title: Laryngeal Mask Airway for neonatal resuscitation in a developing country: evaluation of an educational intervention. Neonatal LMA: an educational intervention in DRC.
abstract: BACKGROUND
  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).
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  Further studies are warranted to test the advantages and limits of the neonatal LMA training courses in developing countries.
authors.affiliation: Department of Pediatrics, Padua University, 3 Via Giustiniani, Padua 35128, Italy. zanardo@pediatria.unipd.it
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Zanardo
authors.forename: Alphonse
authors.initials: A
authors.lastname: Simbi
authors.forename: Massimo
authors.initials: M
authors.lastname: Micaglio
authors.forename: Francesco
authors.initials: F
authors.lastname: Cavallin
authors.forename: Leon
authors.initials: L
authors.lastname: Tshilolo
authors.forename: Daniele
authors.initials: D
authors.lastname: Trevisanuto
mesh_terms: D002983:Clinical Competence; D003223:Congo; D003906:Developing Countries; D004517:Education, Professional / Q000458:organization & administration; D004521:Educational Measurement; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007231:Infant, Newborn; D007318:Inservice Training / Q000458:organization & administration*; D017214:Laryngeal Masks; D008297:Male; D009721:Nurse Midwives / Q000193:education*; D012151:Resuscitation / Q000193:education* / Q000379:methods; D018570:Risk Assessment; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
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