Cochrane · systematic review · CD003314
Laryngeal mask airway versus bag‐mask ventilation or endotracheal intubation for neonatal resuscitation
Qureshi, MJ, Kumar, M · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
NeonatalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 20%Low 4 · 40%Moderate 4 · 40%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
LMA compared to BMV for neonatal resuscitation
Population: neonatal resuscitation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Failure with primary modality of resuscitation LMA vs BMV | RR 0.16 [0.09, 0.3] | 5 studies · 660 participants | Moderate Downgraded: risk of bias |
Need for intubation LMA vs BMV | RR 0.24 [0.12, 0.47] | 5 studies · 660 participants | Moderate Downgraded: risk of bias |
Apgar score ≤ 7 at 5 minutes LMA vs BMV | RR 0.34 [0.16, 0.74] | 2 studies · 511 participants | Moderate Downgraded: risk of bias, inconsistency |
Admission to NICU LMA vs BMV | RR 0.6 [0.4, 0.9] | 2 studies · 191 participants | Moderate Downgraded: risk of bias, inconsistency |
Death or HIE LMA vs BMV | RR 0.65 [0.17, 2.43] | 2 studies · 191 participants | Low Downgraded: risk of bias, inconsistency |
LMA compared to endotracheal intubation for neonatal resuscitation
Population: neonatal resuscitation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Failure to correctly insert the device LMA vs endotracheal intubation | RR 0.95 [0.17, 5.42] | 3 studies · 158 participants | Very low Downgraded: risk of bias, imprecision |
Successful insertion of device at first attempt LMA vs endotracheal intubation | RR 1.01 [0.89, 1.14] | 2 studies · 108 participants | Very low Downgraded: risk of bias, imprecision |
Apgar score ≤ 7 at 5 minutes LMA vs endotracheal intubation | RR 0.7 [0.34, 1.45] | 2 studies · 108 participants | Low Downgraded: risk of bias, imprecision |
Soft tissue trauma after device inserted LMA vs endotracheal intubation | RR 2 [0.58, 6.91] | 1 study · 40 participants | Low Downgraded: risk of bias, imprecision |
Death or HIE LMA vs endotracheal intubation | RR 0.59 [0.11, 3.32] | 1 study · 68 participants | Low Downgraded: risk of bias, imprecision |