| Resumo: |
Severe respiratory diseases are responsible for 22.3% of all children's deaths between one and four years, which is the age group the most affected. The high hospitalization rate is associated with pneumonia, and 30% to 50% of children referred to medical, emergency or basic care, have breathing symptoms. In this sense, many of these children evolve for orotracheal intubation, which requires qualified health professionals, not only in the technical issues inherent to the procedure, but fundamentally in the aspects related to the care in orotracheal intubation of children with serious respiratory diseases, in order to that the prevention of transmissibility to professionals active in pediatric emergencies occurs. Objectives: To elaborate service protocol for care in orotracheal intubation of children with severe respiratory infections and validating a service protocol for the care of orotracheal intubation of children with severe respiratory infections. Methodology: A service protocol was developed to contribute to the work process of the multiprofessional team that acts on orotracheal intubation in pediatric emergencies. For the production of this technology were considered the scientific evidence published on the subject. In addition, standard operating procedures with the care of pediatric intubation were previously built and then the protocol was validated by expertise/judges. Also, it is noteworthy that the structural steps recommended by the National Health Surveillance Agency, for the creation of this technical/technologicalproduct. For the validation of the product, which included the second purpose of this dissertation, a methodological research was conducted for content and appearance validation. The content validity index was calculated by the content validity index by mathematical equations, involving: the average content validation indices for all scale rates, by all judges and the content validity of the individual items. Results: A protocol with two standard operating procedures entitled: Orotracheal intubation in children with severe respiratory diseases and Proper use and use of personal protective equipment in the intubation of children with severe respiratory diseases. Fluxograms inherent in care related to the theme of this product were produced. The first version of the protocol got twenty items validated in the first round. One item entitled 'Information regarding standard operating procedures and flowcharts presented is scientifically correct', it was validated less than 0.8 in the subitem sizes of the orotracheal tubes. In addition, in a second round after readjustments in the protocol, all the validation instrument items were validated. Final considerations: The service protocol meets the perspective to which it has been proposed, since it is a tool for theoretical-methodological support, favoring the planning of individualized and integral care, qualifying the assistance provided to the child in pediatric emergencies and, above all, guiding the team regarding the use of personal protective equipment. Product and Applicability: A medium and long term impact is expected from the use of this service protocol, by reducing team contamination and optimization of preventive care for workers and pediatric patients, at the time of orotracheal intubation. This service protocol will contribute to work strategies and methodologies, and can be used in other pediatric emergencies with emergency characteristics where it will be implemented by its replicability potential. |
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