TY - JOUR T1 - Effect of standardized hands-on-training in caregivers of children with tracheostomy JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2021.PA3468 VL - 58 IS - suppl 65 SP - PA3468 AU - Cansu Yilmaz Yegit AU - Ayse Ayzit Kilinc AU - Aynur Gulieva AU - Emine Atag AU - Hakan Yazan AU - Sinem Can Oksay AU - Ebru Kostereli AU - Selcuk Uzuner AU - Zeynep Reyhan Onay AU - Evrim Hepkaya AU - Almala Pinar Ergenekon AU - Mine Kalyoncu AU - Fusun Unal AU - Deniz Mavi AU - Yetkin Ayhan AU - Abdulhamit Collak AU - Muruvvet Cenk AU - Huseyin Arslan AU - Azer Kilic Baskan AU - Gulay Bilgin AU - Nilay Bas Ikızoglu AU - Pinar Ay AU - Sedat Oktem AU - Yasemin Gokdemir AU - Zeynep Seda Uyan AU - Erkan Cakir AU - Saniye Girit AU - Haluk Cokugras AU - Bulent Karadag AU - Fazilet Karakoc AU - Ela Erdem Eralp Y1 - 2021/09/05 UR - http://erj.ersjournals.com/content/58/suppl_65/PA3468.abstract N2 - Introduction: The pediatric tracheostomy related mortality mostly occurs due to accidental decannulation and cannula obstruction. The caregivers may be discharged with inadequate knowledge.Aims and objectives: Simulation training can highlight skills regarding tracheostomy care. Our aim is to investigate if a standardized hands-on-training improves knowledge and skills among caregivers.Methods: Before the traning, we applied a pretest to caregivers in order to assess their knowledge and current practises. Skills were evaluated by two simulation scenarios in a patient model: cannula change and aspiration. After one hour theoretical and practical hands-on training, the same post-test was applied, skills were reevaluated regarding cannula change and aspiration with practical tests.Results: The multicenter study included 65 caregivers of patients with tracheostomy. The median score of the theoretical test including 23 questions improved from 12 to 18 (p<0.001). The specific knowledge questions that were considered critical for tracheostomy care including minimum number of aspiration per day, required frequency of tracheostomy cannula change, solutions recommended for tracheostomy skin care, the pressure for the aspiration, mean duration of aspiration and the depth of aspiration also improved significantly after the education (p<0.001 for all of the specific questions). There was a significant improvement in both cannula change and aspiration skills regarding median scores of correct steps in procedures (p<0.001).Conclusions: A standardized hands-on training is highly effective to increase the rate of proper practices for tracheostomy care and should be implemented for all centers.FootnotesCite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3468.This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only). ER -