关键词: Air-filtered full-face mask Biological Chemical Endotracheal intubation Nuclear (CBRN) events Radiological Respiratory protective equipment

来  源:   DOI:10.1016/j.heliyon.2024.e28135   PDF(Pubmed)

Abstract:
UNASSIGNED: Healthcare personnel may have to intervene with the injured using personal protective equipment depending on the environmental conditions.In injuries occurring in chemical, biological, radiological and nuclear (CBRN) events, healthcare personnel may have to intervene in the injured using personal protective equipment.The equipment used may lead to limitations, especially in cases requiring advanced airway intervention such as intubation. In this study, the effects of personal protective equipment on the intubation times of healthcare personnel were investigated.
UNASSIGNED: This research was planned as a randomized prospective study, and the intubation procedure was performed on a simulation manikin. The intubation times were evaluated among three separate groups, 21 paramedic personnel in each. One group worked without masks, one used front filter masks, and the last worked with side filter masks.
UNASSIGNED: The time spent for intubation by wearing a full-face mask with a side air filter and the intubation times performed without a mask were significantly different (p = 0.011). However, the intubation times of the groups using front and side air-filtered full-face masks were similar (p = 0.279).
UNASSIGNED: Health personnel should use a full-face mask with a front air filter as personal protective equipment during the interventions for the injured who need endotracheal intubation.
摘要:
根据环境条件,医护人员可能不得不使用个人防护设备对受伤者进行干预。在化学损伤中,生物,放射和核(CBRN)事件,医护人员可能不得不使用个人防护设备干预伤者。使用的设备可能会导致限制,特别是在需要高级气道干预的情况下,如插管。在这项研究中,调查了个人防护装备对医护人员插管次数的影响。
这项研究计划作为一项随机前瞻性研究,插管程序是在模拟人体模型上进行的。在三个独立的组中评估插管时间,每人21名护理人员。一个小组没有面具,一个用过的前置过滤面罩,最后一个使用侧面过滤器面罩。
通过佩戴带有侧面空气过滤器的全脸面罩进行插管所花费的时间与在没有面罩的情况下进行的插管时间显着不同(p=0.011)。然而,使用正面和侧面空气过滤全脸面罩组的插管时间相似(p=0.279).
在对需要气管内插管的伤员进行干预期间,卫生人员应使用带有前空气过滤器的全脸面罩作为个人防护设备。
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