Nurses perception about the use of laryngeal mask in the intra-hospital service
DOI:
https://doi.org/10.33448/rsd-v11i16.38098Keywords:
Laryngeal mask; Difficult airway; Nursing; Supraglottic devices.Abstract
The laryngeal mask (ML) is a supraglottic device that has its use indicated in difficult airway management situations, but which is currently more used in surgical procedures by anesthesiologists; however, its use can also be through the properly trained nurse professional, which is regulated by COFEN Resolution No. 641/2020. The use of the laryngeal mask by nurses is still little experienced in pre- and intra-hospital care, but has been increasing in recent years. The main objective of this research was to identify the nurses' knowledge about legislation, training, indications and contraindications about the use of the laryngeal mask in emergency situations in the intra-hospital service. A questionnaire of questions and answers related to knowledge about current legislation regulating the use of the laryngeal mask by the nurse was applied, in which situations is indicated and against indicated and whether or not the professional has the training to do so. This research was conducted with 10 (ten) nurses who have been working in the service for more than one year and who have not been away during this period. During the data analysis, it was observed that most professionals did not have training for the use of ML, few knew about the legislation, but the vast majority knew how to describe situations in which its use would be indicated and some contraindications. We conclude that the nursing professional is still very limited to medical practice, being of fundamental importance the search for training and thus increasing their autonomy and consequently providing an even greater quality of care to the patient.
References
Borges, I. B. S., Carvalho, M. R., Quintana, M. S., & Oliveira, A. B. (2020). Systematic review and meta-analysis comparing ventilatory support in chemical, biological and radiological emergencies. Rev. Latino-Am. Enfermagem. http://dx.doi.org/10.1590/1518-8345.4024.3347
Brasil. (2012). Resolução nº 466, de 12 de dezembro de 2012. Dispõe sobre diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial [da] República Federativa do Brasil, Brasília, DF, 13 jun. 2013. http://bit.ly/1mTMIS3.
Brasil. (2016). Protocolos de Intervenção para o SAMU 192 - Serviço de Atendimento Móvel de Urgência. 2ed. Brasília: Ministério da Saúde. Secretaria de Atenção à Saúde.
Bruno, S. M. O. S., & Numes, N. A. H. (2021). Atuação do enfermeiro emergencista no manejo da máscara laríngea. Revista Multidisciplinar em Saúde. 2(4), 125. https://doi.org/10.51161/rems/2559.
COFEN. (2020). Resolução COFEN nº 641/2020, de 02 de julho de 2020. Utilização de dispositivos extra glóticos (DEG) e outros procedimentos para acesso à via aérea, por enfermeiros, nas situações de urgência e emergência, nos ambientes intra e pré-hospitalares. Brasília. http://www.cofen.gov.br/resolucao-cofen-no- 641-2020_80392.html.
COFEN. (2020). Nota Técnica – Recomendações de Biossegurança no uso de dispositivos Extra Glóticos pelo Enfermeiro no atendimento de urgência. Brasília. http://www.cofen.gov.br/nota-tecnica-recomendacoes-de-biosseguranca-no-uso-de-d ispositivos-extragloticos-pelo-enfermeiro-no-atendimento-de-emergencia_82490.htm l (Acessado em 07/03/2022).
COREN-RS. (2009). DECISÃO COREN-RS nº 128/09 - Dispõe sobre uso de máscara laríngea em situação de emergência realizado por enfermeiro. https://www.portalcoren-rs.gov.br/docs/Legislacoes/legislacao_fa5fa69a7a1306f4 7f2980d96fd5cb48.pdf
Eglen, M., Kuvaki, B., Günenç, F., et al. (2017). Comparação de três técnicas diferentes de inserção com a máscara laríngea LMA-UniqueTM em adultos: resultados de um estudo randômico. Revista Brasileira de Anestesiologia. 67(5), 521-26. https://www.scielo.br/j/rba/a/43ZRXLyywD7mj5yxk3kNGQj/?format=html&lang=pt.
