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Safe emergency neonatal airway management: current challenges and potential approaches
  1. Joyce E O'Shea1,2,
  2. Alexandra Scrivens3,
  3. Gemma Edwards1,
  4. Charles Christoph Roehr4,5
  1. 1 Neonatology, Royal Hospital for Children, Glasgow, UK
  2. 2 Neonatal Transport, Scotstar, Glasgow, UK
  3. 3 Newborn Care Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
  4. 4 Newborn Services, John Radcliffe Hospital, Oxford, UK
  5. 5 Department of Population Health, National Perinatal Epidemiology Unit Clinical Trials Unit, Oxford, UK
  1. Correspondence to Dr Joyce E O'Shea, Neonatology, Royal Hospital for Children, Glasgow G51 4TF, UK; joyce.o'shea{at}ggc.scot.nhs.uk

Abstract

This review examines the airway adjuncts currently used to acutely manage the neonatal airway. It describes the challenges encountered with facemask ventilation and intubation. Evidence is presented on how to optimise intubation safety and success rates with the use of videolaryngoscopy and attention to the intubation environment. The supraglottic airway (laryngeal mask airway) is emerging as a promising neonatal airway adjunct. It can be used effectively with little training to provide a viable alternative to facemask ventilation and intubation in neonatal resuscitation and be used as an alternative conduit for the administration of surfactant.

  • neonatology
  • resuscitation

Data availability statement

Data sharing not applicable as no datasets generated and/or analysed for this study.

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Data availability statement

Data sharing not applicable as no datasets generated and/or analysed for this study.

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Footnotes

  • Twitter @oshea_jem, @dralexscrivens

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.

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