Framed in the project “Evaluation of the Effect of Inspiratory Muscle Training Schedule in Decannulation Time”, presented by the Dr. Franco Ravera Zunino Hospital (HFRZ), which turned out to be awarded by the Health Research and Development Fund (FONIS) In its 2023 call, the activity was about practical instruction on pulmonary and diaphragmatic ultrasonography.
“The objective was to train doctors, nurses, and kinesiologists at our institution in the clinical management of ultrasound. This is to provide tools and validation to the FONIS research team, so they can effectively carry out the evaluation and inspirational muscle training guidelines of the project,” said Jennifer Ayuso, Kinesiologist of the Adult Critical Patient Unit (UPC) of the HFRZ, director of the creditor project of the fund, and also of the activity carried out together with the Research Unit of the health center, adding that “it was a theoretical and practical training, in which it was not only possible to learn the scope of the ultrasonography or ultrasound machine, but also to socialize the virtues and uses in favor of patients with respiratory or cardiovascular pathologies, especially for medical professionals and kinesiologists in highly complex units such as the UPC.”
With the above, the HFRZ kinesiologist explained that “with the support of kinesiologist exhibiting specialists from the Herminda Martin Hospital in Chillán and the University of the Andes, we addressed technical aspects in diaphragmatic and pulmonary matters. We manipulate the ultrasound in healthy models (volunteers participating in the training), to evaluate in them – as a comparative window – on the one hand, the existence of pathologies, which can be detected with lung ultrasonography thanks to the image it captures, which It gives an overview of that in real time and, on the other hand, we explore the functions of the diaphragm both in its thickness and in its excursion, taking useful measurements and parameters that can warn us of the presence of signs of atrophy or poor mobility of the diaphragm in patients. who are in ICU.
Alexis Silva, exhibiting Kinesiologist, from the Herminda Martin Clinical Hospital in Chillán, thanked “the high participation, motivation and desire to learn of the participants in the activity”, pointing out that, “I wanted to support the research project from what I know, in addition to believe that it is essential for a hospital to have a line of research, the idea is to contribute to training the team here, who will use this tool (ultrasound) to make measurements in the context of the research project, which I hope to finish, be a benefit for the hospital, its officials and patients.”
Consuelo Bachmann, Kinesiologist and professor at the Universidad de los Andes, for her part, expressed, “I thank Jennifer and the team from the HFRZ Research Unit, for making me participate in the activity by presenting in a training that was supported by FONIS, adds a plus giant. The disposition of the participants was very positive, everyone’s desire to practice was evident.”
María Paz Cortés, a kinesiologist at the HFRZ pediatric UPC, said that “I think it is great to have accessed the training, which is part of the hospital’s own research project, the learning of which could help us guide diagnoses in seriously ill patients, who do not They can be mobilized to occupy other means to diagnose the same pathology. It is a tremendous advance and a great example for our civil servant community, to motivate us to raise issues and develop research as well.”
The head of the HFRZ Research unit, Renato Anfossi, pointed out that “this training, funded by FONIS, reflects what research means, which is not only access and discovery, but also strengthening investigative skills to reach answers. At this stage of the project, it was important to train officials to identify and determine the diaphragmatic diameter, and verify how the regimen strengthens the respiratory muscles.”
Finally, kinesiologist Jennifer Ayuso explained the importance of other professionals in the institution knowing the technical dimensions of this tool. “The measurements and parameters obtained from the ultrasound are used to make decisions by multidisciplinary teams regarding the management of patients, for example, knowing whether they will be extubated, whether respiratory muscle training is required, whether or not its application is efficient, and whether or not you can initiate spontaneous ventilation tests.”
