Laryngeal Mask for Minimally-Invasive Surfactant Administration: A Narrative Review.

IF 1.3 Q3 PEDIATRICS Current Pediatric Reviews Pub Date : 2024-09-03 DOI:10.2174/0115733963328784240820062714
Giuseppe De Bernardo, Valeria Crisci, Fabio Centanni, Maurizio Giordano, Serafina Perrone, Giuseppe Buonocore, Claudia Mandato
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Abstract

The cornerstone of treatment for respiratory distress syndrome in preterm infants is surfactant administration, traditionally performed through an invasive procedure involving tracheal intubation and mechanical ventilation. Consequently, there has been a growing interest in exploring less invasive methods of surfactant delivery to mitigate the associated risks. Currently, several techniques are under evaluation, including intratracheal instillation using a thin catheter, aerosolized or nebulized administration, and guided administration by supraglottic airway devices. One such method is surfactant administration through laryngeal or supraglottic airway, which involves placing a laryngeal mask without the need for laryngoscopy and administering surfactant through the device. The simplicity of laryngeal mask insertion could potentially streamline the surfactant delivery process, eliminating the necessity for advanced skills. This narrative review aimed to assess the current evidence in the literature regarding the benefits and risks associated with surfactant administration through a laryngeal supraglottic airway.

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用于微创表面活性物质给药的喉罩:叙述性综述。
早产儿呼吸窘迫综合征的治疗基石是表面活性物质的给药,传统上是通过气管插管和机械通气等侵入性程序进行的。因此,人们越来越有兴趣探索创伤较小的表面活性物质给药方法,以降低相关风险。目前,正在对几种技术进行评估,包括使用细导管进行气管内灌注、气溶胶或雾化给药,以及通过声门上气道装置引导给药。其中一种方法是通过喉或声门上气道给药表面活性物质,这包括放置喉罩而无需喉镜检查,并通过该装置给药表面活性物质。喉罩插入的简便性有可能简化表面活性物质的输送过程,从而无需高级技能。本叙述性综述旨在评估目前文献中有关通过喉罩声门上气道给药表面活性物质的益处和风险的证据。
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来源期刊
CiteScore
4.30
自引率
0.00%
发文量
66
期刊介绍: Current Pediatric Reviews publishes frontier reviews on all the latest advances in pediatric medicine. The journal’s aim is to publish the highest quality review articles dedicated to clinical research in the field. The journal is essential reading for all researchers and clinicians in pediatric medicine.
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