Manikin training for neonatal resuscitation with the laryngeal mask airway.
BACKGROUND
We describe our experience of brief (< or =15 min) manikin-only training with the laryngeal mask airway (LMA) 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.
Gandini
Donna
D
Townsville General Hospital, University of Queensland, Townsville, Australia.
Brimacombe
Joseph
J
D006801:Humans; D007231:Infant, Newborn; D017214:Laryngeal Masks; D008348:Manikins; D008505:Medical Staff, Hospital / Q000193:education; D009359:Neonatology / Q000193:education; D012151:Resuscitation / Q000193:education*