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Sajadinejad B, Keyvani S, Farhadi A, Zarei A. Knowledge, Attitude, and Practice Toward Prolonged Intubation among Healthcare Providers. J Surg Trauma 2025; 13 (1) :14-23
URL: http://jsurgery.bums.ac.ir/article-1-464-en.html
Knowledge, Attitude, and Practice Toward Prolonged Intubation among Healthcare Providers
Batoolsadat Sajadinejad , Saeed Keyvani , Amin Farhadi , Afagh Zarei *
Education Development Center, Birjand University of Medical Sciences, Birjand, Iran
Abstract:   (182 Views)

Introduction: Intubation is a preferred and reliable procedure to support the airways during mechanical ventilation. However, it is associated with several complications. The present study aimed to evaluate the knowledge, attitude, and practice of the Intensive Care Unit (ICU) staff regarding the complications of prolonged intubation among health providers.
Methods: This study followed the descriptive-analytical approach. The study population included the personnel of the ICU and the emergency department of Valiasr University Hospital in Birjand University of Medical Sciences (Iran), including nurses, physicians, as well as assistants of anesthesiology, internal medicine, and neurology in 2018-2019. Participants were included in the study through the census method. In order to collect data, a researcher-made questionnaire was used in four sections: personal characteristics, knowledge, attitude, and practice. Data were analyzed using the SPSS (version 18) software, which used a one-way analysis of variance, Kruskal-Wallis, and Chi-square test. The level of significance was set at α=0.05.
Results: A total of 60 individuals participated in the study: 9 specialists, 16 assistants, 4 masters, and 31 bachelors of nursing. Findings revealed that 26 (21.66%), 32 (53.33%), and 15 (25%) of the participants had good, moderate, and poor knowledge, respectively, toward prolonged intubation. In addition, it was shown that 39 people (65%) had a good attitude, and 12 people (20%) had good practice in the field. The participants' mean knowledge and practice scores were significantly different by educational level (P<0.05). Moreover, there was a significant difference between the mean score of participants' knowledge based on their work experience (P<0.05).
Conclusion: Considering the knowledge and practice gap, ICU care providers, policymakers, and medical professionals require much effort to raise the knowledge and break the health providers' old beliefs regarding prolonged intubation complications.

Keywords: Attitude, Intensive Care Units, Intubation, Knowledge, Practice
Full-Text [PDF 473 kb]   (65 Downloads) |   |   Full-Text (HTML)  (50 Views)  
Type of Study: Research | Subject: Otolaryngology_ENT
Received: 2025/02/6 | Accepted: 2025/04/7 | ePublished ahead of print: 2025/04/21 | Published: 2025/04/22
References
1. Asai T. History of tracheal intubation: 1. first application of tracheal intubation during general anesthesia. Japanese J Anesthesiol (Masui). 2017;66(1):99-104.
2. Bexfield N, Riggs J (editor). Endotracheal intubation. In: BSAVA Guide to Procedures in Small Animal Practice. British Small Animal Veterinary Association; 2024: 158-161. [DOI:10.22233/9781913859145.2.34]
3. Yadav P, Gupta A, Sharma R, Gupta N. Endotracheal intubation: direct and video laryngoscope guided techniques. In Book: The Airway Manual. Singapore: Springer Nature Singapore. 2023: 317-332. [DOI:10.1007/978-981-19-4747-6_20]
4. Jung H. A comprehensive review of difficult airway management strategies for patient safety. Anesth Pain Med (Seoul). 2023;18(4):331-339. [DOI:10.17085/apm.23123]
5. Menon R, Vasani SS, Widdicombe NJ, Lipman J. Laryngeal injury following endotracheal intubation: Have you considered reflux? Anaesth Intensive Care. 2023;51(1):14-19. [DOI:10.1177/0310057X221102472]
6. Khoshsirat SH, Esmaili S, Tajik A. Evaluation of post intubation tracheal stenosis in Masih-Daneshvari hospital during 1999-2006. J Med Council Islamic Republic of Iran. 2006;24(4):393-398.
