COVID-19, Intubation, Intratracheal
Conditions
Keywords
aerosol box, COVID-19, intubation, personal protective equipment, barrier device
Brief summary
The aim of this study is to compare the impact of using the aerosol box and transparent sheet as an adjunct to conventional personal protective equipment on endotracheal intubation of COVID-19 patients. The effect of the head of the bed elevation will also be evaluated during the mentioned simulated scenarios.
Detailed description
This is a randomized, prospective, manikin simulation study. Emergency medicine specialists will be participated in the study. Participants will be randomly assigned into 6 groups with a 1:1:1:1:1:1 allocation following simple randomization procedures by a program generating online random numbers. 13 participants will be recruited to the study. Operators who will intubate the manikin will use following methods: (1) conventional personal protective equipment (PPE) with placing the manikin in the supine position. (2) aerosol box as an adjunct to PPE with placing the manikin in the supine position. (3) transparent sheet as an adjunct to PPE with placing the manikin in the supine position. (4) conventional personal protective equipment (PPE) with placing the manikin in the 30 degree the head of the bed elevated position. (5) aerosol box as an adjunct to PPE with placing the manikin in the 30 degree the head of the bed elevated position. (6) transparent sheet as an adjunct to PPE with placing the manikin in the 30 degree the head of the bed elevated position.
Interventions
DEVICEaerosol box
The aerosol box is a barrier that protects the staff against the aerosols during the aerosol generating procedures like endotracheal intubation. It is a transparent cube that covers the patient's head during the endotracheal intubation. Operator can intubate the patient through the two holes for arms.
DEVICEtransparent sheet
The transparent sheet is a barrier that protects the staff against the aerosols during the aerosol generating procedures like endotracheal intubation. It is a transparent cover that covers the patient's head and body during the endotracheal intubation. Operator can intubate the patient through the space under the cover
Sponsors
Derince Training and Research Hospital
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Participants who want to participate the study
Exclusion criteria
* Participants who do not want to participate the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| First pass success | 2 minutes | Comparison of the first pass success rates for each method that were mentioned in the 'Detailed Description' of the study. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to endotracheal intubation | 2 minutes | The mean time to successful endotracheal intubation for each method that were mentioned in the 'Detailed Description' of the study. |
| Difficulty level of accessing the equipment | 2 minutes | Grading the difficulty of accessing the equipment on a 5-point Likert scale for each method that were mentioned in the 'Detailed Description' of the study. |
| Difficulty level of inserting the endotracheal tube into the glottis | 2 minutes | Grading the difficulty of inserting the endotracheal tube into the glottis on a 5-point Likert scale for each method that were mentioned in the 'Detailed Description' of the study. |
| Clarity of the view of the patient's face | 2 minutes | Grading the clarity of the view of the patient's face on a 5-point Likert scale for each method that were mentioned in the 'Detailed Description' of the study. |
Countries
Turkey (Türkiye)
Outcome results
None listed