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Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

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Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
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Endotracheal Intubation I: Procedure01:15

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Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
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Suctioning the Oropharyngeal Airway01:25

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
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Suctioning the Nasopharyngeal Airway01:29

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
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Related Experiment Video

Updated: Jan 13, 2026

Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA
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Preterm Supraglottic Airways Succeed in Neonatal Resuscitation Simulations.

S Myrnerts Höök1,2, E Lindén3, T Alfvén1,2

  • 1Karolinska Institutet, Department of Global Public Health, Stockholm, Sweden.

Acta Paediatrica (Oslo, Norway : 1992)
|October 28, 2025
PubMed
Summary

Preterm-sized supraglottic airway devices show promise for neonatal resuscitation, demonstrating feasibility in manikin studies. Further clinical research is essential to confirm their safety and effectiveness in real-world infant care.

Keywords:
manikinpretermrespiratory function monitorresuscitationsupraglottic airway device

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Area of Science:

  • Neonatal resuscitation
  • Airway management
  • Pediatric critical care

Background:

  • Advanced airway management for preterm infants is challenging.
  • Supraglottic airway devices offer an alternative when ventilation is difficult.
  • Preterm-specific supraglottic airway devices are now available.

Purpose of the Study:

  • To evaluate ventilation outcomes using preterm-sized supraglottic airway devices in manikins.
  • To determine the feasibility of these devices for neonatal resuscitation.
  • To assess if clinical trials are warranted.

Main Methods:

  • An observational manikin study was conducted with healthcare professionals.
  • Ventilation performance was assessed using i-gel size 1 and prototype neo-i-gel devices in various manikin sizes.
  • Key metrics included insertion time, success rates, mask leakage, ventilatory rate, tidal volumes, and airway pressures. Participant satisfaction was also recorded.

Main Results:

  • Optimal device sizes were identified for different manikin weights (0.85 for 2200/950g, 0.75 for 500g).
  • High insertion success rates and consistent ventilatory parameters were achieved.
  • Participant satisfaction with the devices was positive.

Conclusions:

  • Preterm-sized supraglottic airway devices demonstrated feasibility in simulated neonatal resuscitation.
  • These findings suggest potential for these devices in clinical practice.
  • Further clinical studies are urgently needed to validate safety and effectiveness.