Simulation and evaluation of the protective barrier enclosure for cardiopulmonary resuscitation

Introduction: The COVID-19 pandemic has presented a significant challenge for infection prevention and control during airway management in anaesthesia and critical care. The protective barrier enclosure has been described and studied particularly for perioperative anaesthesia use. The potential use...

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Autores principales: Farah H. Jamaludin, Shahridan M. Fathil, Tuck-Whye Wong, Maryam S. Termizi, Steven H. Hsu, Hsien Y. Lai
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Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/fa628ca02a934448911775955de1d65e
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spelling oai:doaj.org-article:fa628ca02a934448911775955de1d65e2021-11-14T04:35:48ZSimulation and evaluation of the protective barrier enclosure for cardiopulmonary resuscitation2666-520410.1016/j.resplu.2021.100180https://doaj.org/article/fa628ca02a934448911775955de1d65e2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666520421001053https://doaj.org/toc/2666-5204Introduction: The COVID-19 pandemic has presented a significant challenge for infection prevention and control during airway management in anaesthesia and critical care. The protective barrier enclosure has been described and studied particularly for perioperative anaesthesia use. The potential use of the protective barrier enclosure during cardiopulmonary resuscitation has been poorly explored in the current literature. This work aims to demonstrate the potential of protective barrier enclosure in limiting aerosol dispersion during cardiopulmonary resuscitation delivery. Methods: A proof-of-concept simulation study was conducted to evaluate the protective properties of the protective barrier enclosure during cardiopulmonary resuscitation. Aerosol was simulated using a fluorescent dye trapped within the manikin. Three different methods of cardiopulmonary resuscitation delivery with a protective barrier enclosure applied over the manikin’s head were conducted. The first method simulated a chest compression only cardiopulmonary resuscitation, the second method also used chest compressions only, with a face mask fitted on the victim, while the third method, the victim was given chest compression and bag-valve-mask ventilation by two rescuers. Results: In the first method, release of aerosol from the manikin’s mouth was observed during chest compression, while in second method, most of the aerosol was trapped within the face mask, with only minor leaking. However, when bag-valve-mask ventilation was delivered, the aerosol leaked out at high speed around the bag-valve-mask seal. No aerosol condensation was found outside of the protective barrier enclosure in all scenes. Conclusion: Protective barrier enclosure may reduce aerosol exposure to the rescuers during out-of-hospital cardiac arrest.Farah H. JamaludinShahridan M. FathilTuck-Whye WongMaryam S. TermiziSteven H. HsuHsien Y. LaiElsevierarticleProtective barrier enclosureOut-of-hospital cardiac arrestAerosol-generating procedureCardiopulmonary resuscitationSpecialties of internal medicineRC581-951ENResuscitation Plus, Vol 8, Iss , Pp 100180- (2021)
institution DOAJ
collection DOAJ
language EN
topic Protective barrier enclosure
Out-of-hospital cardiac arrest
Aerosol-generating procedure
Cardiopulmonary resuscitation
Specialties of internal medicine
RC581-951
spellingShingle Protective barrier enclosure
Out-of-hospital cardiac arrest
Aerosol-generating procedure
Cardiopulmonary resuscitation
Specialties of internal medicine
RC581-951
Farah H. Jamaludin
Shahridan M. Fathil
Tuck-Whye Wong
Maryam S. Termizi
Steven H. Hsu
Hsien Y. Lai
Simulation and evaluation of the protective barrier enclosure for cardiopulmonary resuscitation
description Introduction: The COVID-19 pandemic has presented a significant challenge for infection prevention and control during airway management in anaesthesia and critical care. The protective barrier enclosure has been described and studied particularly for perioperative anaesthesia use. The potential use of the protective barrier enclosure during cardiopulmonary resuscitation has been poorly explored in the current literature. This work aims to demonstrate the potential of protective barrier enclosure in limiting aerosol dispersion during cardiopulmonary resuscitation delivery. Methods: A proof-of-concept simulation study was conducted to evaluate the protective properties of the protective barrier enclosure during cardiopulmonary resuscitation. Aerosol was simulated using a fluorescent dye trapped within the manikin. Three different methods of cardiopulmonary resuscitation delivery with a protective barrier enclosure applied over the manikin’s head were conducted. The first method simulated a chest compression only cardiopulmonary resuscitation, the second method also used chest compressions only, with a face mask fitted on the victim, while the third method, the victim was given chest compression and bag-valve-mask ventilation by two rescuers. Results: In the first method, release of aerosol from the manikin’s mouth was observed during chest compression, while in second method, most of the aerosol was trapped within the face mask, with only minor leaking. However, when bag-valve-mask ventilation was delivered, the aerosol leaked out at high speed around the bag-valve-mask seal. No aerosol condensation was found outside of the protective barrier enclosure in all scenes. Conclusion: Protective barrier enclosure may reduce aerosol exposure to the rescuers during out-of-hospital cardiac arrest.
format article
author Farah H. Jamaludin
Shahridan M. Fathil
Tuck-Whye Wong
Maryam S. Termizi
Steven H. Hsu
Hsien Y. Lai
author_facet Farah H. Jamaludin
Shahridan M. Fathil
Tuck-Whye Wong
Maryam S. Termizi
Steven H. Hsu
Hsien Y. Lai
author_sort Farah H. Jamaludin
title Simulation and evaluation of the protective barrier enclosure for cardiopulmonary resuscitation
title_short Simulation and evaluation of the protective barrier enclosure for cardiopulmonary resuscitation
title_full Simulation and evaluation of the protective barrier enclosure for cardiopulmonary resuscitation
title_fullStr Simulation and evaluation of the protective barrier enclosure for cardiopulmonary resuscitation
title_full_unstemmed Simulation and evaluation of the protective barrier enclosure for cardiopulmonary resuscitation
title_sort simulation and evaluation of the protective barrier enclosure for cardiopulmonary resuscitation
publisher Elsevier
publishDate 2021
url https://doaj.org/article/fa628ca02a934448911775955de1d65e
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