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The influence of a Perspex intubation box on time to intubation : a simulation-based randomised crossover study

Southern African journal of anaesthesia and analgesia, 2021-02, Vol.27 (1), p.24-28 [Peer Reviewed Journal]

ISSN: 2220-1181 ;EISSN: 2220-1173 ;DOI: 10.36303/SAJAA.2021.27.1.2452

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  • Title:
    The influence of a Perspex intubation box on time to intubation : a simulation-based randomised crossover study
  • Author: Swart, R ; Strydom, C.M ; Joubert, G
  • Subjects: aerosol-generating procedures ; Coronavirus ; COVID-19 ; healthcare worker protection ; Intubation ; intubation box
  • Is Part Of: Southern African journal of anaesthesia and analgesia, 2021-02, Vol.27 (1), p.24-28
  • Description: Background: Standard personal protective equipment guidelines are insuficient to prevent contamination of healthcare workers with droplet spread during the COVID-19 crisis. The added challenge of adequate aerosol protection has led to the development of an initial prototype intubation box. The primary objective was to determine the impact of an intubation box on the mean time to completion of intubation in a simulated airway. Secondary objectives included the best laryngoscopic view, the eefct of intubator seniority and mode of laryngoscopy on intubation.Methods: This was a randomised crossover study of the influence of an intubation box on mean time to completion of intubation of an airway management part-task trainer. Senior anaesthesiology staf were assigned to two groups and recordings of their attempts at intubation were analysed by two independent observers.Results: The intubation box led to a significantly longer mean time to completion of intubation of 7.6 seconds (95% CI 3.1; 12.2; p = 0.001) with direct laryngoscopy and 9.2 seconds (95% CI 3.8; 14.7; p = 0.001) with videolaryngoscopy. It did not influence best glottic view.Conclusion: We found that the use of an intubation box significantly prolonged the time to completion of intubation, but the clinical significance of the eefct size is uncertain.
  • Publisher: Medpharm Publications
  • Language: English
  • Identifier: ISSN: 2220-1181
    EISSN: 2220-1173
    DOI: 10.36303/SAJAA.2021.27.1.2452
  • Source: Taylor & Francis OA刊
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