Design contributions in the COVID-19 pandemic scenario: project management for health professionals

Authors

DOI:

https://doi.org/10.11606/gtp.v17i2.190995

Keywords:

COVID-19, DCU, Product Development, Intubation and Extubation Box

Abstract

The pandemic caused by Coronavirus has affected life and changed the daily life of practically all countries, as well as its population, and due to the high rate of transmission, it is understood that health professionals working on the freight line to fight the pandemic are part of the risk group and are the most vulnerable due to daily exposure to infected patients. Covid-19 was the main cause of hospitalizations and interventions in the patients' airways are necessary for the intubation and orotracheal extubation of patients. During the initial approach of this procedure, the patient's airways may generate droplets of liquid resulting from speech or cough, in the form of aerosols, which increase the risk of transmission of Covid-19. For this, this article aimed to develop an Intubation and Extubation box with a User-Centered Design approach. The research carried out has an applied nature, with a qualitative approach and exploratory and explanatory objective, and with regard to the procedures, it was divided into two phases, namely: phase 1 – Theoretical support and phase 2 – Product Development. An intubation and extubation box were developed, with technological supports for survey, creation, simulation and materialization, using the principles of Human-Centered Design and Ergonomics, with an emphasis on the activity carried out by the health professional in the hospital context. This product, developed, proved to be viable, allowing the patient to maintain an adequate and stable body posture during the procedures and meeting the criteria and design requirements, enabling a safer procedure.

Downloads

Download data is not yet available.

Author Biographies

  • Eugenio Andrés Díaz Merino, Universidade Federal de Santa Catarina

    Bachelor's degree in Industrial Design from the Universidade Federal Rio de Janeiro, Master's degree in Production Engineering from the Universidade Federal Santa Catarina and PhD in Production Engineering from the Universidade Federal de Santa Catarina. Professor at the Universidade Federal de Santa Catarina and coordinator of the Núcleo de Gestão de Design e o Laboratório de Design e Usabilidade (NGD/LDU). He has experience in the Design area, with emphasis on Design Management, Universal Design, Inclusive Design and Health Design, and in the Engineering area, specifically with ergonomics, product and process. She participates in the post-graduation programs in Design and Production Engineering, both at Universidade Federal de Santa Catarina. He did a Senior Internship at the Universidad Politécnica de Valencia (UPV Spain - CAPES). He is a CNPq researcher (PQ1A), was Coordinator of the Advisory Committee of CNPq (CA DI) and was Deputy Coordinator of the area of Architecture, Urbanism and Design (CAPES AUD). Leader of the Design Management research group and member of the Rede de Pesquisa e Desenvolvimento em Tecnologia Assistiva (RPDTA).

  • Diogo Pontes Costa, Universidade Federal de Santa Catarina

    Doctoral student in Design at the Graduate Design Program of the Universidade Federal de Santa Catarina (UFSC), and researcher at the Núcleo de Gestão de Design & Laboratório de Design e Usabilidade (NGD/LDU). Graduated in Industrial Design from the Universidade Federal de Campina Grande (2016); Specialist in Interior Design from UniFACISA (2018); Master in Science and Technology in Health from Universidade Estadual da Paraíba (2019) and former collaborator in the Research Laboratory in 3D Technologies (LT3D), linked to the Núcleo de Tecnologias Estratégicas em Saúde (2019). He was substitute professor of the Design course at the Universidade Federal da Paraíba between the years 2018 - 2020, where he taught disciplines of Visual Language, Digital Modeling, Product Design, Projective Design, Graphic Representation, and was coordinator of the Laboratório de Criação Virtual (LabDigital). He has experience in the management of the development process of new health products (medical-hospital equipment and Assistive Technology Devices), in the development of interior design and residential and commercial furniture, acquired through professional experiences at Studio Sérgio J. Mattos, na Rack Industria e Projetos para Instalação Comercial e Top Serviços e Equipamentos Comercial. In the last years, he has been researching in the line of Management and Technology with project development with human-centered approach, with emphasis on technological instrumentation in project development, through computer-aided design software and computer-aided manufacturing.

  • Leonardo Braun, Universidade Federal de Santa Catarina

    Researcher in the area of Design Management. Has a degree in Design from the Universidade do Noroeste de Estado do Rio Grande do Sul (2019), Master's student in Design at the Universidade Federal de Santa Catarina, starting in 2020. Has training in the area of product development with a focus on the furniture sector.  He is currently a researcher at the Núcleo de Gestão de Design e do Laboratório de Design e Usabilidade (NGD/LDU), with emphasis on Design Management, where he develops research in the area of Management, Usability, Product Development, Human-Centered Design, Inclusive Design, Universal Design and Service Analysis.

