• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

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.

DOI:10.1016/j.heliyon.2024.e28135
PMID:38545207
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10966698/
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/7809/10966698/00ca3c4a8010/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7809/10966698/ae0ea7232d85/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7809/10966698/8ab09e553d37/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7809/10966698/244c28c485f2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7809/10966698/00ca3c4a8010/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7809/10966698/ae0ea7232d85/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7809/10966698/8ab09e553d37/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7809/10966698/244c28c485f2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7809/10966698/00ca3c4a8010/gr4.jpg

相似文献

1
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.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。
Heliyon. 2024 Mar 14;10(6):e28135. doi: 10.1016/j.heliyon.2024.e28135. eCollection 2024 Mar 30.
2
Staff perceptions of military chemical-biological-radiological-nuclear (CBRN) air-purifying masks during a simulated clinical task in the context of SARS-CoV-2.在 SARS-CoV-2 背景下模拟临床任务期间,工作人员对军用化学-生物-放射性-核(CBRN)空气净化口罩的看法。
Anaesth Intensive Care. 2021 May;49(3):190-197. doi: 10.1177/0310057X20984787. Epub 2021 May 3.
3
Intubating laryngeal mask airway versus laryngoscopy and endotracheal intubation in the nuclear, biological, and chemical environment.在核、生物和化学环境中,喉罩气道插管与喉镜检查及气管插管的比较
Mil Med. 2003 Nov;168(11):876-9.
4
Insertion of six different supraglottic airway devices whilst wearing chemical, biological, radiation, nuclear-personal protective equipment: a manikin study.佩戴化学、生物、辐射、核个人防护装备时插入六种不同的声门上气道装置:一项人体模型研究。
Anaesthesia. 2011 Nov;66(11):983-8. doi: 10.1111/j.1365-2044.2011.06816.x. Epub 2011 Aug 29.
5
Airway Management in Disaster Response: A Manikin Study Comparing Direct and Video Laryngoscopy for Endotracheal Intubation by Prehospital Providers in Level C Personal Protective Equipment.灾害应对中的气道管理:一项人体模型研究,比较在C级个人防护装备下,院前急救人员使用直接喉镜和视频喉镜进行气管插管的情况。
Prehosp Disaster Med. 2017 Aug;32(4):352-356. doi: 10.1017/S1049023X17000188. Epub 2017 Mar 20.
6
Comparison of six different intubation aids for use while wearing CBRN-PPE: a manikin study.穿着 CBRN-PPE 时使用六种不同插管辅助工具的比较:一项模拟人体研究。
Resuscitation. 2011 Dec;82(12):1548-52. doi: 10.1016/j.resuscitation.2011.06.020. Epub 2011 Jun 25.
7
Utility of the Pentax-AWS in performing tracheal intubation while wearing chemical, biological, radiation and nuclear personal protective equipment: a randomised crossover trial using a manikin.穿戴化学、生物、放射性和核个人防护装备时使用 Pentax-AWS 进行气管插管的效用:使用模拟人进行的随机交叉试验。
Emerg Med J. 2013 Jul;30(7):527-31. doi: 10.1136/emermed-2012-201463.
8
Evaluation of bag-valve-mask ventilation by paramedics in simulated chemical, biological, radiological, or nuclear environments.在模拟的化学、生物、放射或核环境中,对急救人员进行的球囊面罩通气的评估。
Prehosp Disaster Med. 2009 Sep-Oct;24(5):398-401. doi: 10.1017/s1049023x00007214.
9
Intubation performance using different laryngoscopes while wearing chemical protective equipment: a manikin study.穿着化学防护装备时使用不同喉镜的插管操作:一项人体模型研究。
BMJ Open. 2016 Mar 15;6(3):e010250. doi: 10.1136/bmjopen-2015-010250.
10
Laryngeal mask airway versus bag-mask ventilation or endotracheal intubation for neonatal resuscitation.喉罩气道与面罩通气或气管插管用于新生儿复苏的比较。
Cochrane Database Syst Rev. 2018 Mar 15;3(3):CD003314. doi: 10.1002/14651858.CD003314.pub3.

本文引用的文献

1
Comparison of two intravascular access techniques when using CBRN-PPE: A randomized crossover manikin trial.使用化学、生物、放射和核防护个人防护装备时两种血管内通路技术的比较:一项随机交叉人体模型试验。
Am J Emerg Med. 2016 Jun;34(6):1170-2. doi: 10.1016/j.ajem.2016.03.046. Epub 2016 Mar 21.
2
Utility of the Pentax-AWS in performing tracheal intubation while wearing chemical, biological, radiation and nuclear personal protective equipment: a randomised crossover trial using a manikin.穿戴化学、生物、放射性和核个人防护装备时使用 Pentax-AWS 进行气管插管的效用:使用模拟人进行的随机交叉试验。
Emerg Med J. 2013 Jul;30(7):527-31. doi: 10.1136/emermed-2012-201463.
3
Does position of the patient adversely affect successful intubation whilst wearing CBRN-PPE?
佩戴 CBRN 个人防护装备时,患者的体位是否会对插管的成功率产生不利影响?
Resuscitation. 2010 Sep;81(9):1166-71. doi: 10.1016/j.resuscitation.2010.05.009. Epub 2010 Jun 17.
4
Evaluation of a pandemic preparedness training intervention of emergency medical services personnel.评估一项针对紧急医疗服务人员的大流行准备培训干预措施。
Prehosp Disaster Med. 2009 Nov-Dec;24(6):508-11. doi: 10.1017/s1049023x00007421.
5
Impact of chemical, biological, radiation, and nuclear personal protective equipment on the performance of low- and high-dexterity airway and vascular access skills.化学、生物、辐射和核个人防护装备对低和高灵巧度气道和血管通路技能表现的影响。
Resuscitation. 2009 Nov;80(11):1290-5. doi: 10.1016/j.resuscitation.2009.08.001. Epub 2009 Aug 26.
6
Clinical care in the "Hot Zone".“热点地区”的临床护理。
Emerg Med J. 2008 Feb;25(2):108-12. doi: 10.1136/emj.2006.037689.
7
Influence of air-purifying respirators on the simulated first response emergency treatment of CBRN victims.空气净化呼吸器对化学、生物、放射性和核(CBRN)受害者模拟应急救援治疗的影响。
Resuscitation. 2007 Aug;74(2):310-6. doi: 10.1016/j.resuscitation.2007.01.017. Epub 2007 Apr 10.
8
Laryngeal mask airway control versus endotracheal intubation by medical personnel wearing protective gear.佩戴防护装备的医务人员进行喉罩气道控制与气管插管的比较。
Am J Emerg Med. 2004 Jan;22(1):24-6. doi: 10.1016/j.ajem.2003.09.006.