Medical training in orotracheal intubation with acrylic box in pediatric SARS-CoV-2 patients decreases exposure time

ABSTRACT

Introduction: in the SARS-CoV-2 pandemic, the modification of the intubation technique using the aerosol box, in order to reduce exposure to aerosols generates anxiety in Health Workers (HCWs), by increasing the degree of difficulty and time of endotracheal intubation (IT). Simulated intubation environments allow to measured IT and also increase intubation ability and decrease IT. Objective(s) to measure IT pre (without box without training-SS-, with box without training-CS-, with box with training-CC-) and post educational maneuver. Material(s) and Method(s) retrospective, comparative, before and after;with physicians trained in a simulated environment. Result(s) n = 82, age 29 years (27 to 31 years), clinicians 69.5%, residents 82.9%. IT SS 35 s (27-47.25 s), CS 39.5 s (28-56.5 s) and CC 22 seconds (17.5-30 s), p = 0.0001. Higher IT of clinical vs surgical physicians SS 39 s (30-52 s) versus 32 s (24-34 s), p = 0.004;CS 42 s (33-59 s) versus 28 s (21-43 s), p = 0.016;CC 25 s (20-35 s) versus 19 s (16-21 s) p = 0.018. Higher TI novice vs experienced SS 68 s (39-135 s) versus 34 s (27-46 s), p = 0.058;CS 144 s (84-210 s) versus 38 (28-54 s), p = 0.001, CC 46 s (30-55 s) versus 22 s (17-30 s), p = 0.030. Using the device without training increased IT, but post-training IT decreased in all groups-16 s (-26 to-7 s), which was more noticeable among novices-98 s (-163 to-45.5 s) and the clinical group-18.5 s (-32 to-7 s). Conclusion(s) the use of devices with training can be efficient in terms of IT, regardless the degree of experience and type of medical specialty. Copyright © 2022, Instituto Nacional de Enfermedades Respiratorias. All rights reserved.