Skip to main content

Table 1 Knowledge gained by participants during a NRP training course on neonatal resuscitation focusing on LMA.

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

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

    

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

    

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

    

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

    

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)

  1. Pre- and post-test correct answers.
  2. ^McNemar test p value (p < 0.05), corrected by Bonferroni's adjustment (p < 0.05)*