Development and validation of a low cost video laryngoscope as an educational product
Article Sidebar
Main Article Content
Abstract
Abstract: Macintosh laryngoscopes are widely used for training medical students and paramedics in endotracheal intubation; however, there are more studies in the literature that support videolaryngoscopes in endotracheal intubation training. However, these commercial instruments are too expensive. Objective: To develop and validate a low-cost video laryngoscope with emphasis on its use for teaching the OTI technique to medical students. Methods: This is a methodological study of an applied nature, with a qualitative, exploratory and descriptive approach, with regard to the production of an educational resource. The methodology consisted of carrying out four steps: bibliographic survey, review of the theoretical framework for the project; prototype production; and survey and analysis of data obtained through interviews and product evaluation. Results: The result fits within expectations for the project and corroborates the literary review carried out, thus the use of the educational product is effective and easy to reproduce. The professionals' evaluation, through the Validation of the Objective Structured Assessment of Technical Skill scale, attested to the efficiency of the instrument and the applicability of its use in the educational field. The prototype met the specification of low cost compared to commercial models. That said, the project can move on to testing with academics and residents to collect more data and thereby develop a more complete product. Conclusion: The result met the specifications determined in the methodology, ensuring low manufacturing cost and applicability as an educational product
keywords: Videolaryngoscope; Low cost; educational product.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
• The author (s) warrant that the contribution is original and unpublished and that it is not in the process of being evaluated in other journal (s);
• The journal is not responsible for the opinions, ideas and concepts issued in the texts, as they are the sole responsibility of the author (s);
• Publishers have the right to make textual adjustments and to adapt the article to the rules of publication.
Authors retain the copyright and grant the journal the right of first publication, with the work simultaneously licensed under the Creative Commons Attribution License, which allows the sharing of work with acknowledgment of authorship and initial publication in this journal.
Authors are authorized to take additional contracts separately, for non-exclusive distribution of the version of the work published in this journal (eg publish in institutional repository or as book chapter), with acknowledgment of authorship and initial publication in this journal.
Authors are allowed and encouraged to publish and distribute their work online (eg in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes as well as increase the impact and citation of the published work (See The Effect of Free Access) at http://opcit.eprints.org/oacitation-biblio.html
References
DLAB. Como saber se o filamento é ABS ou PLA? Aprenda a diferenciá-los! 3dlab.com.br. Disponível em: https://3dlab.com.br/como-saber-se-o-filamento-e-abs-ou-pla/
AMERICAN COLLEGE OF SURGEONS COMMITTEE ON TRAUMA. Suporte avançado de vida no trauma. ATLS: Advanced Trauma Life Support. Chicago: Elsevier, 2018.
ARAZ, C.; KAYHAN, Z. Videolaryngoscopes: not only for endotracheal intubation. Brazilian Journal of Anesthesiology, v. 71, p. 672-673, 2021.
AYOUB, C. M. et al. Tracheal intubation following training with the GlideScope® compared to direct laryngoscopy. Anaesthesia, v. 65, n. 7, p. 674-678, 2010.
BROWN, C. A.; WALL, R.; GRAYZEL, J. The decision to intubate. Waltham: UpToDate, Inc, 2012.
CAMPOS, N. F. et al. Efeitos da intubação orotraqueal na voz e deglutição de adultos e idosos. Distúrbio de Comunicação, São Paulo,v. 28, n. 4, p. 597-608, dez. 2016.
CHAPARRO-MENDOZA, K.; LUNA-MONTÚFAR, C. A.; GÓMEZ, J. M. Videolaringoscopios: la solución para el manejo de la vía aérea difícil o una estrategia más? Revisión no sistemática. Revista Colombiana de Anestesiología, v. 43, n. 3, p. 225-233, 2015.
CUREM. Os cenários e critérios de indicação da intubação orotraqueal. Blog.curem.com.br, 2022. Disponível em: https://blog.curem.com.br/topicos/medicina-de-emergencia/os-cenarios-e-criterios-de-indicacao-da-intubacao-orotraqueal. Acesso em: 16 ago. 2022.
FIGUEIREDO, L. F. P.; FEREZ, D. Diretrizes para o manejo da via aérea difícil. Revista da Associação Médica Brasileira, v. 49, n. 2, p. 129-130, 2003.
