8 0

Protection afforded by respirators when performing endotracheal intubation using a direct laryngoscope, GlideScope (R), and i-gel (R) device: A randomized trial

Title
Protection afforded by respirators when performing endotracheal intubation using a direct laryngoscope, GlideScope (R), and i-gel (R) device: A randomized trial
Author
오재훈
Keywords
FILTERING FACEPIECE RESPIRATORS; HEALTH-CARE WORKERS; TRACHEAL INTUBATION; N95; DESATURATION; PENETRATION; INFECTIONS; LEAKAGE
Issue Date
2018-04
Publisher
PUBLIC LIBRARY SCIENCE
Citation
PLOS ONE, v. 13, no. 4, Article no. e0195745
Abstract
Emergency physicians are at risk of infection during invasive procedures, and wearing a respirator can reduce this risk. The aim of this study was to determine whether the protection afforded by a respirator during intubation is affected by the type of airway device used. In this randomized crossover study, 26 emergency physicians underwent quantitative fit tests for a N95 respirator (cup-type or fold-type) before and during intubation with a direct laryngoscope, GlideScope (R), or i-gel (R) airway device. The primary outcome was the fit factor value of the respirator and the secondary outcome was the level of acceptable protection provided (percentage of fit factor scores above 100). Compared with the GlideScope and i-gel device, the fit factor values and level of acceptable protection provided were lower when physicians wore the cup-type respirator while intubating using the direct laryngoscope (200 fit factor [152 - 200] and 200 fit factor [121.25 - 200] versus 166 fit factor [70 - 200], 100% and 100% versus 75%, respectively; all P < 0.001). There were no significant differences in the fit factor value or level of acceptable protection provided when the physicians wore the fold-type respirator while intubating using any of the three airway devices (all P > 0.05). The type of airway device used for endotracheal intubation may influence the protective performance of some types of respirators. Emergency physicians should consider the effects of airway device types on fit factor of N95 respirators, when they perform intubation at risk of infection.
URI
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0195745http://repository.hanyang.ac.kr/handle/20.500.11754/118223
ISSN
1932-6203
DOI
10.1371/journal.pone.0195745
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
Files in This Item:
A randomised, placebo-controlled, multicentre, Phase 2 clinical trial to evaluate the efficacy and safety of GV1001 in patients with benign prostat...Download
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE