Laryngeal Mask Airway Method for Minimally Invasive Surfactant Therapy in Neonates with Pneumothorax Complicating Respiratory Distress Syndrome.

ABSTRACT:

Background/objectives

Pneumothorax is a common complication of neonatal respiratory distress syndrome, which is decreased by surfactant therapy. Rescue administration of surfactant in neonates with severe RDS complicated by pneumothorax requires management of the pneumothorax to optimize surfactant distribution while avoiding positive pressure ventilation to minimize iatrogenic exacerbation of the air leak.

Methods

We retrospectively reviewed our center's experience with neonates who had clinically significant pneumothorax complicating RDS, in whom we used a novel technique to administer surfactant through a laryngeal mask/supraglottic airway device without applying positive pressure ventilation.

Results

In 13 of the 20 neonates in our cohort, subsequent invasive vent

SUBMITTER: Pinheiro JMB 

PROVIDER: S-EPMC11854283 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature