Neonatal Nurse Practitioner Practice Exam

What primary benefit does a laryngeal mask airway provide over endotracheal intubation in neonates?

1. Increased risk of infections

2. Reduced risk of tracheal trauma

3. Faster intubation process

4. Easier to maintain airway during transport

The correct answer is: Reduced risk of tracheal trauma

The primary benefit of a laryngeal mask airway (LMA) over endotracheal intubation in neonates lies in the reduced risk of tracheal trauma. Endotracheal intubation involves passing a tube through the vocal cords into the trachea, which can cause injury to the delicate structures of the airway. This is especially pertinent in neonates, whose airways are particularly sensitive and prone to damage. Using an LMA provides a less invasive means of securing the airway, as it sits above the trachea and does not require passage through the vocal cords. This reduces the likelihood of creating abrasions or other forms of trauma to the trachea, enhancing the safety of airway management in this vulnerable population. While the LMA may have specific indications and may not be appropriate in all situations, its design allows for a potentially safer alternative in particular neonates where tracheal trauma could pose significant complications. Regarding the other options, the LMA does not inherently lead to a faster intubation process compared to direct intubation techniques, nor does it necessarily make it easier to maintain an airway during transport. Additionally, the use of a laryngeal mask airway does not increase the risk