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在模拟尸体模型中使用个人防护装备与标准制服进行插管的比较。

Comparison of Intubation Using Personal Protective Equipment and Standard Uniform in Simulated Cadaveric Models.

作者信息

Koo Alex, Walsh Ryan, Knutson Tristan, Young Scott, McGrane Karen, Bothwell Jason, Grubish Lindsay

机构信息

Department of Emergency Medicine, Madigan Army Medical Center, 9040 Jackson Avenue, Tacoma, WA 98433.

出版信息

Mil Med. 2018 Mar 1;183(suppl_1):216-218. doi: 10.1093/milmed/usx215.

Abstract

INTRODUCTION

The use of personal protection equipment (PPE) for patient care can have an impact on the delivery of effective patient care. The purpose of this study is to examine the effects of basic PPE on intubation times and corresponding success rates in cadaver models.

METHODS

A prospective crossover design using a single cohort of emergency medicine residents was used for this study. The primary objective is to compare time with intubation in standard uniform (e.g., scrubs without PPE) and using PPE. The secondary objectives are measuring success rates of intubation and the perceived difficulty of intubation when using PPE.

RESULTS

The mean time to intubation in the standard uniform group was 18.85 s, whereas the mean time to intubation in the PPE group was 19.29. The overall success rate in the standard uniform group was 83% compared with the PPE group, which was 72%. The perceived difficulty was higher in the PPE group (3.38) when compared with the standard uniform.

CONCLUSION

Although the mean intubation times between the groups were not significantly different, the overall success rate was significantly higher in the standard uniform group when compared with PPE group. The perceived difficulty rating was also noted to be significantly higher in the PPE group when compared with the standard uniform group.

摘要

引言

在患者护理中使用个人防护装备(PPE)可能会对有效提供患者护理产生影响。本研究的目的是在尸体模型中检验基本PPE对插管时间和相应成功率的影响。

方法

本研究采用前瞻性交叉设计,纳入一组急诊医学住院医师。主要目的是比较在标准制服(如未穿戴PPE的手术服)状态下和使用PPE时的插管时间。次要目的是测量插管成功率以及使用PPE时的插管难度感知。

结果

标准制服组的平均插管时间为18.85秒,而PPE组的平均插管时间为19.29秒。标准制服组的总体成功率为83%,而PPE组为72%。与标准制服组相比,PPE组的插管难度感知更高(3.38)。

结论

尽管两组之间的平均插管时间无显著差异,但与PPE组相比,标准制服组的总体成功率显著更高。与标准制服组相比,PPE组的插管难度感知评分也显著更高。

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