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We describe successful rescue airway management with a laryngeal mask airway (LMA) by experienced users in rare ‘can't ventilate/can't intubate’ scenarios in three infants with normal airway anatomy.1
A male infant weighing 3.53 kg underwent surgical intervention for intestinal malrotation.
Twenty-six hours after the intervention, fentanyl infusion was stopped; the patient was extubated to spontaneous breathing. Twenty minutes later, he presented with apnoea, desaturation and bradycardia. Face mask ventilation (FMV) failed. Therefore, a LMA was inserted obtaining immediate clinical improvement. Naloxone was administered. The LMA was removed 5 min later when the neonate became vigorous and would no longer tolerate it. No further complications were encountered. The patient was discharged in good clinical condition.
2. A male infant weighing 2.35 kg was born at 37 weeks’ …
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