Construção de um vídeo educativo sobre monitorização da capnografia no contexto do atendimento pré-hospitalar no Norte do Paraná

Abstract

Historically, anesthesiologists have been pioneers in adopting measures that contribute to improvements on patient safety. The recent pandemic caused by the Novel Coronavirus (2019-nCoV) increased demands for pre-hospital services globally. The complexity and number of critically ill patients led several health systems to a status of crisis, requiring readjustments such as dealing with the arrivals, management and transferring of these patients, ensuring the safety of their owns and for health professionals. Patients with acute respiratory distress syndrome often require endotracheal intubation, which expose them to complications during the procedure. The monitoring of waveform capnography (ETCO2), in addition to confirming a successful intubation, can be very useful during cardiorespiratory arrest assistance and transport for intubated patients, with significant improvement of patient safety conditions. This work aims to understand and describe the experience of using capnography monitors by College graduated professionals working in two pre-hospital care services (SAMU) in the Northern Region of Paraná State, Brazil, and to build an educational tool in a video format to serve as a mean of instruction to these professionals about the use and interpretation of this monitor. A cross-sectional observational study was carried out, aiming to describe the professionals' familiarity with the use of capnography monitors, as well as to address their availability or access. The majority of participants answered that they had not received training focused on ETCO2, and that their services did not have protocols or guidelines for the use of ETCO2, although most of them have recognized its importance and answered correctly about indications and interpretation of the monitor around the proposed scenarios. An educational video set in the workplace of these professionals was produced, with animated screens of waveform capnography monitors associated with the main scenarios encountered in their daily practice.