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Laryngeal mask: beyond neonatal upper airway malformations
  1. Daniele Trevisanuto1,
  2. Nicoletta Doglioni1,
  3. Genny Gottardi1,
  4. Daniel Nardo1,
  5. Massimo Micaglio2,
  6. Matteo Parotto2
  1. 1Pediatric Department, Medical School, University of Padua, Azienda Ospedaliera di Padova, Padua, Italy
  2. 2Department of Medicine, Unit of Anesthesiology and Intensive Care, Medical School, University of Padua, Azienda Ospedaliera di Padova, Padua, Italy
  1. Correspondence to Dr Daniele Trevisanuto, Pediatric Department, Medical School, University of Padua, Azienda Ospedaliera di Padova, Via Giustiniani, 3, Padua 35128, Italy; trevo{at}pediatria.unipd.it

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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

  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.

  • A male infant weighing 2.35 kg was born at 37 weeks’ …

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