  • Cesar Nunes Giracca, Universidade Federal de Santa Catarina

    Graduated in Biomedical Engineering, Master in Design (management and technology) at UFSC, PhD student in production engineering (product and process) at UFSC, with experience in hospital medical products and clinical engineering. Specialist in carbon composites in the development of assistive technology devices, knowledge in evaluative international regulatory tests. Knowledge of national and international standards of regulatory agencies. Advanced knowledge in electronics, working in clinical engineering, hospital products engineering, maintenance of networks and microcomputers, in the automotive sector in general. Scientific Collaborator in the NGD/LDU Nucleus of management and design.

  • Susana Cristina Domenech, Universidade Estadual de Santa Catarina

    Full degree in Chemistry (Pontifical Catholic University of Rio Grande do Sul, 1992), Master's degree in Mining, Metallurgical and Materials Engineering (Federal University of Rio Grande do Sul, 1997) and Doctor degree in Materials Engineering (Federal University of Santa Catarina, 2002) with sandwich-period at Martin-Luther Universität Halle-Wittenberg (Germany) and Albert-Ludwigs Universität Freiburg (Germany). Associate Professor at the Department of Scientific and Technological Education, (Distance Education Center, State University of Santa Catarina (UDESC). Participate as researcher at the Graduate Program in Design, and at the Laboratory of Interfaces and Interactions in Assistive Technologies (UDESC). Head of the Research Group "Instrumentation, Motor Behavior and Health", and member of the Research Group "Assistive Technology and Human Factors". Member of the Research and Development Network in Assistive Technologies - RPDTA (CNPq). Main research topics: motor behavior, ergonomics, materials science& assistive technologies. CNPq PQ-2 scholarship holder since 2020.

  • Alice Henrique dos Santos Sumar, Universidade Federal de Santa Catarina

    Graduated in Physiotherapy from the Universidade do Estado de Santa Catarina (UDESC) in 2012. With a competitive examination by the State of Santa Catarina in the same year, she works as an Intensive Care Physiotherapist at the Regional Hospital de São José Dr. Homero de Miranda Gomes (HRSJ-HMG), where was Coordinator of the Physiotherapy Team of the Intensive Care Unit from 2018 to 2020. She is a preceptor of the Multiprofessional Residency Program in Urgency, Emergency and Intensive Care at HRSJ-HMG, where she was Area Coordinator of Physiotherapy of the Program from 2019 to 2020. He is a member of the Clinical Protocols Committee for COVID-19 at HRSJ-HMG, where he participated in the development of clinical protocols for the care of patients with COVID-19, as well as employee safety protocols. He was a professor of the Physiotherapy course at UDESC from 2019 to 2021. Specialist in Intensive Care Physiotherapy by the Brazilian Association of Cardiorespiratory Physiotherapy and Intensive Care Physiotherapy (ASSOBRAFIR) and by the Faculdade Estácio de Sá (2018). Master in cardiorespiratory physiotherapy from UDESC (2018), PhD student in Medical Sciences from the Universidade Federal de Santa Catarina (UFSC). He works in research lines related to intensive physical therapy, muscle weakness acquired in the ICU, palliative care, pathophysiology of sepsis, physical exercise, pulmonary inflammatory processes and COVID-19. He has professional experience in the areas of physiotherapy in intensive care, hospital, emergency and palliative care

  • Giselle Schmidt Alves Diaz Merino, Universidade Estadual de Santa Catarina / Universidade Federal de Santa Catarina

    CNPq Researcher (PQ 2) in the area of Industrial Design. Professor of the Department of Design at the Universidade do Estado de Santa Catarina, and of the Graduate Program in Design at the Universidade Federal de Santa Catarina. Post Doctorate in Human Factors from the Universidade do Estadual de Santa Catarina with internship at the Polytechnic University of Valencia, Spain (2017). PhD in Production Engineering, with emphasis on Product and Process Engineering in the research line of Design Project Methodologies by the Universidade Federal de Santa Catarina (2014). Master in Design by the Graduate Program in Design in the line of Design Management, by the Universidade Federal de Santa Catarina (2010). Graduated in Design from the Universidade do Estado de Santa Catarina (1997). Courses at the University of Salamanca (Spain). Project Coordinator of the Design Management Center and of the Design and Usability Laboratory at Universidade Federal de Santa Catarina since 2000. Teaches disciplines of: Design Management; Human-Centered Design; Ergonomics and Usability in Products and Services; Design Project Methodologies; Packaging Design; Assistive Technologies, among others. She advises undergraduate and graduate students at the specialization, master's, doctoral and post-doctoral levels. Member of the Research and Development Network in Assistive Technology (RPDTA), projects in partnership with Universidade Federal de Pernambuco (Occupational Therapy and Engineering), Universidade Federal da Paraíba (Design).

