e-ISSN: 2617-7668     print ISSN: 2522-9176
The Introduction of the Laryngeal Mask Airway for Surfactant Administration in Neonates with Respiratory Distress in Azerbaijan
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Abstract

In coordination with the the United States of America’s Fulbright Program for Visiting Scholars, the Ministry of Health of the Republic of Azerbaijan invited a neonatologist from the Vanderbilt University School of Medicine (Nashville, TN, USA) to Baku to discuss the advanced care of and application of available technologies to care for critically ill and premature infants. One of the main focuses of this visit was to introduce a new method for the administration of pulmonary surfactant through the placement and use of the laryngeal mask airway. Training consisted of both theoretical and practical sessions held at the Shaki Perinatal Centre, Ganja Perinatal Centre, Azerbaijan Medical University, Scientific Research Institute of Pediatrics, Scientific Research Institute of Gynecology and Obstetrics, Republican (Central, National) Perinatal Centre and Republican (Central, National) Clinical Hospital. Nearly two hundred neonatal physicians were trained to use this device. The objective of this paper is to review Neonatal Respiratory Distress Syndrome and discuss treatment of this common neonatal problem with a laryngeal mask airway and the instillation of surfactant.

References

National Center for Health Statistics. Period Linked Birth/Infant Death Data. 2013; Available at: www.marchofdimes.org/peristats. Accessed October 2, 2018.

Kumar A, Bhat BV. Epidemiology of respiratory distress of newborns. Indian J Pediatr. 1996 Jan-Feb;63(1):93-8.

Liu L, Oza S, Hogan D, Chu Y, Perin J, Zhu J, Lawn JE, Cousens S, Mathers C, Black RE. Global, regional, and national causes of under-5 mortality in 2000-15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet. 2016 Dec 17;388(10063):3027-3035. doi:10.1016/S0140-6736(16)31593-8.

Collaborative European Multicenter Study Group. Surfactant replacement therapy for severe neonatal respiratory distress syndrome: an international randomized clinical trial. Pediatrics 1988; 82:683-91.

Ardell S, Pfister RH, Soll R. Animal derived surfactant extract versus protein free synthetic surfactant for the prevention and treatment of respiratory distress syndrome. Cochrane Database Syst Rev 2015 Aug 24;8:CD000144.

Fetus and Newborn Committee, Canadian Paediatric Society. Recommendations for neonatal surfactant therapy. Paediatrics & Child Health 2005; 02;10(2):109-16.

Horbar JD, Soll RF, Sutherland JM, Kotagal U, Philip AG, Kessler DL, et al. A multicenter, randomized, placebo-controlled trial of surfactant therapy for respiratory distress syndrome. N Engl J Med 1989; 320:959-65.

Seger N, Soll R. Animal derived surfactant extract for treatment of respiratory distress syndrome. Cochrane Database Syst Rev. 2009; (2):CD007836.

El Shahed AI, Dargaville PA, Ohlsson A, Soll R. Surfactant for meconium aspiration syndrome in term and late preterm infants. Cochrane Database Syst Rev. 2014 Dec 14;(12):CD002054. doi: 10.1002/14651858.CD002054.pub3.

Deshpande S, Suryawanshi P, Ahya K, Maheshwari R, Gupta S. Surfactant Therapy for Early Onset Pneumonia in Late Preterm and Term Neonates Needing Mechanical Ventilation. J Clin Diagn Res. 2017 Aug;11(8):SC09-SC12. doi:10.7860/JCDR/2017/28523.10520.

Polin RA, Carlo WA; Committee on Fetus and Newborn; American Academy of Pediatrics. Surfactant replacement therapy for preterm and term neonates with respiratory distress. Pediatrics. 2014 Jan;133(1):156-63. doi: 10.1542/peds.2013-3443.

Raju TN, Vidyasagar D, Torres C, Grundy D, Bennett EJ. Intracranial pressure during intubation and anesthesia in infants. J Pediatr 1980; 96:860-2.

Marshall TA, Deeder R, Pai S, Berkowitz GP, Austin TL. Physiologic changes associated with endotracheal intubation in preterm infants. Crit Care Med 1984; 12:501-3.

