Neonatal Laryngeal Mask Airway | Pre-test correct answers n.(%) | Post-test correct answers n.(%) | ||
---|---|---|---|---|
Features | Physicians: n. 21 | Midwifes: n.7 | Physicians: n.21 | Midwifes: n.7 |
Range | 5 | 3 | 7 | 3 |
Size | 6 | 1 | 10 | 3 |
Lubrication | 3 | 2 | 11^ | 4 |
Tip flattening | 5 | 3 | 11^ | 3 |
Advancing | 5 | 2 | 10 | 4 |
Location | 4 | 1 | 12^ | 3 |
Cuff inflation | 5 | 0 | 11^ | 3 |
Connection for PPV | 13 | 5 | 11 | 5 |
Correct positioning | 1 | 0 | 14* | 7 |
 | 47/189 (24.8) | 17/63 (26,9) | 97/189 (51.3) | 35/63 (55.5) |
Advantages over the face mask | Â | Â | Â | Â |
Less skill required | 4 | 0 | 11^ | 6 |
Easy placement | 3 | 1 | 4 | 2 |
Better airtight seal | 1 | 1 | 12* | 3 |
Improved SO2 | 3 | 1 | 11 | 6 |
Function unaffected by anatomical factors | 1 | 1 | 6 | 1 |
Less hand fatigue | 7 | 0 | 10 | 7 |
 | 19/126 (15.0) | 4/42 (9.5) | 54/126 (42.8) | 25/42 (9.52) |
Advantages over the tracheal tube | Â | Â | Â | Â |
Easier and quicker placement by trained medical and non-medical personnel | 5 | 2 | 10 | 4 |
Avoids laryngoscopy | 2 | 5 | 14* | 7 |
Avoids tracheal oedema | 4 | 0 | 14* | 6 |
Efficacy in upper airway malformations when intubation and mask ventilation fail | 9 | 4 | 14 | 6 |
Avoids use of neuromuscular blocking agents | 4 | 3 | 15* | 7 |
 | 24/105 (22.8) | 14/35 (40.0) | 67/105 (63.8) | 30/35 (85.7) |
Disadvantages | Â | Â | Â | Â |
Gastric insufflation and aspiration | 0 | 0 | 8 | 4 |
Inadequate alveolar ventilation | 13 | 3 | 14 | 6 |
Impossibility of suctioning the airway | 4 | 3 | 8 | 6 |
Impossibility of administering drug endotracheally | 12 | 3 | 14 | 7 |
 | 29/84 (34.5) | 9/28 (32.1) | 44/84 (52.3) | 17/28 (60.7) |
Potential applications in neonatal resuscitation | Â | Â | Â | Â |
When face mask and tracheal tube resuscitation fall | 10 | 6 | 15 | 7 |
In neonatal training models allows a patent airway in a shorter time than endotracheal tube | 4 | 0 | 14* | 6 |
Incidence of failure low with LMA | 10 | 5 | 15 | 7 |
Ruinously | 5 | 2 | 15* | 7 |
 | 29/84 (34.5) | 13/28 (46.4) | 59/84 (70.2) | 27/28 (96.4) |