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Manikin training for neonatal resuscitation with the laryngeal mask airway
Author(s) -
Gandini Donna,
Brimacombe Joseph
Publication year - 2004
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2004.01247.x
Subject(s) - medicine , neonatal resuscitation , resuscitation , laryngeal mask airway , tracheal intubation , intubation , anesthesia , laryngeal masks , airway , airway management , mascara
Summary Background : We describe our experience of brief (≤15 min) manikin‐only training with the laryngeal mask airway (LMA TM ) for neonatal resuscitation in 80 health care workers. Methods : Prior to training, 31% had not heard of the LMA, 57% did not know the LMA could be used for neonatal resuscitation and 88% thought it was a disposable device. Results : The mean (sd) range time to insert the LMA after training was 5 (2, 5–16) s and there were no failed insertions. The preferred technique for neonatal resuscitation, before vs after training, changed from 72 to 14% for the face mask ( P < 0.00001), from 6 to 80% for the LMA ( P < 0.00001), from 5 to 0% for laryngoscope‐guided tracheal intubation ( P = 0.04) and from 16 to 5% for unknown ( P = 0.02). All considered that training was adequate and the LMA should be available on neonatal resuscitation carts. Confidence in using the LMA increased from 8 to 97% ( P < 0.0001). Conclusions : We conclude that LMA insertion success rates are high and confidence increases after brief manikin‐only training.