In September 2024, the Kaiser Roseville Women and Children’s Hospital became one of the first in the nation to implement the updated 2023 NRP guidelines from the American Heart Association and American Academy of Pediatrics regarding the use of supraglottic airways during neonatal resuscitation. Led by Stephanie De Ocampo, MSN, RN, CCRN, and Carrie Ann Capansky, BSN, RN, the multidisciplinary Newborn Delivery Attendance Committee’s Supraglottic Airway subgroup developed a clinical decision support tool to assist the NICU Resuscitation Team in selecting infants for positive pressure ventilation using a supraglottic airway instead of a face mask. The NICU Delivery Team provided comprehensive education and simulation training on the new guideline, including hands-on practice with supraglottic airways for physicians and nearly 100 NICU registered nurses and respiratory therapists. All neonatal sizes of supraglottic airways were stocked in every neonatal crash cart on campus, and supraglottic airway kits were placed next to all newborn resuscitation warmers in Labor and Delivery, including the OR spaces. Since implementation, 57 babies at this medical center have safely received positive pressure ventilation via supraglottic airway, marking a significant advancement in neonatal care.
