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Evaluation of The Effects of Personal Protective Equipment During Airway Management

26. april 2021 oppdatert av: Kezban Aydan Okuyucu

Evaluation of The Effects of Personal Protective Equipment During Airway Management; A Prospective, Non-randomized, Controlled, Simulation Study

Covid-19 disease has caused a worldwide pandemic. However, it was necessary to reduce the transmission of the disease as much as possible. The highest risk of transmission is airway management. Medical personnel responsible for airway management are at the greatest risk. One of the most important ways to protect anesthetists from contamination is to use PPE. But, it should be considered that there is some disadvantage about using PPE. The investigators aimed to evaluate the effects of the use of personal protective equipment and standard uniform during airway management.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

Objective: The investigators aimed to compare the effects of the use of personal protective equipment and standard uniform during airway management using direct laryngoscope, GlideScope video laryngoscope, C-Mac video laryngoscope, I-gel laryngeal mask airway , ProSeal laryngeal mask airway and Frova intubation catheter on the manikin that created both difficult airway and normal airway conditions in the Department of Anesthesiology and Reanimation at the Derince Training and Research Hospital, University of Health Sciences.

Materials and Methods: The study will carry out with 24 participants in Health Sciences University Kocaeli Derince Health Education and Research Center. In the study, a simulation manikin will use to evaluate the effect of personal protective equipment use on airway management. Anesthesia technicians, anesthesia residents and specialists will include as participants. As demographic data, the clinical positions of the participants, their experiences with each airway method and the use of personal protective equipment, age, gender, height and weight information will be recorded. Each procedure will be explained to the participants by an anesthesiology specialist and a resident. Then the participants perform their procedure first with standard uniform and then by wearing personal protective equipment. Endotracheal intubation with direct laryngoscope, GlideScope video laryngoscope, C-Mac video laryngoscope and Frova intubation catheter followed by I-gel and ProSeal laryngeal mask airway will be used, respectively. Each procedure will be carried out by creating normal and difficult airway conditions, respectively. Time, number of attempts and presence of optimization maneuver will be recorded for each procedure. Modified CLS (Cormack Lehane Score) and POGO (Percentage Of Glottic Opening) scores will be also recorded during intubation procedures. Each participant will be asked to give a score between 1 and 100 using the Visual Analogue Scale (VAS) in order to evaluate the difficulty of intervention after each procedure subjectively and it will be recorded. Finally, the other subjective effects of personal protective equipment using on participants (such as sweating, feeling of warmth) will be asked.

Studietype

Observasjonsmessig

Registrering (Faktiske)

3

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Tyrkia
    • Kocaeli̇
      • Kocaeli, Kocaeli̇, Tyrkia, 41900
        • Aydan Okuyucu

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Barn
  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

Anesthesiology residents, anesthesiology specialists or anesthesia nurses will be participants in this study.

Beskrivelse

Inclusion Criteria:

  • Being an anesthesiology resident, specialist or nurse

Exclusion Criteria:

  • Anxiety Disorder
  • Severe heart or lung disease
  • Claustrophobia

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Kohorter og intervensjoner

Gruppe / Kohort
Intervensjon / Behandling
normal airway manikin with standard uniform
The participants will carry out intubation procedure using macintosh direct laryngoscope, GlideScope video laryngoscope, C-Mac video laryngoscope and Frova intubation catheter and laryngeal mask insertion using ProSeal LMA and I-gel LMA, respectively.
Enhet: endotracheal intubation and laringeal mask airway insertion
endotracheal intubation and laringeal mask airway insertion on the airway manikin with different devices
normal airway manikin with personal protective equipment
The participants will carry out intubation procedure using macintosh direct laryngoscope, GlideScope video laryngoscope, C-Mac video laryngoscope and Frova intubation catheter and laryngeal mask insertion using ProSeal LMA and I-gel LMA, respectively.
Enhet: endotracheal intubation and laringeal mask airway insertion
endotracheal intubation and laringeal mask airway insertion on the airway manikin with different devices
difficult airway manikin with standard uniform
The participants will carry out intubation procedure using macintosh direct laryngoscope, GlideScope video laryngoscope, C-Mac video laryngoscope and Frova intubation catheter and laryngeal mask insertion using ProSeal LMA and I-gel LMA, respectively.
Enhet: endotracheal intubation and laringeal mask airway insertion
endotracheal intubation and laringeal mask airway insertion on the airway manikin with different devices
difficult airway manikin with personal protective equipment
The participants will carry out intubation procedure using macintosh direct laryngoscope, GlideScope video laryngoscope, C-Mac video laryngoscope and Frova intubation catheter and laryngeal mask insertion using ProSeal LMA and I-gel LMA, respectively.
Enhet: endotracheal intubation and laringeal mask airway insertion
endotracheal intubation and laringeal mask airway insertion on the airway manikin with different devices

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Evaluation of times
Tidsramme: 2 minutes
For intubations from holding the laryngoscope to ventilation, for laryngeal mask airway insertion from holding the laryngeal mask airway to ventilation For intubation time from holding the laryngoscope to observing glottic opening for standard uniform.
2 minutes
Evaluation of times
Tidsramme: 4 minutes
For intubations from holding the laryngoscope to ventilation, for laryngeal mask airway insertion from holding the laryngeal mask airway to ventilation For intubation time from holding the laryngoscope to observing the glottic opening for personal protective equipment.
4 minutes
Evaluation of number of attempts
Tidsramme: 2 minutes
For both intubation and laryngeal mask airway insertion, number of attempts until ventilation
2 minutes
Evaluation of presence of optimisation maneuver
Tidsramme: 30 seconds
Whether there is optimisation maneuver for each attempt whether there is maneuver for each attempt
30 seconds
Evaluation of Modified Cormack/Lehane classification
Tidsramme: 30 seconds
The classification includes 5 grades; grade 1, 2a, 2b, 3 and 4. Grade 1 defines the best image of glottis.
30 seconds
Evaluation of Percentage of Glottic Opening Scores
Tidsramme: 30 seconds
Percentage of Glottic Opening describes the percentage of the glottic opening as percentages (0-100). Number 100 describes that the participants see all glottic openings. Number 0 describes that nothing is seen.
30 seconds

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Visual Analog Scale of using personal protective equipment
Tidsramme: 15 minutes
The visual analog scale is a scale that converts a subjective property to digital data. It has values between 0-100. Generally it is used for describing pain level. But it is used for describing the difficulty of attempts in this study. Number 0 explains that the attempt is very easy and number 100 is very difficult.
15 minutes

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Kezban Aydan Okuyucu

Etterforskere

  • Studieleder: Mehmet Yilmaz, 2, University of Healt Sciences, Kocaeli Derince Education and Research Hospital

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

5. februar 2021

Primær fullføring (Faktiske)

5. februar 2021

Studiet fullført (Faktiske)

7. februar 2021

Datoer for studieregistrering

Først innsendt

6. januar 2021

Først innsendt som oppfylte QC-kriteriene

26. april 2021

Først lagt ut (Faktiske)

29. april 2021

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

29. april 2021

Siste oppdatering sendt inn som oppfylte QC-kriteriene

26. april 2021

Sist bekreftet

1. april 2021

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • derinceanesteziaydan-1

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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