3560 - Laryngeal mask /supraglottic airway devices (LMA/SAD): Current and emerging uses in neonates

Monday, April 25, 2022

1:00 PM – 2:30 PM US MT

Location: Convention Center: 111/113

CE: Live CME: 1.5

Course Number: 3560

Leader(s)

JP

Joaquim Pinheiro, MD, MPH

Professor of Pediatrics
Albany Medical College
Albany, New York, United States

Co-Leader(s)

Kari Roberts, MD

Associate Professor of Pediatrics
Univ of MN
Mpls, Minnesota, United States
Daniele Trevisanuto, MD

Associate Professor
University of Padova
Padova, Italy
Scott Guthrie, MD

Associate Professor
Vanderbilt University School of Medicine
Jackson, Tennessee, United States
Querube Santana, MD

Neonatologist
Palm west hospital
Cooper City, Florida, United States
SM

Sussan Mbi Ndakor, MD

Neonatologist
UnityPoint Health-Allen Hospital
Waterloo, Iowa, United States

Participants should be aware of the following financial/non-financial relationships:

Joaquim Pinheiro, MD, MPH: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Kari Roberts, MD: ONY Biotech (Currently Ongoing) (Products/Services: Research Support including clinical trials & the principal or named investigator, Consultant, Intellectual Property including patent beneficiary and royalties)

Daniele Trevisanuto, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Scott O. Guthrie, MD: Ony Bio Tech (Currently Ongoing) (Products/Services: Research Support including clinical trials & the principal or named investigator, Consultant, Speaker Honorarium including speakers bureau, symposia, and expert witness)

Querube Santana, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Sussan Mbi Ndakor, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Laryngeal mask or similar supraglottic airway devices (LMA/SAD) are recognized in the Neonatal Resuscitation Program as alternatives to tracheal intubation, but also to ineffective face mask ventilation. While trainees’ experience in neonatal intubation has diminished, recent randomized trials have shown the ease of use of LMA in neonatal resuscitation, with immediate effectiveness comparable to endotracheal intubation and post-asphyxia outcomes equivalent to face mask ventilation. Other recent RCTs have demonstrated the effectiveness of Surfactant Administration through LMA/Supraglottic Airways (SALSA approach). Nevertheless, most trainees and neonatal care providers have never used an LMA and are not familiar with the design features of various SADs available for neonatal use.
This workshop combines the experience of 8 neonatologists who have lead research on LMA use in varied neonatal care settings, to briefly review types of neonatal LMA/SAD devices with hands-on demonstrations, discuss the laboratory and clinical evidence on LMA use for neonatal resuscitation and surfactant administration, and demonstrate procedural techniques using video clips and manikin simulations. Small groups of participants will simulate LMA/SAD insertion and surfactant administration in manikins, guided by performance checklists. Case-based large group discussion will illustrate other uses of LMA in neonates, from transport to palliative care. Caveats, obstacles and strategies for implementing LMA use and spreading competencies in the attendees’ local practice settings will be discussed in a large group. Handouts including skills checklists and thematic lists of key references, in addition to a Facebook page, will help attendees in teaching and implementing these skills within their institutional settings.