Laryngeal mask airway versus bag‐mask ventilation or endotracheal intubation for neonatal resuscitation

摘要: Background Providing effective positive pressure ventilation is the single most important component of successful neonatal resuscitation. Ventilation frequently initiated with a manual resuscitation bag and face-mask (BMV) followed by endotracheal intubation (ETT) if depression continues. These techniques may be difficult to perform successfully resulting in prolonged or severe depression. The laryngeal mask airway (LMA) achieve initial faster than bag-mask device intubation. Objectives Among newborns requiring for resuscitation, achieved LMA compared either BMV ETT? Search methods The Cochrane Central Register Controlled Trials (CENTRAL, Library, Issue 3, 2004), MEDLINE (1966-November Pre-MEDLINE (November 15, CINAHL 1982-November reference lists published trials, Society Pediatric Research abstracts were searched. Experts contacted additional references. Selection criteria Randomised quasi-randomised trials Data collection analysis Two reviewers independently evaluated studies, assessed methodologic quality, extracted data using Neonatal Review Group criteria. Categorical treatment effects described as relative risks risk differences continuous mean difference. There insufficient pooled analyses. Main results No eligible studies BMV. One small randomised controlled trial comparing ETT when had been unsuccessful was included. no statistically significant difference between exception clinically insignificant time complete insertion favouring ETT. Authors' conclusions The can during time-frame consistent current guidelines. evidence evaluate efficacy safety primary device. A single, found unsuccessful. Case series case reports suggest that provide an rescue both have well-designed warranted.