal intubation;   

DOI  :  10.1186/s12887-016-0553-6

 received in 2015-02-17, accepted in 2016-01-20,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThis study aimed to study the feasibility, efficacy and safety of using laryngeal mask (LM) ventilation compared with endotracheal intubation (ETI) during neonatal resuscitation.MethodsNeonates with a heart rate below 60 beats per minute despite 30 s of face mask ventilation were assigned quasi-randomly (odd/even birth date) to LM (n = 36) or ETI (n = 32) ventilation. Differences in first attempt insertion success, insertion time, Apgar score, resuscitation outcome, and adverse effects were compared.ResultsThere were no significant differences in first attempt at successful insertion (LM, 94.4 % vs. ETI, 90.6 %), insertion time (LM, 7.58 ± 1.16 s vs. ETI, 7.89 ± 1.52 s), Apgar score at 1 and 5 min, response time, ventilation time, successful resuscitation (LM, 86.1 % vs. ETI,  96.9 %), and adverse events (LM, n =3 vs. ETI, n =4) between groups.ConclusionsLaryngeal mask ventilation is an effective alternative to endotracheal intubation during resuscitation of depressed newborns who do not respond to face-mask ventilation. During an emergency, laryngeal mask ventilation may be a preferred technique for medical staff who are unable to acquire or maintain endotracheal intubation skills. Trial registration: Current Controlled Trials ChiCTR-IOQ-15006488. Registered on 2 June 2015.

【 授权许可】

CC BY   
© Yang et al. 2016