{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T07:08:47Z","timestamp":1784704127901,"version":"3.55.0"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"vor","delay-in-days":201,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To compare supraglottic airway device (i\u2010gel) placement versus endotracheal intubation during neonatal cardiopulmonary resuscitation (CPR) and to assess whether ongoing chest compressions affect success or procedure time in a manikin simulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a randomized crossover neonatal resuscitation simulation for pediatric and junior residents at a single tertiary hospital. A term 3\u2010kg infant scenario required positive\u2010pressure ventilation and chest compressions. Participants performed 15\u2009cycles of CPR, placed an advanced airway, and then continued CPR for 15\u2009cycles. Each participant completed four conditions: endotracheal intubation with and without chest\u2010compression interruption, and i\u2010gel placement with and without interruption. Outcomes were success rate and procedure time (from device pickup to ventilation).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twelve residents participated. Endotracheal intubation success rates were 92% (11\/12) without interruption and 83% (10\/12) with interruption; median procedure times were 16.5\u2009s (range 13\u201384) and 16\u2009s (11\u201324), respectively. i\u2010gel placement succeeded in 100% (12\/12) in both conditions and was faster: median 7.5\u2009s (6\u201311) without interruption and 7\u2009s (6\u201310) with interruption. In paired comparisons, i\u2010gel was significantly faster than intubation in both conditions (paired Wilcoxon\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), whereas success rates did not differ significantly (McNemar exact\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u2009=\u20090.50).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this neonatal manikin simulation, i\u2010gel placement enabled earlier initiation of ventilation than endotracheal intubation and remained consistently successful and rapid even during ongoing chest compressions. Chest\u2010compression interruption did not significantly change intubation success or time in this small sample.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ped.70496","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T06:47:28Z","timestamp":1784702848000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rapid Airway Placement Without Pausing Chest Compressions: Supraglottic Airway Versus Endotracheal Intubation"],"prefix":"10.1111","volume":"68","author":[{"given":"Masaki","family":"Tatsumi","sequence":"first","affiliation":[{"name":"Department of Pediatrics Kitano Hospital, Tazuke Kofukai Medical Research Institute  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8358-9989","authenticated-orcid":false,"given":"Risa","family":"Asui","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Kitano Hospital, Tazuke Kofukai Medical Research Institute  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8866-2281","authenticated-orcid":false,"given":"Hiroshi","family":"Mizumoto","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Kitano Hospital, Tazuke Kofukai Medical Research Institute  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"issue":"16","key":"e_1_2_9_2_1","first-page":"S185","article-title":"Neonatal Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations","volume":"142","author":"Wyckoff M. H.","year":"2020","journal-title":"Circulation"},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","DOI":"10.1542\/9781610025256","volume-title":"Textbook of Neonatal Resuscitation","author":"Weiner G. M.","year":"2021"},{"key":"e_1_2_9_4_1","volume-title":"Neonatal Resuscitation Text","author":"Hosono S.","year":"2021"},{"issue":"16","key":"e_1_2_9_5_1","first-page":"S165","article-title":"Neonatal Life Support: 2025 International Liaison Committee on Resuscitation Consensus on Science With Treatment Recommendations","volume":"152","author":"Liley H. G.","year":"2025","journal-title":"Circulation"},{"issue":"5","key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.annemergmed.2009.05.024","article-title":"Interruptions in Cardiopulmonary Resuscitation From Paramedic Endotracheal Intubation","volume":"54","author":"Wang H. E.","year":"2009","journal-title":"Annals of Emergency Medicine"},{"key":"e_1_2_9_7_1","volume-title":"2020 Pediatric Advanced Life Support (PALS) Provider Manual","author":"American Heart Association","year":"2021"},{"issue":"6","key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"e57","DOI":"10.1093\/pch\/19.6.e35-61","article-title":"Laryngeal Mask Airway Versus Endotracheal Intubation for Positive Pressure Ventilation With Chest Compressions in Neonatal Porcine Model","volume":"19","author":"Mehrem A. A.","year":"2014","journal-title":"Paediatrics & Child Health"},{"issue":"3","key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1038\/s41390-021-01820-z","article-title":"Laryngeal Mask Ventilation With Chest Compression During Neonatal Resuscitation: Randomized, Non\u2010Inferiority Trial in Lambs","volume":"92","author":"Mani S.","year":"2022","journal-title":"Pediatric Research"},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.resplu.2022.100276","article-title":"One\u2010Rescuer Newborn CPR Using a Face Mask or an i\u2010Gel Supraglottic Airway and Two\u2010Finger Compressions \u2010 A Manikin Study With Cross\u2010Over Design","volume":"11","author":"Isobe A.","year":"2022","journal-title":"Resuscitation Plus"},{"issue":"3","key":"e_1_2_9_11_1","article-title":"Laryngeal Mask Airway Versus Bag\u2010Mask Ventilation or Endotracheal Intubation for Neonatal Resuscitation","volume":"3","author":"Qureshi M. J.","year":"2018","journal-title":"Cochrane Database of Systematic Reviews"},{"issue":"22","key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"2138","DOI":"10.1056\/NEJMoa2005333","article-title":"A Randomized Trial of Laryngeal Mask Airway in Neonatal Resuscitation","volume":"383","author":"Pejovic N. J.","year":"2020","journal-title":"New England Journal of Medicine"},{"issue":"8","key":"e_1_2_9_13_1","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1001\/jama.2018.7044","article-title":"Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72\u2010Hour Survival in Adults With Out\u2010Of\u2010Hospital Cardiac Arrest: A Randomized Clinical Trial","volume":"320","author":"Wang H. E.","year":"2018","journal-title":"Journal of the American Medical Association"},{"key":"e_1_2_9_14_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.resplu.2022.100336","article-title":"Use of Laryngeal Mask for Neonatal Resuscitation in Brazil: A National Survey","volume":"13","author":"Lyra J. C.","year":"2022","journal-title":"Resuscitation Plus"}],"container-title":["Pediatrics International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.70496","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ped.70496","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.70496","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T06:47:31Z","timestamp":1784702851000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ped.70496"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ped.70496"],"URL":"https:\/\/doi.org\/10.1111\/ped.70496","archive":["Portico"],"relation":{},"ISSN":["1328-8067","1442-200X"],"issn-type":[{"value":"1328-8067","type":"print"},{"value":"1442-200X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-01-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70496"}}