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Percutaneous dilatational tracheostomy: evaluation of YouTube videos

Perkutane Dilatationstracheostomie: Bewertung von YouTube-Videos

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Abstract

Background and objective

In today’s rapidly changing world, the technology of social media is widely used for educational purposes. Our aim in this study was to investigate the accuracy and efficacy of video presentations of percutaneous dilatational tracheostomy procedures available on the international video sharing website YouTube.

Methods

On 1 December 2020, the terms “percutaneous dilatational tracheostomy” and “percutaneous tracheostomy” were entered into the search feature of YouTube (www.youtube.com). The evaluation was made in three categories; general information about percutaneous tracheostomy, performing percutaneous tracheostomy steps and demographic features of videos.

Results

The median number of viewings of the videos on the date our data were collected was 1342 (IQR, 237–8052), and the most watched video had been viewed 325,170 times. Surgical site cleaning was explained in 46 (65.7%) videos and incision site detection in 55 (78.6%) videos. Needle aspiration into the trachea, insertion of the Seldinger guidewire, dilatation, and tracheal tube placement were covered in all videos (70; 100%). Confirmation of the location of the tracheal tube with end tidal capnography, the last step of the procedure, is available in 34 videos (48.6%).

Conclusion

The use of inexpensive or freely available teaching materials is possible but should always be checked before use with respect to the completeness and correctness of the content conveyed. The unreflected adoption of such content can lead to serious treatment errors.

Zusammenfassung

Hintergrund und Ziel

In der sich schnell verändernden Welt von heute wird die Technologie der sozialen Medien in großem Umfang für Bildungszwecke genutzt. Ziel dieser Studie war es, die Genauigkeit und Wirksamkeit von Videodarstellungen perkutaner dilatativer Tracheostomieverfahren zu untersuchen, die auf der internationalen Videoplattform YouTube verfügbar sind.

Material und Methoden

Am 1. Dezember 2020 wurden die Begriffe „perkutane Dilatationstracheostomie“ und „perkutane Tracheostomie“ in die Suchfunktion von YouTube (www.youtube.com) eingegeben. Die Auswertung erfolgte in drei Kategorien: allgemeine Informationen über die perkutane Tracheotomie, die Durchführung der perkutanen Tracheotomie und demografische Merkmale des Videos.

Ergebnisse

Die durchschnittliche Anzahl der Aufrufe der Videos zum Zeitpunkt der Datenerhebung betrug 1342 (237–8052), und das meist gesehene Video wurde 325.170 Mal angesehen. Die Desinfektion der Punktions‑/Inzisionsstelle (46; 65,7 %) und die Bestimmung des Inzisionsgebiets (55; 78,6 %) wurden in den meisten Videos gezeigt. Die Nadelaspiration in die Trachea, das Einführen des Seldinger-Führungsdrahtes, die Dilatation und die Platzierung des Trachealtubus wurden in allen Videos (70; 100 %) behandelt. Die Bestätigung der Lage des Trachealtubus, der letzte Schritt des Verfahrens, ist in 34 Videos (48,6 %) zu sehen.

Diskussion

Die Nutzung preiswerter oder frei zugänglicher Unterrichtsmaterialien ist möglich, sollte aber vor der Nutzung stets hinsichtlich der Vollständigkeit und Richtigkeit der vermittelten Inhalte überprüft werden. Die unreflektierte Annahme solcher Inhalte kann zu schwerwiegenden Behandlungsfehlern führen.

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Authors and Affiliations

  1. Department of Anaesthesiology and Reanimation, Sakarya University Education and Research Hospital, Adnan Menderes Caddesi Saglik Sokak., 54100, Sakarya, Turkey

    Havva Kocayiğit MD

  2. Department of Anaesthesiology and Reanimation, Yıldırım Bayezit University Yenimahalle Education and Research Hospital, Sakarya, Turkey

    Nevcihan Şahutoğlu Bal MD

Authors
  1. Havva Kocayiğit MD
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  2. Nevcihan Şahutoğlu Bal MD
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Contributions

HK and NŞB: study design, data collection, data analysis, writing

Corresponding author

Correspondence to Havva Kocayiğit MD.

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Conflict of interest

H. Kocayiğit and N.Ş. Bal declare that they have no competing interests.

Ethical standards.

For this article no studies with human participants or animals were performed by any of the authors.

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Kocayiğit, H., Bal, N.Ş. Percutaneous dilatational tracheostomy: evaluation of YouTube videos. Anaesthesiologie 71 (Suppl 2), 219–223 (2022). https://doi.org/10.1007/s00101-022-01122-x

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  • DOI: https://doi.org/10.1007/s00101-022-01122-x

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