title: A prospective evaluation of the efficacy of the laryngeal mask airway during neonatal resuscitation.
abstract: OBJECTIVE
  To study the feasibility, efficacy and safety of using the laryngeal mask airway (LMA) in neonatal resuscitation.
  
  
  METHODS
  In total, 369 neonates (gestational age ≥ 34 weeks, expected birth weight ≥2.0 kg) requiring positive pressure ventilation at birth were quasi-randomised to resuscitation by LMA (205 neonates) or bag-mask ventilation (164 neonates).
  
  
  RESULTS
  (1) Successful resuscitation rate was higher with the LMA compared with bag-mask ventilation (P<0.001) and the total ventilation time was shorter with the LMA than with bag-mask ventilation (P<0.001). Seven of nine neonates with an Apgar score of 2 or 3 at 1 min after birth were successfully resuscitated in the LMA group, while in the BMV group all six neonates with an Apgar score of 2 or 3 at 1 min required tracheal intubation and ventilation. In neonates with an Apgar score of 4 or 5 at 1 min after birth, successful resuscitation rate with the LMA was higher than with bag-mask ventilation (P<0.01). (2) Successful insertion rate of the LMA at the first attempt was 98.5% and the insertion time was 7.8 s ± 2.2 s. There were few adverse events (vomiting and aspiration) in the LMA group.
  
  
  CONCLUSIONS
  The LMA is safe, effective and easy to implement for the resuscitation of neonates with a gestational age of 34 or, more weeks.
authors.affiliation: Neonatal Department, South Medical University Affiliated Maternal & Child Health Hospital of Shenzhen, Shenzhen, China. zhuhaizxy@tom.com
authors.forename: Xiao-Yu
authors.initials: XY
authors.lastname: Zhu
authors.forename: Bing-Chun
authors.initials: BC
authors.lastname: Lin
authors.forename: Qian-Shen
authors.initials: QS
authors.lastname: Zhang
authors.forename: Hong-Mao
authors.initials: HM
authors.lastname: Ye
authors.forename: Ren-Jie
authors.initials: RJ
authors.lastname: Yu
mesh_terms: D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007442:Intubation, Intratracheal; D017214:Laryngeal Masks; D008297:Male; D011446:Prospective Studies; D012151:Resuscitation / Q000295:instrumentation*