Impact of personal protective equipment on prehospital endotracheal intubation performance in simulated manikin
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Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier Australia
Access Rights
info:eu-repo/semantics/openAccess
Abstract
Background: Tracheal intubation in COVID-19 patients is a potentially high-risk procedure for healthcare professionals. Personal protective equipment (PPE) is recommended to minimize contact with critical patients with COVID-19 infection. This study aimed to primarily examine the effect of PPE use on intubation time and success rate among prehospital healthcare professionals; additionally, we compared intubation times among prehospital health care professionals using PPE with direct laryngoscopy and video laryngoscopy assistance. Methods: In this prospective simulation study, we compared the intubation times and success rates among prehospital healthcare professionals who were or were not using PPE. Furthermore, demographic data, previous intubation experience, and previous intubation experience with PPE were recorded. Results: Overall time to intubation with PPE use was 51.28 ± 3.89 s, which was significantly higher than that without PPE use (33.03 ± 2.65 s; p < 0.001). In addition, the overall success rate with PPE use was 74.4%, which was significantly lower than that without PPE use (93%;p < 0.001). PPE use increased the average intubation time by 19.73 ± 2.59 s with direct laryngoscopy and by 16.81 ± 2.86 s with video laryngoscopy (p < 0.001). Conclusions: PPE use is associated with increased intubation time and decreased success rate. Video laryngoscopy assistance in cases where PPE use is required facilitates faster endotracheal intubation than does direct laryngoscopy assistance.
Description
*Kaçer, İlker ( Aksaray, Yazar ) *Hacımustafaoğlu, Muhammet ( Aksaray, Yazar ) *Öztürk, Berkant ( Aksaray, Yazar )
Keywords
Goggles, Prehospital Emergency Care, Prehospital Healthcare Professionals, Respirator Mask, Video Laryngoscopy
Journal or Series
Australasian Emergency Care
WoS Q Value
Scopus Q Value
Q1
Volume
-
Issue
-
