Related Experiment Video
Updated: May 6, 2026

Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA
Published on: July 14, 2023
A comparison of different mask holds for positive pressure ventilation in a neonatal manikin
Emily V Wilson1, Joyce E O'Shea, Marta Thio
1Neonatal Services, The Royal Women's Hospital, , Parkville, Victoria, Australia.
Background:
Ventilation during neonatal resuscitation is typically initiated with a face mask, but may be ineffective due to leak or obstruction.
Objective:
To compare leak using three methods of mask hold.
Methods:
Medical and nursing staff regularly involved in neonatal resuscitation used the three holds (two-point, two-handed, spider) on a manikin in a random order to apply positive pressure ventilation (PPV) at standard settings each for 1 min while mask leak was recorded.
Results:
Participants (n=53) varied in experience (1-23 years) and hand size. Combined median (IQR) leak was 14 (2-46)% and was not different among the holds.
Conclusions:
There was no difference in the leak measured using the three different mask holds.
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