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10.5811/westjem.2020.7.48574 http://scihub22266oqcxt.onion/10.5811/westjem.2020.7.48574 32970558!7514393!32970558     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       West+J+Emerg+Med 2020 ; 21 (5): 1080-1083 Nephropedia Template TP {{tp|p=32970558|t=2020. Barrier Enclosure for Endotracheal Intubation in a Simulated COVID-19 Scenario: A Crossover Study |pdf=|usr=}}{{32970558}} gab.com Text Barrier Enclosure for Endotracheal Intubation in a Simulated COVID-19 Scenario: A Crossover Study JO: West J Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=32970558 #FOAvip INTRODUCTION: Barrier enclosures have been developed to reduce the risk of COVID-19 transmission to healthcare providers during intubation, but little is known about their impact on procedure performance. We sought to determine whether a barrier enclosure delays time to successful intubation by experienced airway operators. METHODS: We conducted a crossover simulation study at a tertiary academic hospital. Participants watched a four-minute video, practiced one simulated intubation with a barrier enclosure, and then completed one intubation with and one without the barrier enclosure (randomized to determine order). The primary outcome measure was time from placement of the video laryngoscope at the lips to first delivered ventilation. Secondary outcomes were periprocedural complications and participant responses to a post-study survey. RESULTS: Proceduralists (n = 50) from emergency medicine and anesthesiology had median intubation times of 23.6 seconds with practice barrier enclosure, 20.5 seconds with barrier enclosure, and 16.7 seconds with no barrier. Intubation with barrier enclosure averaged 4.5 seconds longer (95% confidence interval, 2.7-6.4, p < .001) than without, but was less than the predetermined clinical significance threshold of 10 seconds. Three complications occurred, all during the practice intubation. Barrier enclosure made intubation more challenging according to 48%, but 90% indicated they would consider using it in clinical practice. CONCLUSION: Experienced airway operators performed intubation using a barrier enclosure with minimal increased time to procedure completion in this uncomplicated airway model. Given potential to reduce droplet spread, use of a barrier enclosure may be an acceptable adjunct to endotracheal intubation for those familiar with its use. Twit Text FOAVip Barrier Enclosure for Endotracheal Intubation in a Simulated COVID-19 Scenario: A Crossover Study ????West J Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=32970558 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32970558 #FOAvip English Wikipedia <ref>{{Cite pmid|32970558}}</ref> Barrier Enclosure for Endotracheal Intubation in a Simulated COVID-19 Scenario: A Crossover Study #MMPMID32970558 Laack TA; Pollok F; Sandefur BJ; Mullan AF; Russi CS; Yalamuri SM West J Emerg Med 2020[Aug]; 21 (5): 1080-1083 PMID32970558show ga INTRODUCTION: Barrier enclosures have been developed to reduce the risk of COVID-19 transmission to healthcare providers during intubation, but little is known about their impact on procedure performance. We sought to determine whether a barrier enclosure delays time to successful intubation by experienced airway operators. METHODS: We conducted a crossover simulation study at a tertiary academic hospital. Participants watched a four-minute video, practiced one simulated intubation with a barrier enclosure, and then completed one intubation with and one without the barrier enclosure (randomized to determine order). The primary outcome measure was time from placement of the video laryngoscope at the lips to first delivered ventilation. Secondary outcomes were periprocedural complications and participant responses to a post-study survey. RESULTS: Proceduralists (n = 50) from emergency medicine and anesthesiology had median intubation times of 23.6 seconds with practice barrier enclosure, 20.5 seconds with barrier enclosure, and 16.7 seconds with no barrier. Intubation with barrier enclosure averaged 4.5 seconds longer (95% confidence interval, 2.7-6.4, p < .001) than without, but was less than the predetermined clinical significance threshold of 10 seconds. Three complications occurred, all during the practice intubation. Barrier enclosure made intubation more challenging according to 48%, but 90% indicated they would consider using it in clinical practice. CONCLUSION: Experienced airway operators performed intubation using a barrier enclosure with minimal increased time to procedure completion in this uncomplicated airway model. Given potential to reduce droplet spread, use of a barrier enclosure may be an acceptable adjunct to endotracheal intubation for those familiar with its use. |*Betacoronavirus[MESH] |Adult[MESH] |Anesthesiology[MESH] |COVID-19[MESH] |Clinical Competence/*statistics & numerical data[MESH] |Coronavirus Infections/*therapy/transmission[MESH] |Cross-Over Studies[MESH] |Emergency Medicine[MESH] |Female[MESH] |Humans[MESH] |Infectious Disease Transmission, Patient-to-Professional/*prevention & control[MESH] |Intubation, Intratracheal/*instrumentation/methods[MESH] |Laryngoscopes[MESH] |Male[MESH] |Manikins[MESH] |Pandemics[MESH] |Pneumonia, Viral/*therapy/transmission[MESH] |SARS-CoV-2[MESH]Barrier Enclosure for Endotracheal Intubation in a Simulated COVID-19 (epmc).pdf DeepDyve Pubget Overpricing