Efficacy of Laryngeal Mask Airway in Neonatal Resuscitation

Abstract

Aim: This study aimed at evaluating the use of LMA for resuscitation in the delivery room among newborn infants whom positive pressure ventilation (PPV) by bag and mask had failed. Materials and methods: This is a single center, prospective, unblinded, randomized clinical trial of LMA ventilation versus ETT on neonates during resuscitation upon delivery at Ain Shams Maternity Hospital during the period between January 2012 and January 2015. The Study included 80 newborns delivered in the Maternity hospital, Ain Shams University with gestational age of 34 weeks or more who needed neonatal resuscitation in the delivery room which was performed according to the current guidelines for neonatal resuscitation by the American Academy of Pediatrics. Results: In Our Study, there was significant correlation between the LMA and the ETT as both of them succeeded to achieve adequate ventilation of the resuscitated infants. Both groups showed statistical significant improvement between their Oxygen saturation at 1 minute & at 5 minutes. The ETT showed more improvement as the mean difference between 1 & 5 minutes was -27.4±3.07 compared to -26.5±3.4 among the LMA, but with insignificant difference between both groups. Comparison between Apgar score at 1 & 5 minutes in both groups is apparent, which showed statistical significant improvement in the 2 groups. However, the ETT group showed more improvement (although non-significant) as the mean difference between 1 & 5 minutes was -5.02±0.9 compared to -4.6±0.7 among the LMA group. Conclusion: The Laryngeal Mask Airway can be used as an efficient and successful alternative to endotracheal intubation in newborns > 2000 Gms who require neonatal resuscitation.