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两种不同的用于化学、生物、放射、核(CBRN)事件的空气过滤式全面罩类型对气管插管时间影响的研究:一项随机对照研究。

Investigation of the effect of types of two different air filtered full-face masks used in chemical, biological, radiological, nuclear (CBRN) events on endotracheal intubation time: A randomized controlled study.

作者信息

Delice Orhan, Özkul Muhammet

机构信息

Department of Emergency Medicine, Erzurum City Hospital, Erzurum, Turkey.

出版信息

Heliyon. 2024 Mar 14;10(6):e28135. doi: 10.1016/j.heliyon.2024.e28135. eCollection 2024 Mar 30.

Abstract

INTRODUCTION

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.

METHOD

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.

RESULTS

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).

CONCLUSIONS

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

引言

医护人员可能需要根据环境条件使用个人防护装备对伤者进行干预。在化学、生物、放射和核(CBRN)事件中发生的伤害中,医护人员可能需要使用个人防护装备对伤者进行干预。所使用的装备可能会导致一些限制,特别是在需要进行高级气道干预(如插管)的情况下。在本研究中,调查了个人防护装备对医护人员插管时间的影响。

方法

本研究计划为一项随机前瞻性研究,插管程序在模拟人体模型上进行。在三个独立的组中评估插管时间,每组有21名护理人员。一组不戴口罩工作,一组使用前置过滤口罩,最后一组使用侧面过滤口罩。

结果

佩戴带有侧面空气过滤器的全面罩进行插管所花费的时间与不戴口罩进行插管的时间有显著差异(p = 0.011)。然而,使用前置和侧面空气过滤全面罩的组的插管时间相似(p = 0.279)。

结论

在对需要气管插管的伤者进行干预期间,卫生人员应使用带有前置空气过滤器的全面罩作为个人防护装备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7809/10966698/ae0ea7232d85/gr1.jpg

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