LMA in neonatal resuscitation

[halflife2]

34 week neonate delivered apgar 7 and 4 full arrest unable to intubate despite numerous efforts by different providers. number 1 LMA placed and able to ventilate. continue ventilation and compressions and epi for 2 hours until baby is "stable" and transported to Riley hospital.
Appears you can use an LMA in this situation, but wish I did not have to find out.

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[Planktonmd]

34 week neonate delivered apgar 7 and 4 full arrest unable to intubate despite numerous efforts by different providers. number 1 LMA placed and able to ventilate. continue ventilation and compressions and epi for 2 hours until baby is "stable" and transported to Riley hospital.
Appears you can use an LMA in this situation, but wish I did not have to find out.

Good job.

 

[atrxnasd]

http://www.nurse-anesthesia.org/showthread.php?t=2792


Called in at 0545 W/F, g5p4, admitted with a bleed, fetus stable a few decells I am told, pt vss, no significant medical hx except tobacco abuse.
SAB with 20mcg fentanyl 200 mcg duramorph 15 mg bupivicaine, pt tolerates well deliver apagar 7 and 5 baby to nursery with ppv, 90 sec later code called, attempt intubation times 6 with no success. #1 lma placed barley ventilate, 90 min of bagging epi and fluids before infant is airlifted to Riley hospital Indianapolis.
Never felt so bad or worthless, All I had to do was place a GD ETT. Only consolation is no one could and everyone tried.
Life is short and in this case it was measured in hours.

 

[VentdependenT]

34 week neonate delivered apgar 7 and 4 full arrest unable to intubate despite numerous efforts by different providers. number 1 LMA placed and able to ventilate. continue ventilation and compressions and epi for 2 hours until baby is "stable" and transported to Riley hospital.
Appears you can use an LMA in this situation, but wish I did not have to find out.

Could they bag the kid with an oral airway or did they get all excited and just go ahead and decide to place Intubation ahead of Ventilation. Meconium filled lungs?

Common mistake. Unfortunately.

 

[IfYouSeeKay]

http://www.nurse-anesthesia.org/showthread.php?t=2792


Called in at 0545 W/F, g5p4, admitted with a bleed, fetus stable a few decells I am told, pt vss, no significant medical hx except tobacco abuse.
SAB with 20mcg fentanyl 200 mcg duramorph 15 mg bupivicaine, pt tolerates well deliver apagar 7 and 5 baby to nursery with ppv, 90 sec later code called, attempt intubation times 6 with no success. #1 lma placed barley ventilate, 90 min of bagging epi and fluids before infant is airlifted to Riley hospital Indianapolis.
Never felt so bad or worthless, All I had to do was place a GD ETT. Only consolation is no one could and everyone tried.
Life is short and in this case it was measured in hours.

Stupid cRNAs.....like Vent said

 

[VentdependenT]

Stupid cRNAs.....like Vent said

I said no such thing

 

[CremeSickle]

From what I am reading it looks like a great job was done.


IfYouSeeKay = troll.

 

[VentdependenT]

From what I am reading it looks like a great job was done.


IfYouSeeKay = troll.

Sweet troll name also. Just perfect for the internet dude! AWeSOME.

 

[halflife2]

could mask ventilate very poorly, chest x-ray showed whit-out