References

Associação Brasileira de Ergonomia (ABERGO). O que é Ergonomia? Disponível em: https://www.abergo.org.br/o-que-%C3%A9-ergonomia. Acesso em: 21 jan 2022.

AZHAR, Muhaimin Noor et al. COVID-19 aerosol box as protection from droplet and aerosol contaminations in healthcare workers performing airway intubation: a randomised cross-over simulation study. Emergency Medicine Journal, [S.L.], v. 38, n. 2, p. 111-117, 20 nov. 2020. BMJ. http://dx.doi.org/10.1136/emermed-2020-210514.

BAI, Johnny-Wei et al. Opening the discussion on a closed intubation box. Trends in anaesthesia and critical care, [S.L.], v. 33, p. 1-4, ago. 2020. Elsevier BV. http://dx.doi.org/10.1016/j.tacc.2020.06.004.

BAXTER, Mike. Projeto de Produto: guia prático para o desenvolvimento de produtos. São Paulo: Blücher, 2011.

BEGLEY, J. L. et al. The aerosol box for intubation in coronavirus disease 2019 patients: an in⠰situ simulation crossover study. Anaesthesia, [S.L.], v. 75, n. 8, p. 1014-1021, jun. 2020. Wiley. http://dx.doi.org/10.1111/anae.15115.

BRENDLER, Clariana Fischer; TEIXEIRA, Fábio Gonçalves. Método para obtenção de medidas antropométricas utilizando um digitalizador 3D de baixo custo. Design e Tecnologia, [S.L.], v. 6, n. 11, p. 53, 1 ago. 2016. PGDesign / Universidade Federal do Rio Grande do Sul. http://dx.doi.org/10.23972/det2016iss11pp53-67.

BRENDLER, C. F.; TEIXEIRA, F. G.; PIZZATO, G. Z. de A. HERIP - Modelo Humano Digital Paramétrico para análise ergonômica virtual do projeto de produto. Human Factors in Design, Florianopolis, v. 9, n. 18, p. 097-125, 2020. DOI: 10.5965/23167963091820200967.

CARDOSO, Lenon et al. Intubação Orotraqueal Prolongada: e a indicação de traqueostomia. Revista da Faculdade de Ciências Médicas de Sorocaba, v.16, n.14, p.170-173, 2014. https://revistas.pucsp.br/index.php/RFCMS/article/view/18202/pdf.

CAVALCANTE, Vitória Soares Pinho; DUTRA, Luz Mariana Alfonso. Protocolo para Intubação Orotraqueal (IOT) segura na pandemia da COVID-19: no cenário do sistema único de saúde. Health Residencies Journal, v.1, n.2, p.62-70, 2020. https://escsresidencias.emnuvens.com.br/hrj/article/view/23.

CONSELHO FEDERAL DE ENFERMAGEM (org.). Brasil perde ao menos um profissional de saúde a cada 19 horas para a COVID. Disponível em: http://www.cofen.gov.br/brasil-perde-ao-menos-um-profissional-de-saude-a-cada-19-horas-para-a-COVID_85778.html. Acesso em: 10 ago. 2021.

COOK, T. M. et al. Consensus guidelines for managing the airway in patients with COVID ‐19. Anaesthesia, [S.L.], v. 75, n. 6, p. 785-799, abr. 2020. Wiley. http://dx.doi.org/10.1111/anae.15054.

DE SOUZA, Caroline Battistello Cavalheiro; SAVI, Rafael. Design centrado no usuário e o projeto de soluções educacionais. Revista E-Tech: Tecnologias para Competitividade Industrial-ISSN-1983-1838, p. 33-52, 2015.

DEJEAN, Pierre-Henri; NAËL, Michel. Ergonomia do Produto. In: FALZON, Pierre (ed.). Ergonomia. São Paulo: Editora Blucher, 2007. Cap. 44, p. 640.

DREYFUSS, H.; TILLEY, A. R. The measure of man and woman: Human factors in design. John Wiley & Sons, 2001.

EVERINGTON, K. Taiwanese doctor invests device to protect US doctors against coronavirus. Taiwan News, 2020. Disponível em: https://taiwannews.com.tw/en/news/3902435. Acesso: 20 de Ago. 2020.