Fontelles, M. J., et al. Metodologia da pesquisa científica: diretrizes para a elaboração de um protocolo de pesquisa. Revista Paraense de Medicina, Belém, 23(3), 1-8, jul./set. 2009. https://files.cercomp.ufg.br/weby/up/150/o/Anexo_C8_NONAME.pdf
Gordon, J. Cooper, R. M., & Parotto, M.(2018). Supraglottic airway devices: indications, contraindications and management. Minerva Anestesiologica. https://pubmed.ncbi.nlm.nih.gov/29027772/
Haliloglu, M., Bilgen, S., Uzture, N., et al. (2017). Método simples para determinar o tamanho da máscara laríngea ProSeal em crianças: um estudo observacional, prospectivo. Revista Brasileira de Anestesiologia, Campinas, 67(1), 15-20, https://www.scielo.br/j/rba/a/CCFmFhMTTd76QHhDh6S7d4n/?format=html&lang=pt
Jannu, A., Shekar, A., Balakrishna, R., Sudarshan, H., Veena, G. C., & Bhuvaneshwari, S. (2017). Advantages, Disadvantages, Indications, Contraindications and Surgical Technique of Laryngeal Airway Mask. Arch Craniofac Surg. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759658/
Lemaitre, E. L., Tritsch, L., Noll, E., Diemunsch, P., & Meyer, N. (2019). Effectiveness of intubating laryngeal mask airway in managing out-of-hospital cardiac arrest by nonphysicians. Resuscitation. https://www.sciencedirect.com/science/article/abs/pii/S0300957218308232
Lucena, V. S., & Silva, F. L. (2017). Assistência de enfermagem frente à parada cardiorrespiratória: um desafio permanente para o enfermeiro. Revista Científica FacMais, Volume. XI, Número 4. https://revistacientifica.facmais.com.br/wp-content/uploads/2018/01/5-ASSIST%C3%8ANCIA-DE-ENFERMAGEM-FRENTE-%C3%80-PARADA-CARDIORRESPIRAT%C3%93 RIA-UM-DESAFIO-PERMANENTE-PARA-O-ENFERMEIRO.pdf
Metterlein, T., Dintenfekder, A., & Plank, C. (2017). Uma comparação de vários dispositivos supraglóticos para intubação traqueal guiada por fibra óptica. Revista Brasileira de Anestesiologia, Campinas, 67(2), 166-71. https://www.scielo.br/j/rba/a/hDsYmsz78wgdLyBhDkq4Xjs/?format=pdf&lang=pt
Pedersoli, C. E., Dalri, M. C. B., Silveira, R. C. P. C., Chianca, T. C. M., Cyrillo, R. M. Z., & Galvão, C. M. (2011). O uso da máscara laríngea pelo enfermeiro na ressuscitação cardiopulmonar: revisão integrativa da literatura. Rev. Texto Contexto Enferm, Florianópolis; 20(2), 376-383. https://www.scielo.br/j/tce/a/zqNTFzjg8tQP8ZhdfPK4GWn/?format=pdf&lang=pt
Silva, G. C. N., Bernardinelli, F. C. P., Silveira, R. C. C. P., Pedersoli, C. E., Amorim, G. C., & Chavaglia, S. R. R. (2022). Inserção da máscara laríngea por enfermeiros:revisão integrativa da literatura. Rev. Eletr. Enferm. 24: 68350. https://doi.org/10.5216/ree.v24.68350.
Soares, J. R. R. (2020). MÁSCARA LARÍNGEA: ASPECTOS GERAIS. Lavras: Unilavras. & http://189.3.77.149/bitstream/123456789/512/1/TCC%20Jos%c3%a9%20Rafael.pdf
Silva, G. C. N., Bernardinelli, F. C. P., Silveira, R. C. C. P., Pedersoli, C. E., Amorim, G. C., & Chavaglia, S. R. R. (2022). Inserção da máscara laríngea por enfermeiros:revisão integrativa da literatura. Rev. Eletr. Enferm. 24:68350. https://doi.org/ 10.5216/ree.v24.68350.
Trimmel, H., Halmich, M., & Paal, P. (2019). Stellungnahme der Österreichischen Gesellschaft für Anästhesiologie, Reanimation und Intensivmedizin (ÖGARI) zum Einsatz des Larynxtubus durch Rettungs- und Notfallsanitäter. Anaesthesist. 68:391-395. https://doi.org/10.1007/s00101-019-0606-y
Wang, J., Shi, X., Xu, T., & Wang, G. (2018). Predictive risk factors of failed laryngeal mask airway insertion at first attempt. J Int Med Res. https://doi.org/10.1177 / 0300060518762666
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Rafael Augusto Kunz; Paula Michele Lohmann; Graziella Gasparotto Baiocco; Camila Marchese
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.