使用喉罩气道进行新生儿复苏的人体模型训练。

Manikin training for neonatal resuscitation with the laryngeal mask airway.

作者信息

Gandini Donna, Brimacombe Joseph

机构信息

Townsville General Hospital, University of Queensland, Townsville, Australia.

出版信息

Paediatr Anaesth. 2004 Jun;14(6):493-4. doi: 10.1111/j.1460-9592.2004.01247.x.

DOI:10.1111/j.1460-9592.2004.01247.x

PMID:15153213

Abstract

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.

摘要

背景

我们描述了80名医护人员接受仅使用人体模型进行简短（≤15分钟）喉罩气道（LMA）新生儿复苏培训的经验。

方法

培训前，31%的人未听说过LMA，57%的人不知道LMA可用于新生儿复苏，88%的人认为它是一次性设备。

结果

培训后插入LMA的平均（标准差）时间范围为5（2，5 - 16）秒，且无插入失败情况。新生儿复苏的首选技术在培训前后发生了变化，面罩法从72%降至14%（P < 0.00001），LMA法从6%升至80%（P < 0.00001），喉镜引导气管插管法从5%降至0%（P = 0.04），未知方法从16%降至5%（P = 0.02）。所有人都认为培训足够，且新生儿复苏推车上应配备LMA。使用LMA的信心从8%提高到97%（P < 0.0001）。