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Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA
Published on: July 14, 2023
An update on newer pediatric supraglottic airways with recommendations for clinical use
Narasimhan Jagannathan1, Melissa A Ramsey, Michelle C White
1Department of Pediatric Anesthesia, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University's Feinberg School of Medicine, Chicago, IL, USA.
Insights
Newer supraglottic airways are evaluated for pediatric airway management. This review compares their efficacy against established devices like the laryngeal mask airway Classic and ProSeal, offering clinical use recommendations.
Area of Science:
- Pediatric Anesthesiology
- Airway Management
- Medical Device Evaluation
Background:
- Supraglottic airways are crucial for pediatric airway management, including emergencies.
- Established devices include the laryngeal mask airway Classic and ProSeal.
- Newer devices require efficacy assessment against these standards.
Purpose of the Study:
- To review current literature on newer supraglottic airways in children.
- To compare the efficacy of new devices with established ones.
- To provide evidence-based recommendations for clinical use.
Main Methods:
- Narrative review of existing literature.
- Focus on pediatric supraglottic airway devices.
- Comparison of newer devices against laryngeal mask airway Classic and ProSeal.
Main Results:
- The review synthesizes available evidence on newer pediatric supraglottic airways.
- Comparative data highlights performance differences and similarities.
- Clinical scenarios for optimal device selection are identified.
Conclusions:
- Newer supraglottic airways show potential in pediatric airway management.
- Evidence supports their use in specific clinical situations.
- Recommendations guide selection based on comparative efficacy and safety.
Abstract:
Supraglottic airways are an established part of routine and emergency pediatric airway management, including use in difficult airways and neonatal resuscitation. With the introduction of newer supraglottic airways in children, efficacy can only be determined by comparing these devices with those that are already well established (laryngeal mask airway Classic and laryngeal mask airway ProSeal). This narrative review aims to present the current literature on these newer supraglottic airways and give recommendations for their use in various clinical scenarios based on the existing evidence.
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