Chaudhary Kriti, Goyal Shilpa, Dixit Abhinav, Dixit Shilpi Gupta, Sharma Vidhu, Nair Nithin Prakasan, Sharma Ankur, Kothari Nikhil, Bhatia Pradeep, Goyal Amit, Misra Sanjeev
Bilaspur, India Department of Anaesthesiology, All India Institute of Medical Sciences.
Jodhpur, India Department of Anaesthesiology and Critical care, All India Institute of Medical Sciences.
Indian J Otolaryngol Head Neck Surg. 2023 Mar 22;75(3):1-8. doi: 10.1007/s12070-023-03692-7.
Covid 19 epidemic has affected the people making them undergo emergency procedures requiring intubation. A protective box was innovated at our tertiary care centre to safeguard the HCW during intubation and/or extubation and the study was planned to assess its use and safety among the anaesthesiologists.
A cross sectional, questionnaire base survey was done among anaesthesiologists in various strata of residency. The intubation box was used on the patient for intubation and extubation. The experience of participants was recorded via a Google Form and one response per participant was restricted. Participants were divided into two groups, Group 1(1stand 2nd year junior residents) and Group 2 (Senior resident and 3rd year junior resident). A valid response, was received from 25 anaesthesiologists who were either performing or assisting the intubation. The residents were evaluated based on the ease of use and safety features of the box.
There was a significant difference in the time taken to intubate between the two groups (p = 0.048) and it was found that Group 2 with more experience took less time to intubate than Group 1. Also, more respondents in Group 2 found it easier to manoeuvre the hands to handle instruments than Group 1(p = 0.024).
We recommend that usage of intubation box during intubation or extubation is a non-harmful and necessary compromise that we must make to protect the /safeguard the well-being of Health Care Worker without affecting patient care in our fight with COVID-19.
The online version contains supplementary material available at 10.1007/s12070-023-03692-7.
新冠疫情影响了人们，使他们需要接受紧急插管手术。我们的三级医疗中心研发了一种保护箱，以在插管和/或拔管过程中保护医护人员，本研究旨在评估其在麻醉医生中的使用情况和安全性。
对不同住院医师层级的麻醉医生进行了一项横断面问卷调查。插管箱用于患者的插管和拔管操作。通过谷歌表单记录参与者的体验，每位参与者仅限一次回复。参与者分为两组，第1组（第一年和第二年的初级住院医师）和第2组（高级住院医师和第三年的初级住院医师）。共收到25名进行或协助插管的麻醉医生的有效回复。根据箱子的易用性和安全特性对住院医师进行评估。
两组之间插管所需时间存在显著差异（p = 0.048），发现经验更丰富的第2组插管时间比第1组短。此外，第2组中更多的受访者发现比第1组更容易操作手部来处理器械（p = 0.024）。
我们建议在插管或拔管过程中使用插管箱是一种无害且必要的妥协，在我们抗击新冠疫情的过程中，这是为了保护医护人员的健康而不影响患者护理所必须做出的。
在线版本包含可在10.1007/s12070-023-03692-7获取的补充材料。
