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The Effect of Full Protective Gear on Intubation Performance by Hospital Medical Personnel
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The Effect of Full Protective Gear on Intubation Performance by Hospital Medical Personnel
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Journal Article
The Effect of Full Protective Gear on Intubation Performance by Hospital Medical Personnel
2000
Overview
To assess the influence of protective gear on intubation performance.
Prospective, controlled measurement of duration and quality of intubations performed on mannequins by medical personnel with and without protective gear in a crossover design.
Eight teams each comprising an anesthesiologist and a nurse.
Intubation duration with and without chemical warfare gear was 69.2 +/- 7 and 47.3 +/- 6 seconds (mean +/- SEM), respectively (p < 0.05). Moreover, rating of intubation quality as \"very good\" by the anesthesiologists declined significantly from 62.5% without chemical warfare protective gear to 6.25% with the garment and mask. Tube fixation was the rate-limiting step when performed with protective gear (p < 0.05); it was assessed by 81% of the anesthesiologists as the critical step. A learning curve was not observed during the study.
Protective gear causes a significant prolongation of intubation duration; however, endotracheal intubation can be performed effectively. Technical improvements are warranted for tube fixation because it is the critical step.
Publisher
Association of Military Surgeons,Oxford University Press
Subject
/ Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
/ Anesthesia: equipment, devices
/ Biological and medical sciences
/ Clinical Competence - standards
/ Humans
/ Intubation, Intratracheal - standards
/ Nurses
/ Personal protective equipment
/ Protective Clothing - adverse effects
/ Teams
