Laryngeal Mask Airway for neonatal resuscitation in a developing country: evaluation of an educational intervention. Neonatal LMA: an educational intervention in DRC.

Laryngeal Mask Airway for neonatal resuscitation in a developing country: evaluation of an educational intervention. Neonatal LMA: an educational intervention in DRC.
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DOI:
10.1186/1472-6963-10-254
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发表时间:
2010-08-31
影响因子:
2.8
通讯作者:
Trevisanuto D
Trevisanuto D
中科院分区:
医学3区
文献类型:
--
作者:
Zanardo V;Simbi A;Micaglio M;Cavallin F;Tshilolo L;Trevisanuto D

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在发展中国家进行的研究表明,新生儿复苏培训课程可以有效地教导当地助产士如何正确使用简单的复苏设备。本研究的目的是评估参加在第三世界国家组织的关于使用喉罩气道 (LMA) 的新生儿复苏课程和研讨会的医生和助产士所获得的知识和专业知识。课程前后对 21 名医生和 7 名助产士进行了一份由美国心脏协会和美国儿科学会新生儿复苏手册中包含的标准测试得出的 28 项调查问卷,其中包括一个实用的实践研讨会,重点关注新生儿模型中的 LMA 定位和气囊通气。医生获得的知识优于助产士所展示的知识。事实上,医生们在课前知识方面表现出了显着的进步。在实际试用过程中,医生和助产士在操作模拟人方面都表现出了良好的专业水平。助产士和医生几乎一致表示对 LMA 新生儿复苏的高度认可,因为他们认为这是一种可持续且具有成本效益的方法,需要最少的专业知识。需要进一步研究来检验发展中国家新生儿 LMA 培训课程的优势和局限性。
Studies carried out in developing countries have indicated that training courses in newborn resuscitation are efficacious in teaching local birth attendants how to properly utilize simple resuscitation devices. The aim of this study was to assess the knowledge and expertise gained by physicians and midwifes who participated in a Neonatal Resuscitation Course and workshop organized in a Third World Country on the use of Laryngeal Mask Airway (LMA). A 28-item questionnaire, derived from the standard test contained in the American Heart Association and the American Academy of Pediatrics Neonatal Resuscitation Manual, was administered to 21 physicians and 7 midwifes before and after a course, which included a practical, hands-on workshop focusing on LMA positioning and bag-ventilation in a neonatal manikin. The knowledge gained by the physicians was superior to that demonstrated by the midwifes. The physicians, in fact, demonstrated a significant improvement with respect to their pre-course knowledge. Both the physicians and the midwives showed a good level of expertise in manipulating the manipulating the manikin during the practical trial session. The midwifes and physicians almost unanimously manifested a high degree of approval of neonatal resuscitation by LMA, as they defined it a sustainable and cost-effective method requiring minimal expertise. Further studies are warranted to test the advantages and limits of the neonatal LMA training courses in developing countries.
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