Manikin training for neonatal resuscitation with the laryngeal mask airway
Manikin training for neonatal resuscitation with the laryngeal mask airway
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DOI：
10.1111/j.1460-9592.2004.01247.x
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发表时间：
2004-06-01
影响因子：
1.7
通讯作者：
Brimacombe, J
中科院分区：
文献类型：
--
作者：
Gandini, D;Brimacombe, J
背景：我们描述了我们对 80 名医护人员使用喉罩气道 (LMA(TM)) 进行新生儿复苏的简短（小于或等于 15 分钟）模型训练的经验。方法：在培训之前，31% 的人没有听说过 LMA，57% 的人不知道 LMA 可用于新生儿复苏，88% 的人认为它是一次性设备。结果：插入喉罩气道 (LMA(TM)) 的平均 (SD) 范围时间训练后的 LMA 为 5 (2, 5-16) s，并且没有失败的插入。训练前与训练后的新生儿复苏首选技术，面罩从 72% 变为 14%（P < 0.00001），LMA 从 6% 变为 80%（P < 0.00001），喉镜引导气管插管从 5% 变为 0%（P = 0.04），未知气管插管从 16% 变为 5%（P = 0.02）。所有人都认为培训已经足够，新生儿复苏车上应该配备 LMA。使用 LMA 的置信度从 8% 增加到 97% (P < 0.0001)。结论：我们得出结论，LMA 插入成功率很高，并且经过短暂的仅人体模型训练后置信度会增加。
Background: We describe our experience of brief (less than or equal to15 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.