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The impact of respiratory protective equipment on difficult airway management: A randomized, crossover, simulation study

Anaesthesia May 02, 2020

Schumacher J, Arlidge J, Dudley D, et al. - In view of the importance of adequate and suitable personal protective equipment for clinical staff during acute airway management as as suggested by the current international coronavirus disease 19 health crisis, researchers sought to compare the influences of standard air purifying respirators and powered air purifying respirators during simulated difficult airway scenarios. Four different standardized difficult intubation drills were conducted by 25 anesthetists, either unprotected (control), or wearing a standard, or a powered respirator. Researchers here determined and compared treatment times and wearer comfort. No significant differences were observed in total mean (SD) intubation times for the four interventions between the powered and the standard respirator groups. Regardless of the respiratory protective device used the shortest intubation times were observed with videolaryngoscopy. In the powered respirator group, anaesthetists rated heat and vision significantly higher; however, significantly lower noise levels were perceived vs the standard respirator group. Per these findings, standard and powered respirators do not lead to significantly prolong simulated advanced intubation procedures.

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