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Laryngeal Mask Use in Neonatal Resuscitation: A Narrative Review and Call for Interdisciplinary Collaboration
Sura Lee1, Melissa B Jones, Vanessa K Cameron
1Author Affiliations: School of Nursing, The George Washington University, Ashburn, Virginia (Mss Lee, Jones, and Cameron, and Dr Darcy-Mahoney); and School of Nursing, Vanderbilt University, Nashville, Tennessee (Dr McNelis).
The Journal of Perinatal & Neonatal Nursing
|July 29, 2025
Summary
Laryngeal masks (LMs) are vital for neonatal resuscitation but are underutilized. Improving LM use through interdisciplinary collaboration can enhance outcomes for newborns needing breathing support.
Area of Science:
- Neonatal resuscitation
- Medical device implementation
- Healthcare quality improvement
Background:
- Millions of newborns require breathing assistance annually, making effective ventilation crucial.
- Laryngeal masks (LMs) are user-friendly tools for neonatal ventilation, recommended by guidelines.
- Barriers hinder the routine use of LMs in neonatal resuscitation despite their benefits.
Purpose of the Study:
- To review current knowledge on LM use in neonatal resuscitation.
- To identify obstacles to LM implementation.
- To propose interdisciplinary strategies for enhancing LM use and neonatal outcomes.
Main Methods:
- A narrative review of literature was conducted.
- Searches were performed in CINAHL/NURSING, Ovid/Medline, and PubMed.
- Seven relevant randomized controlled trials were identified.
Main Results:
- Perspectives from nursing, medicine, education, and economics are crucial for addressing LM underutilization.
- Innovative solutions require input from multiple disciplines to overcome implementation challenges.
Conclusions:
- Laryngeal masks remain underutilized despite standardized training.
- Improving routine LM use offers a significant opportunity to enhance neonatal outcomes.
- An interdisciplinary approach is essential for understanding and solving LM implementation barriers.
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