How do different brands of size 1 laryngeal mask airway compare with face mask ventilation in a dedicated laryngeal mask airway teaching manikin?
| Autor: | Mark Tracy, Jacqueline Huvanandana, Dimple Goel, Murray Hinder, Krista Lowe, Archana Priyadarshi |
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| Rok vydání: | 2017 |
| Předmět: |
Resuscitation
medicine.medical_treatment Manikins Laryngeal Masks law.invention Positive-Pressure Respiration 03 medical and health sciences 0302 clinical medicine Laryngeal mask airway law 030225 pediatrics medicine Intubation Intratracheal Humans 030212 general & internal medicine Positive end-expiratory pressure Mask ventilation Cross-Over Studies business.industry Tracheal intubation Infant Newborn Obstetrics and Gynecology Infant General Medicine Cardiopulmonary Resuscitation Face masks Anesthesia Pediatrics Perinatology and Child Health Ventilation (architecture) business Neonatal resuscitation |
| Zdroj: | Archives of disease in childhood. Fetal and neonatal edition. 103(3) |
| ISSN: | 1468-2052 |
| Popis: | BackgroundInternational neonatal resuscitation guidelines recommend the use of laryngeal mask airway (LMA) with newborn infants (≥34 weeks’ gestation or >2 kg weight) when bag-mask ventilation (BMV) or tracheal intubation is unsuccessful. Previous publications do not allow broad LMA device comparison.ObjectiveTo compare delivered ventilation of seven brands of size 1 LMA devices with two brands of face mask using self-inflating bag (SIB).Design40 experienced neonatal staff provided inflation cycles using SIB with positive end expiratory pressure (PEEP) (5 cmH2O) to a specialised newborn/infant training manikin randomised for each LMA and face mask. All subjects received prior education in LMA insertion and BMV.Results12 415 recorded inflations for LMAs and face masks were analysed. Leak detected was lowest with i-gel brand, with a mean of 5.7% compared with face mask (triangular 42.7, round 35.7) and other LMAs (45.5–65.4) (p2O compared with face mask (triangular 22.8, round 25.8) and other LMAs (14.3–22.0) (p2O compared with face mask (triangular 3.0, round 3.6) and other LMAs (0.6–2.6) (pConclusionThis study has shown dramatic performance differences in delivered ventilation, mask leak and ease of use among seven different brands of LMA tested in a manikin model. This coupled with no partial or complete insertion failures and ease of use suggests i-gel LMA may have an expanded role with newborn resuscitation as a primary resuscitation device. |
| Databáze: | OpenAIRE |
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