Laryngeal mask use during neonatal resuscitation at birth: A United States-based survey of neonatal resuscitation program providers and instructors.
Laryngeal mask use during neonatal resuscitation at birth: A United States-based survey of neonatal resuscitation program providers and instructors.
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DOI：
10.1016/j.resplu.2023.100515
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发表时间：
2024-03
影响因子：
2.4
通讯作者：
Szyld, Edgardo
中科院分区：
文献类型：
--
作者：
Foglia, Elizabeth E.;Shah, Birju A.;DeShea, Lise;Lander, Kathryn;Kamath-Rayne, Beena D.;Herrick, Heidi M.;Zaichkin, Jeanette;Lee, Sura;Bonafide, Christopher;Song, Clara;Hallford, Gene;Lee, Henry C.;Kapadia, Vishal;Leone, Tina;Josephsen, Justin;Gupta, Arun;Strand, Marya L.;Beasley, William H.;Szyld, Edgardo
新生儿复苏指南促进了喉罩（LM）接口的正压通气（PPV），但很少有人知道如何使用LM之间的新生儿复苏计划（NRP）供应商和教师。该研究的目的是描述NRP提供者和讲师在出生时新生儿复苏期间使用LM的培训、经验、信心和观点。通过电子邮件向所有NRP提供者和教师发送了一份自愿匿名调查。调查项目涉及复苏期间使用LM的培训、经验、信心和障碍。采用逻辑回归分析评估了受访者特征与LM经验和信心结果之间的关联。在2022年11月7日至2022年12月12日期间，共有5，809名调查受访者：68%是NRP提供者，55%是护士，87%在医院工作。其中，12%的人在新生儿复苏过程中放置过LM，25%的人对使用LM感到非常或完全有信心。在逻辑回归中，临床或模拟实践培训，NRP讲师角色，专业角色和实践环境都与LM经验和信心相关。使用LM的三个最常见障碍是经验不足（46%）、偏好其他接口（25%）和复苏期间未能考虑LM（21%）。三分之一（33%）的人报告说，在他们复苏新生儿的地方没有LM。很少有NRP提供者和指导者在新生儿复苏期间使用LM。增加LM使用的策略包括实践临床培训，推广LM与其他接口相比的优势，以及提高LM在交付环境中的可用性。
Neonatal resuscitation guidelines promote the laryngeal mask (LM) interface for positive pressure ventilation (PPV), but little is known about how the LM is used among Neonatal Resuscitation Program (NRP) Providers and Instructors. The study aim was to characterize the training, experience, confidence, and perspectives of NRP Providers and Instructors regarding LM use during neonatal resuscitation at birth. A voluntary anonymous survey was emailed to all NRP Providers and Instructors. Survey items addressed training, experience, confidence, and barriers for LM use during resuscitation. Associations between respondent characteristics and outcomes of both LM experience and confidence were assessed using logistic regression. Between 11/7/22–12/12/22, there were 5,809 survey respondents: 68% were NRP Providers, 55% were nurses, and 87% worked in a hospital setting. Of these, 12% had ever placed a LM during newborn resuscitation, and 25% felt very or completely confident using a LM. In logistic regression, clinical or simulated hands-on training, NRP Instructor role, professional role, and practice setting were all associated with both LM experience and confidence. The three most frequently identified barriers to LM use were insufficient experience (46%), preference for other interfaces (25%), and failure to consider the LM during resuscitation (21%). One-third (33%) reported that LMs are not available where they resuscitate newborns. Few NRP providers and instructors use the LM during neonatal resuscitation. Strategies to increase LM use include hands-on clinical training, outreach promoting the advantages of the LM compared to other interfaces, and improving availability of the LM in delivery settings.
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影响因子：
8
作者：
Foglia, Elizabeth E.;Ades, Anne;Nishisaki, Akira
通讯作者：
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通讯作者：
Szyld, Edgardo
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