Article Text

Download PDFPDF
Letters
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

Statistics from Altmetric.com

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.

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

View Full Text

Footnotes

  • 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.

  • Funding None.

  • 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.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.