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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’ …
Contributors DT wrote the first draft of the manuscript, revised and approved the manuscript as submitted. ND, GG, DN, MM, MP participated in the care of the patients, drafting or revising of the manuscript, and have approved the manuscript as submitted.
Competing interests DT, ND, MM and MP are involved in teaching for courses supported by an educational grant from The Laryngeal Mask Company Limited, UK.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.