• A novel pilot study demonstrates that respiratory function monitoring (RFM) significantly reduces the number of attempts needed for successful supraglottic airway device placement in neonates, including those under 1500g.
• The study validated RFM effectiveness through bronchoscopy confirmation, showing that low leakage values on the monitor corresponded with correct anatomical placement of the device.
• Healthcare providers achieved successful placement with fewer attempts (median: 1 vs 3) when using visible RFM guidance compared to hidden RFM, suggesting potential benefits for neonatal resuscitation protocols.