Publication in refereed journal
香港中文大学研究人员 ( 现职)
| 李焕坤教授 (麻醉及深切治疗学系) |
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引用次数
Scopushttp://aims.cuhk.edu.hk/converis/portal/Publication/15Scopus source URL
其它资讯
摘要Objective: To determine whether certain life saving medical procedures can be successfully performed while wearing different levels of personal protective equipment (PPE), and whether these procedures can be performed in a clinically useful time frame. Methods: We assessed the capability of eight medical personnel to perform airway maintenance and antidote administration procedures on manikins, in all four described levels of PPE. The levels are: Level A - a fully encapsulated chemically resistant suit; Level B - a chemically resistant suit, gloves and boots with a full-faced positive pressure supplied air respirator; Level C - a chemically resistant splash suit, boots and gloves with an air-purifying positive or negative pressure respirator; Level D - a work uniform. Time in seconds to inflate the lungs of the manikin with bag-valve-mask, laryngeal mask airway (LMA) and endotracheal tube (ETT) were determined, as was the time to secure LMAs and ETTs with either tape or linen ties. Time to insert a cannula in a manikin was also determined. Results: There was a significant difference in time taken to perform procedures in differing levels of personal protective equipment (F 21,72 = 1.75, P = 0.04). Significant differences were found in: time to lung inflation using an endotracheal tube (A vs. C mean difference and standard error 75.6 ± 23. 9 s, P = 0.03; A vs. D mean difference and standard error 78.6 ± 23.9 s, P = 0.03); time to insert a cannula (A vs. D mean difference and standard error 63.6 ± 11.1 s, P < 0.001; C vs. D mean difference and standard error 40.0 ± 11.1 s, P = 0.01). Conclusions: A significantly greater time to complete procedures was documented in Level A PPE (fully encapsulated suits) compared with Levels C and D. There was however, no significant difference in times between Level B and Level C. The common practice of equipping hospital and medical staff with only Level C protection should be re-evaluated.
着者Garner A., Laurence H., Lee A.
期刊名称EMERGENCY MEDICINE AUSTRALASIA
出版年份2004
月份4
日期1
卷号16
期次2
出版社Blackwell Publishing Inc.
出版地United Kingdom
页次108 - 113
国际标準期刊号1742-6731
电子国际标準期刊号1742-6723
语言英式英语
关键词Cannulation, Chemical suit, Intubation, Personal protective equipment
