Perception of level of knowledge, skills, and safety before and after training to perform videolaryngoscopy with the intubox barrier system for airway management in patients with covid-19

Objectives The main objective was to describe physicians' perception of their knowledge, skill, and safety before and after training to perform videolaryngoscopy while using the Intubox barrier system when managing the airway of a patient with the coronavirus 2019 disease (COVID-19) The secondary objective was to assess the safety afforded by the barrier by means of visually evaluating particle dispersion during intubation Methods Single-arm clinical simulation trial The participants were physicians who received training in both a low- fidelity and a high-fidelity simulation zone The participants assessed their knowledge, skill, and safety when using the Intubox before and after training using a specially designed and validated questionnaire Droplet contamination was estimated visually Results Twenty-seven physicians with a mean (SD) age of 40 (10 8) years participated;63% were women They perceived their knowledge, skill, and safety to be significantly higher after training Droplet contamination was seen to decrease when airway management maneuvers were done with the barrier in place Conclusions After simulation training the emergency physicians judged their knowledge, skill, and safety to be greater when they used the barrier during airway management in patients with COVID-19 The combined use of a laryngoscope and the Intubox barrier resulted in less particle dispersion during intubation Objetivos El objetivo principal fue describir el grado de percepcion sobre el conocimiento, las habilidades y la seguridad antes y despues de un programa de entrenamiento con videolaringoscopia y mecanismo de proteccion Intubox® en el manejo de la via aerea de pacientes con COVID-19 El objetivo secundario fue evaluar la seguridad de los dispositivos de barrera en la intubacion a traves de un analisis visual de dispersion de particulas Metodo Ensayo clinico de un solo brazo basado en simulacion Los participantes fueron medicos que realizaron un programa de formacion mediante simulacion clinica de baja y alta fidelidad Se uso un instrumento disenado y validado especifico para evaluar la percepcion sobre el conocimiento, las habilidades y la seguridad antes y despues del programa Se realizo un analisis visual de la contaminacion por gotas Resultados La muestra final estuvo compuesta por 27 medicos, con una edad media de 40 (DE 10,8) anos y el 63% mujeres Se obtuvo un incremento estadisticamente significativo en las dimensiones conocimiento, habilidad y seguridad tras el entrenamiento Se observo una menor contaminacion cuando se realizaron las tecnicas de manejo de via aerea con urna protectora Conclusiones Los urgenciologos incrementaron su percepcion sobre los conocimientos, habilidades y seguridad en el manejo de la via aerea en pacientes con COVID-19 tras un programa de formacion con simulacion El uso combinado de laringoscopia y dispositivo de barrera Intubox® causo menor dispersion de particulas durante la intubacion