The effect of full protective gear on intubation performance by hospital medical personnel

被引：30

作者：

Hendler, I ^{[1
]}

Nahtomi, O ^{[1
]}

Segal, E ^{[1
]}

Perel, A ^{[1
]}

Wiener, M ^{[1
]}

Meyerovitch, J ^{[1
]}

机构：

[1] Israel Def Forces Med Corps, Tel Aviv, Israel

来源：

MILITARY MEDICINE | 2000年 / 165卷 / 04期

关键词：

D O I：

10.1093/milmed/165.4.272

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: To assess the Influence of protective gear on intubation performance. Design: Prospective, controlled measurement of duration and quality of intubations performed on mannequins by medical personnel with and without protective gear in a crossover design. Participants: Eight teams each comprising an anesthesiologist and a nurse. Results: Intubation duration with and without chemical warfare gear was 69.2 +/- 7 and 47.3 +/- 6 seconds (mean +/- SEM), respectively (p < 0.05), Moreover, rating of intubation quality as "very good" by the anesthesiologists declined significantly from 62.5% without chemical, warfare protective gear to 6.25% with the garment and mask. Tube fixation was the rate-limiting step when performed with protective gear (p < 0.05); it was assessed by 81% of the anesthesiologists as the critical step. A learning curve was not observed during the study. Conclusion: Protective gear causes a significant prolongation of intubation duration; however, endotracheal intubation can be performed effectively. Technical improvements are warranted for tube fixation because it is the critical step.

引用

页码：272 / 274

页数：3

共 14 条

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