Application of a protective sleeve is associated with decreased occupational anxiety during endotracheal intubation: a randomized controlled trial
Abstract Background The high risk of cross-infection during tracheal intubation has caused excessive occupational anxiety for anaesthesiologists amid the novel coronavirus disease 2019 (COVID-19) pandemic. Currently, there is no effective way to attenuate their anxiety in clinical practice. We found...
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-021-01467-7 |
| _version_ | 1818723372175982592 |
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| author | Chaojin Chen Ning Shen Liubing Chen Tongsen Luo Tianyou Lu Dezhao Liu Qi Zhang Ziqing Hei |
| author_facet | Chaojin Chen Ning Shen Liubing Chen Tongsen Luo Tianyou Lu Dezhao Liu Qi Zhang Ziqing Hei |
| author_sort | Chaojin Chen |
| collection | DOAJ |
| description | Abstract Background The high risk of cross-infection during tracheal intubation has caused excessive occupational anxiety for anaesthesiologists amid the novel coronavirus disease 2019 (COVID-19) pandemic. Currently, there is no effective way to attenuate their anxiety in clinical practice. We found that anaesthesiologist with better protective equipment might experience decreased levels of anxiety during intubation. Methods In this study, 60 patients who underwent intubation and extubation in the operating room were enrolled, and then randomized 1:1 to either wear protective sleeves (protective sleeve group) or not (control group). Visual analogue scale (VAS) was used to measure the anxiety level of anaesthesiologists during intubation. The respiratory droplets of patients on the sleeve, and the anaesthesiologists’ perception including the patient’s oral malodour, exertion, satisfaction degree, waist discomfort and shoulder discomfort were recorded. The patients’ anxiety, oppressed feelings and hypoxia and postoperative complications were all measured and recorded. Results Compared with the control group, the anaesthesiologists in protective sleeve group achieved lower anxiety scores and better satisfaction degrees during the process of intubation and extubation (all P < 0.05). Respiratory droplets were observed only on the inner side, but not the external side, of the protective sleeves (P < 0.001). The incidence of the anaesthesiologists’ perception of patients’ oral malodour was significantly lower in the protective sleeve group (P = 0.02) and no patients developed hypoxemia or intubation-related complications in the protective sleeve group. Conclusion Using protective devices for intubation might eliminate droplet transmission from patients to anaesthesiologists, while also decreasing their anxiety in a controlled operating room environment. Trial registration Chinese Clinical Trial. no. ChiCTR2000030705 . Registry at www.chictr.org.cn on 10/03/2020. |
| first_indexed | 2024-12-17T21:09:28Z |
| format | Article |
| id | doaj.art-2d9ca1a0cf944e83b83b209cd7a8559f |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-17T21:09:28Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-2d9ca1a0cf944e83b83b209cd7a8559f2022-12-21T21:32:30ZengBMCBMC Anesthesiology1471-22532021-10-012111910.1186/s12871-021-01467-7Application of a protective sleeve is associated with decreased occupational anxiety during endotracheal intubation: a randomized controlled trialChaojin Chen0Ning Shen1Liubing Chen2Tongsen Luo3Tianyou Lu4Dezhao Liu5Qi Zhang6Ziqing Hei7Department of Anaesthesiology, The Third Affiliated Hospital of Sun Yat-sen UniversityDepartment of Anaesthesiology, The Third Affiliated Hospital of Sun Yat-sen UniversityDepartment of Anaesthesiology, The Third Affiliated Hospital of Sun Yat-sen UniversityDepartment of Anaesthesiology, The Third Affiliated Hospital of Sun Yat-sen UniversityDepartment of Anaesthesiology, The Third Affiliated Hospital of Sun Yat-sen UniversityDepartment of Anaesthesiology, The Third Affiliated Hospital of Sun Yat-sen UniversityCell-gene Therapy Translational Medicine Research Center, The Third Affiliated Hospital, Sun Yat-sen UniversityDepartment of Anaesthesiology, The Third Affiliated Hospital of Sun Yat-sen UniversityAbstract Background The high risk of cross-infection during tracheal intubation has caused excessive occupational anxiety for anaesthesiologists amid the novel coronavirus disease 2019 (COVID-19) pandemic. Currently, there is no effective way to attenuate their anxiety in clinical practice. We found that anaesthesiologist with better protective equipment might experience decreased levels of anxiety during intubation. Methods In this study, 60 patients who underwent intubation and extubation in the operating room were enrolled, and then randomized 1:1 to either wear protective sleeves (protective sleeve group) or not (control group). Visual analogue scale (VAS) was used to measure the anxiety level of anaesthesiologists during intubation. The respiratory droplets of patients on the sleeve, and the anaesthesiologists’ perception including the patient’s oral malodour, exertion, satisfaction degree, waist discomfort and shoulder discomfort were recorded. The patients’ anxiety, oppressed feelings and hypoxia and postoperative complications were all measured and recorded. Results Compared with the control group, the anaesthesiologists in protective sleeve group achieved lower anxiety scores and better satisfaction degrees during the process of intubation and extubation (all P < 0.05). Respiratory droplets were observed only on the inner side, but not the external side, of the protective sleeves (P < 0.001). The incidence of the anaesthesiologists’ perception of patients’ oral malodour was significantly lower in the protective sleeve group (P = 0.02) and no patients developed hypoxemia or intubation-related complications in the protective sleeve group. Conclusion Using protective devices for intubation might eliminate droplet transmission from patients to anaesthesiologists, while also decreasing their anxiety in a controlled operating room environment. Trial registration Chinese Clinical Trial. no. ChiCTR2000030705 . Registry at www.chictr.org.cn on 10/03/2020.https://doi.org/10.1186/s12871-021-01467-7Novel protective sleeveEndotracheal intubationAnxietyAnaesthesiologistsOccupational infectionCOVID-19 |
| spellingShingle | Chaojin Chen Ning Shen Liubing Chen Tongsen Luo Tianyou Lu Dezhao Liu Qi Zhang Ziqing Hei Application of a protective sleeve is associated with decreased occupational anxiety during endotracheal intubation: a randomized controlled trial BMC Anesthesiology Novel protective sleeve Endotracheal intubation Anxiety Anaesthesiologists Occupational infection COVID-19 |
| title | Application of a protective sleeve is associated with decreased occupational anxiety during endotracheal intubation: a randomized controlled trial |
| title_full | Application of a protective sleeve is associated with decreased occupational anxiety during endotracheal intubation: a randomized controlled trial |
| title_fullStr | Application of a protective sleeve is associated with decreased occupational anxiety during endotracheal intubation: a randomized controlled trial |
| title_full_unstemmed | Application of a protective sleeve is associated with decreased occupational anxiety during endotracheal intubation: a randomized controlled trial |
| title_short | Application of a protective sleeve is associated with decreased occupational anxiety during endotracheal intubation: a randomized controlled trial |
| title_sort | application of a protective sleeve is associated with decreased occupational anxiety during endotracheal intubation a randomized controlled trial |
| topic | Novel protective sleeve Endotracheal intubation Anxiety Anaesthesiologists Occupational infection COVID-19 |
| url | https://doi.org/10.1186/s12871-021-01467-7 |
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