Supraglottic airway devices during neonatal resuscitation: An historical perspective, systematic review and meta-analysis of available clinical trials

摘要: Abstract Introduction Various supraglottic airway devices are routinely used to maintain patency in children and adults. However, oropharyngeal airways or laryngeal masks (LM) not during neonatal resuscitation. Methods The aim of this article was review the available literature about use We reviewed books, resuscitation manuals articles from 1830 present using search terms "Infant", "Newborn", "Delivery Room", "Resuscitation", "Airway management", "Positive Pressure Respiration", "Oropharyngeal Airway" "Laryngeal Mask". Results No study identified Four trials including 509 infants compared positive pressure ventilation with a LM, bag mask an endotracheal tube. Infants LM group were intubated less frequently 4/275 vs. 28/234 (OR 0.13, 95% CI 0.05–0.34). resuscitated had significantly unsuccessful resuscitations 31/234 0.10, 0.03–0.28). Two 34 preterm surfactant administration via safe no adverse events reported. Conclusion efficacy safety remain unclear randomized required. current evidence suggests that is feasible alternative >34 weeks gestation birth weight >2000g. further control needed evaluate short- long-term outcomes following masks. In addition, should be only within clinical trials.