Friesen RH, Honda AT, Thieme RE. Changes in anterior fontanel pressure in preterm neonates during tracheal intubation. Anesth Analg 1987; 66:874-8.

O'Donnell CP, Kamlin CO, Davis PG, Morley CJ. Endotracheal intubation attempts during neonatal resuscitation: success rates, duration, and adverse effects. Pediatrics 2006; 117:e16-21.

Lane B, Finer N, Rich W. Duration of intubation attempts during neonatal resuscitation. J Pediatr 2004; 145:67-70.

Sauer CW, Kong JY, Vaucher YE, Finer NN, Proudfoot JA, Boutin MA, Leone TA. Intubation attempts increase the risk for severe intraventricular hemorrhage in preterm infants: a retrospective cohort study. J Pediatr 2016; 177:108-13.

Wallenstein MB, Birnie KL, Arain YH, Yang W, Yamada NK, Huffman LC, et al. Failed endotracheal intubation and adverse outcomes among extremely low birth weight infants. J Perinatol 2016; 36:112-5.

Bjorklund LJ, Ingimarsson J, Curstedt T, John J, Robertson B, Werner O, Vilstrup CT. Manual ventilation with a few large breaths at birth compromises the therapeutic effect of subsequent surfactant replacement in immature lambs. Pediatr Res 1997; 42:348-55.

Van Marter LJ, Allred EN, Pagano M, Sanocka U, Parad R, Moore M, et al. Do clinical markers of barotrauma and oxygen toxicity explain interhospital variation in rates of chronic lung disease? The Neonatology Committee for the Developmental Network. Pediatrics 2000; 105:1194-201.

Lau CSM, Chamberlain RS, Sun S. Less Invasive Surfactant Administration Reduces the Need for Mechanical Ventilation in Preterm Infants: A Meta-Analysis. Glob Pediatr Health. 2017 Mar 24;4:2333794X17696683. doi:10.1177/2333794X17696683.

Minocchieri S, Berry CA, Pillow JJ; CureNeb Study Team. Nebulised surfactant to reduce severity of respiratory distress: a blinded, parallel, randomised controlled trial. Arch Dis Child Fetal Neonatal Ed. 2018 Jul 26. pii: fetalneonatal-2018-315051. doi: 10.1136/archdischild-2018-315051.

Weiner GM, Zaichkin J. Textbook of Neonatal Resuscitation (NRP), 7th Ed. American Academy of Pediatrics. 2016.

Pejovic NJ, Trevisanuto D, Nankunda J, Tylleskär T. Pilot manikin study showed that a supraglottic airway device improved simulated neonatal ventilation in a low-resource setting. Acta Paediatr. 2016 Dec;105(12):1440-1443. doi: 10.1111/apa.13565.

Tracy MB, Priyadarshi A, Goel D, Lowe K, Huvanandana J, Hinder M. How do different brands of size 1 laryngeal mask airway compare with face mask ventilation in a dedicated laryngeal mask airway teaching manikin? Arch Dis Child Fetal Neonatal Ed. 2018 May;103(3):F271-F276. doi: 10.1136/archdischild-2017-312766.

Trevisanuto D, Grazzina N, Ferrarese P, Micaglio M, Verghese C, Zanardo V. Laryngeal mask airway used as a delivery conduit for the administration of surfactant to preterm infants with respiratory distress syndrome. Biol Neonate. 2005;87(4):217-20.

Pinheiro JMB, Santana- Rivas Q, Pezzano C. Randomized trial of laryngeal mask airway versus endotracheal intubation for surfactant delivery. J Perinatol 2016; 36: 196-201.

Barbosa RF, Simoes e Silva AC, Silva YP. A randomized controlled trial of the laryngeal mask airway for surfactant administration in neonates. J Pediatr 2017; 93:343-350.

Roberts KD, Brown R, Lampland AL, Leone TA, Rudser KD, Finer NN, et al. 2018. Laryngeal mask airway for surfactant administration in neonates: a randomized, controlled trial. J Pediatr 193: 40-46.e1.

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Keywords

Laryngeal mask
respiratory distress
Azerbaijan Ларингеальная маска
дыхательная недостаточность
Азербайджан Laryngeal maska
tənəffüs çətinliyi
Azərbaycan