Affiliation:
1. University of Minnesota Children's Hospital
2. University of Minnesota
Abstract
Abstract
Objective
We hypothesize that the time, number of attempts and physiologic stability of placement of an LMA would be superior compared to ETT.
Study Design:
Videotape and physiologic parameters of LMA (n = 36) and ETT (n = 31) placement procedures for infants 28–36 weeks gestation were reviewed.
Results
Duration of attempts (32 vs 66 sec, p < 0.001) and mean total procedure time (88 vs 153 sec, p = 0.06) was shorter for LMA compared to ETT. Mean number of attempts for successful placement was fewer for LMA (1.5 vs 1.9, p = 0.11). Physiologic parameters remained near baseline in both groups despite very different degrees of premedication.
Conclusion
Placement of an LMA required less time and fewer number of attempts compared to ETT. Physiologic stability of an LMA was maintained without the use of an analgesic and muscle relaxant. Use of an LMA is a favorable alternative to ETT placement for surfactant delivery in neonates.
Trial Registration
NCT01116921
Publisher
Research Square Platform LLC
Reference23 articles.
1. Physiologic changes associated with endotracheal intubation in preterm infants;Marshall TA;Crit Care Med,1984
2. Nasotracheal intubation in the neonate: physiologic responses and effects of atropine and pancuronium;Kelly MA;J Pediatr,1984
3. Changes in anterior fontanel pressure in preterm neonates during tracheal intubation;Friesen RH HA;Anesth Analg,1987
4. Blunting of hypertensive response to endotracheal intubation in neonates by premedication;Khammash HM OBK;Paed Res,1993
5. Awake intubation increases intracranial pressure without affecting cerebral blood flow velocity in infants;Millar C;Can J Anaesth,1994