FILAMENT2PRINT. PP3D, um filamento com grande potencial a nível médico e dentário. Filament2print.com, 01/11/22, 20h00min. Disponível em.https://filament2print.com/pt/blog/110_pp3d-um-filamento-com-grande-potencial-a-nive.htm .acesso em 01/11/2022.l
FRAZÃO, D. A. L. et al. Prevalência de intubação orotraqueal no serviço de emergência em hospital secundário do Distrito Federal. Brazilian Journal of Development, v. 6, n. 6, p. 39137-39148, 19 jun. 2020.
GORANOVIĆ, T. Videolaryngoscopy, the Current Role in Airway Management. In: Special Considerations in Human Airway Managements. IntechOpen, 2020.
HERBSTREIT, F. et al. Learning endotracheal intubation using a novel
videolaryngoscope improves intubation skills of medical students. Anesthesia & Analgesia, v. 113, n. 3, p. 586-590, 2011.
HOWARD-QUIJANO, K. J. et al. Video-assisted instruction improves the success rate for tracheal intubation by novices. British Journal of Anaesthesia, v. 101, n. 4, p. 568-572, 2008.
https://3dlab.com.br/como-saber-se-o-filamento-e-abs-ou-pla. Acesso em: 1 nov. 2022.
JABER, S. et al. Clinical practice and risk factors for immediate complications of endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Critical care medicine, v. 34, n. 9, p. 2355-2361, 2006.
JUNIOR, A. V.; FREIRE, R. A.; BEZERRA, M. M. Características anatômicas relacionadas a uma intubação difícil em pacientes pré-operatórios Anatomical characteristics related to a difficult intubation in preoperative patients. Brazilian Journal of Health Review, v. 4, n. 6, p. 25137-25145, 2021.
KABRHEL, M. D. C. et al. Orotracheal Intubation. The New England Journal of Medicine, [s.l.],v. 356, n. 17, p. e15, 26 abr. 2007.
KONRAD, C. et al. Learning manual skills in anesthesiology: is there a recommended number of cases for anesthetic procedures? Anesthesia & Analgesia, v. 86, n. 3, p. 635-639, 1998.
MARTINS, R. H. G. et al. Complicações das vias aéreas relacionadas à intubação endotraqueal. Revista Brasileira de Otorrinolaringologia, v. 70, n. 5, p. 671-677, 2004.
MCELWAIN, J. et al. Comparison of the C‐MAC® videolaryngoscope with the Macintosh, Glidescope®, and Airtraq® laryngoscopes in easy and difficult laryngoscopy scenarios in manikins. Anaesthesia, v. 65, n. 5, p. 483-489, 2010.
MELHADO, V. Avaliação da via aérea difícil. Medicina perioperatória. Rio de Janeiro: Sociedade de Anestesiologia do Estado do Rio de Janeiro, 2006.
MERINO, E. A. D. et al. Desenvolvimento de um Laringoscópio de baixo custo: uma abordagem centrada no usuário. Plural Design, v. 4, n. 1, p. 69-79, 2021.
MONETTE, D. L. et al. The impact of video laryngoscopy on the clinical learning environment of emergency medicine residents: a report of 14,313 intubations. AEM Education and Training, v. 3, n. 2, p. 156-162, 2019.
SAYRE, M. R. et al. Field trial of endotracheal intubation by basic EMTs. Annals of emergency medicine, v. 31, n. 2, p. 228-233, 1998.
YAMANAKA, C. S. et al. Intubação orotraqueal: avaliação do conhecimento médico e das práticas clínicas adotadas em unidades de terapia intensiva. Revista Brasileira de Terapia Intensiva, São Paulo, v. 22, n. 2, p. 103-111, jun. 2010. Disponível em: https://doi.org/10.1590/S0103-507X20100002000. Acesso em: 16 mai. 2022.
VASCONCELOS, Raíssa Meirelles Abreu et al. Benefícios do uso do videolaringoscópio frente ao laringoscópio tradicional. Revista Ibero-Americana de Humanidades, Ciências e Educação, v. 8, n. 4, p. 459-465, 2022.
ZANIN, A. A. Recursos educacionais abertos e direitos autorais: análise de sítios educacionais brasileiros. Revista Brasileira de Educação, Rio de Janeiro, v. 22, n. 71, e227174, 2017. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413- 24782017000400230&lng=en&nrm=iso. Acesso em: 26 jul. 2019.