Impact of personal protective equipment on neonatal resuscitation procedures: a randomised, cross-over, simulation study.
Arch Dis Child Fetal Neonatal Ed
; 107(2): 211-215, 2022 Mar.
Article
in English
| MEDLINE | ID: covidwho-1398607
ABSTRACT
BACKGROUND AND OBJECTIVE:
Healthcare providers should use personal protective equipment (PPE) when performing aerosol-generating medical procedures during highly infectious respiratory pandemics. We aimed to compare the timing of neonatal resuscitation procedures in a manikin model with or without PPE for prevention of SARS-COVID-19 transmission.METHODS:
A randomised controlled cross-over (AB/BA) trial of resuscitation with or without PPE in a neonatal resuscitation scenario. Forty-eight participants were divided in 12 consultant-nurse teams and 12 resident-nurse teams. The primary outcome measure was the time of positive pressure ventilation (PPV) initiation. The secondary outcome measures were duration of tracheal intubation procedure, time of initiation of chest compressions, correct use of PPE and discomfort/limitations using PPE.RESULTS:
There were significant differences in timing of PPV initiation (consultant-nurse teams mean difference (MD) 6.0 s, 95% CI 1.1 to 10.9 s; resident-nurse teams MD 11.0 s, 95% CI 1.9 to 20.0 s), duration of tracheal intubation (consultant-nurse teams MD 22.0 s, 95% CI 7.0 to 36.9 s; resident-nurse teams MD 9.1 s, 95% CI 0.1 to 18.1 s) and chest compressions (consultant-nurse teams MD 32.3 s, 95% CI 14.4 to 50.1 s; resident-nurse teams MD 9.1 s, 95% CI 0.1 to 18.1 s). Twelve participants completed the dressing after entering the delivery room. PPE was associated with visual limitations (43/48 participants), discomfort in movements (42/48), limitations in communication (32/48) and thermal discomfort (29/48).CONCLUSIONS:
In a manikin model, using PPE delayed neonatal resuscitation procedures with potential clinical impact. Healthcare workers reported limitations and discomfort when wearing PPE. TRIAL REGISTRATION NUMBER NCT04666233.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Resuscitation
/
Personal Protective Equipment
/
COVID-19
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Humans
/
Infant, Newborn
Language:
English
Journal:
Arch Dis Child Fetal Neonatal Ed
Journal subject:
Pediatrics
/
Perinatology
Year:
2022
Document Type:
Article
Affiliation country:
Archdischild-2021-322216
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