Open Access Open Badges Research article

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

Vincenzo Zanardo1*, Alphonse Simbi1, Massimo Micaglio2, Francesco Cavallin1, Leon Tshilolo1 and Daniele Trevisanuto1

Author Affiliations

1 Department of Pediatrics, Padua University, (3, Via Giustiniani) Padua (35128), Italy

2 Department of Pharmacology and Anesthesiology, Padua University, (3, Via Giustiniani) Padua (35128), Italy

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BMC Health Services Research 2010, 10:254  doi:10.1186/1472-6963-10-254

Published: 31 August 2010



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).


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.


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.


Further studies are warranted to test the advantages and limits of the neonatal LMA training courses in developing countries.