Introduction: Laryngeal mask airway (LMA) use in neonatal resuscitation is limited
despite existing evidence and recommendations. This survey investigated the knowledge
and experience of healthcare providers on the use of the LMA and explored barriers
and solutions for implementation. Methods: This online, cross-sectional survey on
LMA in neonatal resuscitation involved healthcare professionals of the Union of European
Neonatal and Perinatal Societies (UENPS). Results: A total of 858 healthcare professionals
from 42 countries participated in the survey. Only 6% took part in an LMA-specific
course. Some delivery rooms were not equipped with LMA (26.1%). LMA was mainly considered
after the failure of a face mask (FM) or endotracheal tube (ET), while the first choice
was limited to neonates with upper airway malformations. LMA and FM were considered
easier to position but less effective than ET, while LMA was considered less invasive
than ET but more invasive than FM. Participants felt less competent and experienced
with LMA than FM and ET. The lack of confidence in LMA was perceived as the main barrier
to its implementation in neonatal resuscitation. More training, supervision, and device
availability in delivery wards were suggested as possible actions to overcome those
barriers. Conclusion: Our survey confirms previous findings on limited knowledge,
experience, and confidence with LMA, which is usually considered an option after the
failure of FM/ET. Our findings highlight the need for increasing the availability
of LMA in delivery wards. Moreover, increasing LMA training and having an LMA expert
supervisor during clinical practice may improve the implementation of LMA use in neonatal
clinical practice.