7. Zagalo C, Santiago N, Grande NR, Martins dos Santos J, Brito J, Aguas AP. Morphology of trachea in benign human tracheal stenosis: a clinicopathological study of 20 patients undergoing surgery. Surg Radiol Anat. 2002 ;24(3-4):160-168. [DOI:10.1007/s00276-002-0031-8]
8. Alaga A, Simhan V, Lokeshwaran S, Kumar KS, Chetana Shanmukhappa S. Management of postintubation tracheal stenosis with bronchoscope methods-An experience from two centers. Respirol Case Rep. 2024;12(9):e70014. [DOI:10.1002/rcr2.70014]
9. Elsayed H, Mostafa A, Soliman S, Shoukry T, El-Nori A, El-Bawab H. First-line tracheal resection and primary anastomosis for postintubation tracheal stenosis. Ann R Coll Surg Engl. 2016 ;98(6):425-430. [DOI:10.1308/rcsann.2016.0162]
10. Su Z, Li S, Zhou Z, Chen X, Gu Y, Chen Y, et al. A canine model of tracheal stenosis induced by cuffed endotracheal intubation. Sci Rep. 2017;7(1):45357. [DOI:10.1038/srep45357]
11. Thomas CE, Mayer SA, Gungor Y, Swarup R, Webster EA, Chang I, et al. Myasthenic crisis: clinical features, mortality, complications, and risk factors for prolonged intubation. Neurology. 1997;48(5):1253-1260. [DOI:10.1212/WNL.48.5.1253]
12. Ozer Simsek Z, Elay G, Temel S, Sungur M, Gundogan K. Retrospective evaluation of frequency and factors affecting development of tracheomalacia in critically ill patients with prolonged intubation. J Crit Intensive Care. 2021;12:102-103. [DOI:10.37678/dcybd.2021.2855]
13. Zias N, Chroneou A, Tabba MK, Gonzalez A V, Gray AW, Lamb CR, et al. Post tracheostomy and post intubation tracheal stenosis: report of 31 cases and review of the literature. BMC Pulm Med. 2008;8(1):18. [DOI:10.1186/1471-2466-8-18]
14. Ikebe T, Ozawa H, Iida M, Shimamoto T, Handa K, Komachi Y. Long-term prognosis after stroke: a community-based study in Japan. J Epidemiol. 2001;11(1):8-15. [DOI:10.2188/jea.11.8]
15. Patel M, Patel H, Voong C. Severe tracheal stenosis in a patient with history of prolonged intubation. Am J Respir Crit Care Med. 2022;205: A4138. [DOI:10.1164/ajrccm-conference.2022.205.1_MeetingAbstracts.A4138]
16. Gulilat D, Genetu A, Kejela S, Kassa S, Bekele A, Tizazu A. Nonmalignant tracheal stenosis: presentation, management and outcome in limited resources setting. J Cardiothorac Surg. 2024;19(1):21. [DOI:10.1186/s13019-024-02480-w]
17. Dzuberová I, Sabaková L, Juráková O, Harustiak S, Majer I. High frequency jet ventilation in trachea reconstructions--its advantages in our experience. Acta Chir Hung. 1999;38(1):31-34.
18. Rusakov MA, Parshin AV, Pryanikov PD, Parshin VV, Ursov MA, Mariyko AV . About tracheostomy for tracheal scar cicatricial stenosis. Head Neck Russian J. 2024;12(2). [DOI:10.25792/HN.2024.12.2.86-96]
19. Klotz JJ, Dooley-Hash SL, House JB, Andreatta PB. Pediatric and neonatal intubation training gap analysis: instruction, assessment, and technology. Simul Healthcare. 2014;9(6):377-383. [DOI:10.1097/SIH.0000000000000057]
20. Gross IT, Abrahan DG, Kumar A, Noether J, Shilkofski NA, Pell P, et al. Rapid cycle deliberate practice (RCDP) as a method to improve airway management skills - A randomized controlled simulation study. Cureus. 2019;11(9):e5546. [DOI:10.7759/cureus.5546]
21. Miller AG. Endotracheal intubation training and skill maintenance for respiratory therapists. Respir Care. 2017;62(2):156-162. [DOI:10.4187/respcare.05037]
22. Papagiannis D, Malli F, Raptis DG, Papathanasiou I V., Fradelos EC, Daniil Z, et al. Assessment of knowledge, attitudes, and practices towards new coronavirus (SARS-CoV-2) of health care professionals in Greece before the outbreak period. Int J Environ Res Public Health. 2020;17(14):4925. [DOI:10.3390/ijerph17144925]
23. Ozen N, Armutcu B. Knowledge levels of critical care nurses on evidence-based practices for the prevention of ventilator-associated pneumonia. J Med Surg Intensive Care. 2018;9(3):78-83. [DOI:10.5152/dcbybd.2018.1880]
24. Ghaljeh M, Zakeri Z, Rezaee N, Abedzadeh R. Physicians and nurses awareness and function about patients right charter in Zahedan. Iran J Med Ethics History Med. 2010;3(5, 1):69-75.
25. Borhani F, Abbasi M, Abbaszadeh A, Mousavi S. Attitudes of nurses and physicians of the hospitals affiliated with Shahid Beheshti University of Medical Sciences toward collaboration with each other. Iran J Med Ethics History Med. 2014;7(3):69-77.
26. Nestel D, Tierney T. Role-play for medical students learning about communication: guidelines for maximising benefits. BMC Med Educ. 2007;7(1):3. [DOI:10.1186/1472-6920-7-3]
27. Hohlrieder M, Brimacombe J, von Goedecke A, Keller C. Guided insertion of the ProSeal laryngeal mask airway Is superior to conventional tracheal intubation by first-month anesthesia residents after brief manikin-only training. Anesth Analg. 2006;103(2):458-462. [DOI:10.1213/01.ane.0000223679.14471.6c]
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