Pediatrics & Therapeutics
Open Access
ISSN: 2161-0665
+44 1478 350008
ISSN: 2161-0665
+44 1478 350008
Xiaoyu Zhu
Shenzhen Maternal and Child Health Hospital, China
Posters-Accepted Abstracts: Pediat Therapeut
Objective: To study the feasibility, efficacy and safety of Laryngeal Mask Airway (LMA) in resuscitating of preterm infants especially VLBWI. Methods: 70 Preterm infants requiring positive pressure ventilation whose birth weight between 1 kg to 2 kg were assigned into 2 groups randomly: LMA group (35cases) and Bag-Mask Ventilation (BMV) group (35 cases). The effects in the two groups were observed. Results: (1) The insertion time, depth and cuff inflatable air were significant difference between LBW and VLBW (P<0.05). (2) The successful resuscitation rate of LMA group was higher than BMV group (88.6% vs. 40%). The total ventilation time of LMA group was shorter than that of BMV group (56.8�±24.7s vs. 103.6�±43.8s). No significant difference was observed in Apgar scores at 1 min between LMA group and BMV group, but the neonates have higher Apgar scores at 5 min in LMA group (P<0.05). (3) There was no significant difference of lactic acid and trace blood sugar level existed between two groups. But the PO2 of umbilical artery blood after resuscitation were higher in LMA group (P<0.05). (4) The oxygen saturation and heart rate at 60s after birth is higher in LMA group (P<0.05). (5) The adverse effects included vomiting (1 case) and regurgitation (2 cases). Conclusions: In preterm infants resuscitation LMA can be easily inserted. Compared to BMV, LMA is a better choice in resuscitation for preterm infants, especially for VLBW, and could greatly decrease endotracheal intubation rate.
Email: zhuhaizxy@tom.com