Laryngeal mask /supraglottic airway devices (LMA/SAD): Current and emerging uses in neonates

Leader(s)

• JP

  Joaquim Pinheiro, MD, MPH

  Professor of Pediatrics
  Albany Medical College
  Albany, New York, United States

Co-Leader(s)

• 

  Kari Roberts, MD

  Associate Professor of Pediatrics
  Univ of MN
  Mpls, Minnesota, United States
• 

  Daniele Trevisanuto, MD (he/him/his)

  Head of Neonatal Transport Service
  University of Padova: Department of Women' and Children Health
  PADOVA, Veneto, Italy
• 

  Scott Guthrie, MD

  Associate Professor
  Monroe Carell Jr. Children's Hospital at Vanderbilt
  Jackson, Tennessee, United States
• 

  Nicoletta Doglioni, MD, PhD

  ATTENDING
  NEONATAL INTENSIVE CARE UNIT, Azienda Ospedale-Università di Padova
  padova, Veneto, Italy
• 

  Prem Fort, MD

  Assistant Professor
  Johns Hopkins All Children's Hospital
  St. Petersburg, Florida, United States
• 

  Querube Santana, MD

  Neonatologist
  Palm west hospital
  Cooper City, Florida, United States
• SM

  Sussan Mbi Ndakor, MD

  Neonatologist
  UnityPoint Health-Allen Hospital
  Waterloo, Iowa, United States

Workshop

Description: Laryngeal mask or similar supraglottic airway devices (LMA/SAD) are recognized in the Neonatal Resuscitation Program as alternatives to tracheal intubation, but also to ineffective face mask ventilation. While trainees’ experience in neonatal intubation has diminished, recent randomized trials have shown the ease of use of LMA in neonatal resuscitation, with immediate effectiveness comparable to endotracheal intubation and post-asphyxia outcomes equivalent to face mask ventilation. Other recent RCTs have demonstrated the effectiveness of Surfactant Administration through LMA/Supraglottic Airways (SALSA approach). Nevertheless, most trainees and neonatal care providers have never used an LMA and are not familiar with the design features of various SADs available for neonatal use.
This workshop combines the experience of 9 neonatologists who have lead research on LMA use in varied neonatal care settings, to briefly review types of neonatal LMA/SAD devices with hands-on demonstrations, discuss the laboratory and clinical evidence on LMA use for neonatal resuscitation and surfactant administration, and demonstrate procedural techniques using video clips and manikin simulations. Small groups of participants will simulate LMA/SAD insertion and surfactant administration in manikins, guided by performance checklists. Case-based large group discussion will illustrate other uses of LMA in neonates, from transport to palliative care. Caveats, obstacles and strategies for implementing LMA use and spreading competencies in the attendees’ local practice settings will be discussed in a large group. Handouts including skills checklists, key references, in addition to a Facebook page, videos and linked resources, will help attendees in teaching and implementing these skills within their institutional settings.