FONG, Sunny et al. Impact of aerosol box on intubation during COVID-19: a simulation study of normal and difficult airways. Canadian Journal of Anesthesia/Journal Canadien D'Anesthésie, [S.L.], v. 68, n. 4, p. 496-504, 9 out. 2020. Springer Science and Business Media LLC. http://dx.doi.org/10.1007/s12630-020-01825-y.

FRANÇOIS, Tine et al. Simulation-Based Rapid Development and Implementation of a Novel Barrier Enclosure for Use in COVID-19 Patients: the splashguard cg. Critical Care Research and Practice, [S.L.], v. 2020, p. 1-8, 17 dez. 2020. Hindawi Limited. http://dx.doi.org/10.1155/2020/3842506.

GIACOMIN, Joseph. What Is Human Centred Design? The Design Journal, [S.L.], v. 17, n. 4, p. 606-623, dez. 2014. Informa UK Limited. http://dx.doi.org/10.2752/175630614x14056185480186

GIL, Antonio Carlos. Como elaborar projetos de pesquisa. 5. ed. São Paulo: Atlas, 2017.

GIRGIS, Alexander M. et al. Novel Coronavirus Disease 2019 (COVID-19) Aerosolization Box: design modifications for patient safety. Journal of Cardiothoracic and Vascular Anesthesia, [S.L.], v. 34, n. 8, p. 2274-2276, ago. 2020. Elsevier BV. http://dx.doi.org/10.1053/j.jvca.2020.05.001.

GÓMEZ‐RÍOS, Manuel Ángel et al. Estudo cruzado e randômico comparando os laringoscópios Airtraq® NT, McGrath® MAC e Macintosh para intubação nasotraqueal em simulação de via aérea fácil e difícil em manequim. Brazilian Journal of Anesthesiology, [S.L.], v. 66, n. 3, p. 289-297, maio 2016. Elsevier BV. http://dx.doi.org/10.1016/j.bjan.2016.02.014.

GORE, Russell K. et al. Intubation Containment System for Improved Protection from Aerosolized Particles During Airway Management. Ieee Journal of Translational Engineering In Health And Medicine, [S.L.], v. 8, p. 1-3, 2020. Institute of Electrical and Electronics Engineers (IEEE). http://dx.doi.org/10.1109/jtehm.2020.2993531.

GUPTA, Vivek et al. Negative pressure aerosol containment box: an innovation to reduce covid-19 infection risk in healthcare workers. Journal Of Anaesthesiology Clinical Pharmacology, [S.L.], v. 36, n. 5, p. 144, 2020. Medknow. http://dx.doi.org/10.4103/joacp.joacp_217_20.

HELLMAN, Samuel et al. Rapid clearing of aerosol in an intubation box by vacuum filtration. British Journal Of Anaesthesia, [S.L.], v. 125, n. 3, p. 296-299, set. 2020. Elsevier BV. http://dx.doi.org/10.1016/j.bja.2020.06.017.

HSU, Steven H et al. Aerosol containment box to the rescue: extra protection for the front line. Emergency Medicine Journal, [S.L.], v. 37, n. 7, p. 400-401, 11 jun. 2020. BMJ. http://dx.doi.org/10.1136/emermed-2020-209829.

IDEO. The Field Guide to Human-Centered Design. 1. ed. Canadá: Ideo.org, 2015.

IIDA, Itiro. Ergonomia: Projeto e produção (2nd ed.). Blucher, 2005.

International Ergonomics Association (IEA). What is Ergonomics? Disponível em: https://iea.cc/what-is-ergonomics/. Acesso em: 20 jan 2022.

ISO 9241-210:2019. Ergonomics of human-system interaction — Part 210: Human-centred design for interactive systems, 2019.

KEARSLEY, R.. Intubation boxes for managing the airway in patients with COVID‐19. Anaesthesia, [S.L.], v. 75, n. 7, p. 969-969, 24 abr. 2020. Wiley. http://dx.doi.org/10.1111/anae.15081.

LAI, Jianbo, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Abrir. 2020; v.3, n.3, 23 mar. 2020. doi:10.1001/jamanetworkopen.2020.3976

LEONEL, Filipe (org.). Pesquisa analisa o impacto da pandemia entre profissionais de saúde. 2021. Disponível em: https://portal.fiocruz.br/noticia/pesquisa-analisa-o-impacto-da-pandemia-entre-profissionais-de-saude. Acesso em: 10 ago. 2021.

MADABHUSHI, Praneeth et al. Time to adapt in the pandemic era: a prospective randomized non ⠳inferiority study comparing time to intubate with and without the barrier box. Bmc Anesthesiology, [S.L.], v. 20, n. 1, p. 1-8, 14 set. 2020. Springer Science and Business Media LLC. http://dx.doi.org/10.1186/s12871-020-01149-w.

