Assistive technology with device for self-inflating bag in neonatology
摘要
The objectives of this study were to create a device with technological development of the self-inflating bag (SIB) equipment to measure the variables tidal volume, peak inspiratory pressure, and inspiratory flow and to evaluate the knowledge of undergraduate students in handling the SIB. To reduce the risks of mortality, length of hospital stay, and infections, SIB is a resource used to ventilate the patient through the inflation of the device, but it is not capable of measuring the ventilatory parameters. Excess ventilation and incorrect handling of the bag can cause lung injury in newborns. Therefore, measuring these parameters can prevent lung injury resulting from inadequate ventilation.
MethodThis is a cross-sectional and experimental study, with the development of a device SIB that allows the evaluation of variables of neonatal respiratory mechanics that were tested with an artificial lung. It was approved by the Research Ethics Committee and the research was developed in three stages: the first represents the search for scientific articles for the consensus of neonatal ventilatory variables for the construction of the SIB parameters; the second stage depicts the technological development of a device capable of monitoring such variables through the SIB. In the third stage, the content validation of the device with the handling of the SIB was carried out by students of medicine and physiotherapy courses of Brazil.
ResultsIn this work, a device that analyzes the values of the main ventilatory parameters in neonatology was developed and to generate a safety range for the use of the device, curves with a tolerance of 10% up and down were created. All electronic components were coupled to the equipment, with a display that transmits the parameter values. The web page can be used on a cell phone, tablet, computer, or SmartTv, as long as it is connected to the “RespiratorIoT_AP” network. Among the 29 participants in the study, 8 said they were familiar with the equipment, and 2 received theoretical and practical knowledge in the classroom. In the second stage, only 3 participants offered a peak inspiratory pressure of 15 cmH2O as expected for the simulated clinical case.
ConclusionThe prototype was able to measure the variables of neonatal respiratory mechanics and can be applied in academic and professional training.