Banca de DEFESA: HERNANI DE PAIVA GADELHA JUNIOR

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : HERNANI DE PAIVA GADELHA JUNIOR
DATE: 26/03/2020
TIME: 14:00
LOCAL: HOSPITAL UNIVERSITARIO ONOFRE LOPES
TITLE:

Development of a System for Teaching Cardiopulmonary Resuscitation Maneuvers with Hemodynamic Monitoring in a Simulation Laboratory

KEY WORDS:

Cardiorespiratory arrest. Cardiopulmonary resuscitation. Cardiac massage. Feedback. Monitor.

PAGES: 43
BIG AREA: Ciências da Saúde
AREA: Medicina
SUMMARY:

INTRODUCTION: Cardiorespiratory arrest (CRP) is a serious and potentially fatal situation with high mortality rates after a CRP, despite the care protocols and their updates. The existence of discrepancies in the training of cardiopulmonary resuscitation between the simulated and the real environment, led to the development of feedback devices, used during training, which demonstrate several variables, however none of them address hemodynamic monitoring data that demonstrate greater accuracy and efficiency of the massage. GENERAL OBJECTIVE: To develop a device for hemodynamic monitoring during the teaching of Cardiopulmonary Resuscitation maneuvers in a simulation laboratory. METHODOLOGY: This is an experimental study that describes the development of an electronic device to measure heart rate (HR), maximum compression (MC) and average blood pressure (AAP) in the simulation of a doll PCR, capable of continuously monitoring through the display curves and values related to those three variables. The device under study (innovation model / resuscitation monitor) complies with the recommendations of RDC 15, Art. 43, which recommends that the other equipment used must be monitored according to specific standards and manufacturer's guidelines. To validate the device, a pilot test was carried out with a trained student, where the massage maneuvers on the doll were performed in 10 periods of 2 minutes. The values and curves shown on the device's display were observed and the checklist was filled out with the visual criteria recommended by the ACLS protocol (Advanced Cardiac Life Support). The collected data were analyzed to verify the reproducibility of the findings with the effectiveness of cardiac massage (CM) and at what time there was the best performance in its quality. RESULTS: A prototype was produced, which provides information on two hemodynamic variables: heart rate and AAP, as well as the level of applied force. The device consists of a display, a cable with a distal sensor that will be attached to the doll and a power supply. Processors were used to transform the variable frequency and force applicable to mean arterial pressure and heart rate using sensors positioned in the doll's rib cage, properly calibrated. All its components are light, easy to handle, adapt and transport, characteristics that facilitate its applicability in different teaching environments. Due to the information that was shown (hemodynamic data), they are new for this type of teaching tool; the possibility of analyzing the data generated and its characteristics that are easy to handle and adaptable, there is potential for patenting the prototype produced. Studies are needed to evaluate the effectiveness of this tool for teaching CPR maneuvers.

BANKING MEMBERS:
Presidente - 1645299 - MARISE REIS DE FREITAS
Interna - 1020269 - PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
Externo ao Programa - 1229030 - HELIO ROBERTO HEKIS
Externo à Instituição - HELIO PENNA GUIMARAES - UNIFESP