MANIAR, Amjad; JAGANNATHAN, Balavenkatasubramanian. The aerosol box. Journal of Anaesthesiology Clinical Pharmacology, [S.L.], v. 36, n. 5, p. 141, 2020. Medknow. http://dx.doi.org/10.4103/joacp.joacp_283_20.

MATSUMOTO, Toshio; CARVALHO, Werther Brunow de. Intubação traqueal. Jornal de Pediatria, [S.L.], v. 83, n. 2, p. 83-90, maio 2007. FapUNIFESP (SciELO). http://dx.doi.org/10.1590/s0021-75572007000300010.

MERINO, Giselle Schmidt Alves Díaz. GODP - Guia de Orientação para Desenvolvimento de Projetos: Uma metodologia de Design Centrado no Usuário. Florianópolis: NGD/ UFSC, 2016. Disponível em: ‹www.ngd.ufsc.br›. Acesso em: 24 fev. 2022.

MERINO, E.; COSTA, D. P.; PAULO, I.; GIRACCA, C.; MERINO, G. Design e Tecnologia no Contexto Hospitalar: desenvolvimento de uma cadeira móvel para banho e higienização, com ênfase nas atividades do profissional da saúde. Design e Tecnologia, v. 11, n. 22, p. 139-152, 30 jun. 2021.

MORAES, A. D., & Mont’alvão, C. (2010). Ergonomia: Conceitos e Aplicações (1st ed.). 2AB.

NORMAN, D. A. Design do dia-a-dia. Rio de Janeiro: Racco, 2002.

OPAS (2020) OPAS/OMS Brasil - Cerca de 570 mil profissionais de saúde se infectaram E 2,5 mil morreram POR COVID-19 nas Americas | OPAS/OMS. (n.d.). Pan American Health Organization / World Health Organization. Acesso: 27 de novembro de 2020. Disponível em: https://www.paho.org/bra/index.php?option=com_content&view=article&id=6270:cerca-de-570-mil-profissionais-de-saude-se-infectaram-e-2-5-mil-morreram-por-covid-19-nas-americas&Itemid=812

REHM, Markus et al. Protecting Health Care Workers: use of a body covering transparent sheet during and after intubation of patients with covid-19. Anesthesia & Analgesia, [S.L.], v. 131, n. 2, p. 111-112, 1 maio 2020. Ovid Technologies (Wolters Kluwer Health). http://dx.doi.org/10.1213/ane.0000000000004939.

RUBIN, J., CHISNELL, D. Handbook of Usability Testing: Howto Plan, Design, and Conduct Effective Tests. Indianapolis: Wiley Publishing, 2008.

SAMPSON, Christopher; BECKETT, Adam. A Novel, Inexpensive Portable Respiratory Protection Unit for Prehospital Use: a technical note. Cureus, [S.L.], v. 5, n. 12, p. 1-7, 4 maio 2020. Cureus, Inc.. http://dx.doi.org/10.7759/cureus.7954.

SIMAN, Andréia Guerra et al. Cápsula para uso durante o gerenciamento de vias aéreas. Depositante: Universidade Federal de Viçosa. Procurador: Maria Cristina Valim Lourenço Gomes. BR n. 102020014712-9-A2. Depósito: 20 jun. 2020. Concessão: 27 out. 2020.

TEIXEIRA, Carmen Fontes de Souza et al. A saúde dos profissionais de saúde no enfrentamento da pandemia de Covid-19. Ciência & Saúde Coletiva, [S.L.], v. 25, n. 9, p. 3465-3474, set. 2020. FapUNIFESP (SciELO). http://dx.doi.org/10.1590/1413-81232020259.19562020.

Published

2022-06-28

Issue

Section

Papers

How to Cite

MERINO, Eugenio Andrés Díaz; COSTA, Diogo Pontes; BRAUN, Leonardo; GIRACCA, Cesar Nunes; DOMENECH, Susana Cristina; SUMAR, Alice Henrique dos Santos; MERINO, Giselle Schmidt Alves Diaz. Design contributions in the COVID-19 pandemic scenario: project management for health professionals. Gestão & Tecnologia de Projetos (Design Management and Technology), São Carlos, v. 17, n. 2, p. 239–260, 2022. DOI: 10.11606/gtp.v17i2.190995. Disponível em: https://periodicos.usp.br/gestaodeprojetos/article/view/190995.. Acesso em: 2 jun. 2024.