Vliv OOPP na netechnické dovednosti při resuscitaci

Abstract

Background

In the midst of the COVID-19 pandemic, healthcare professionals frequently utilized personal protective equipment (PPE) beyond guidelines established by public health agencies. The purpose of this study was to assess the impact of this additional PPE on team performance during a medical emergency.

Methods

This was a single-center, prospective, randomized, controlled, open-label study. Twenty-two teams, each consisting of a physician and two nurses, were randomized in a 1:1 ratio to either use the standard PPE recommended by the World Health Organization (WHO) or the "Super-Safe Setup" (SSE). Prior to randomization, all teams underwent a standardized mock scenario without the use of PPE to establish baseline performance. The primary outcome was team performance, which was assessed using the Team Emergency Assessment Measure (TEAM) score. Secondary outcomes included the timing and quality of cardiopulmonary resuscitation (CPR) and physiological changes of the rescuers.

Results

Compared to the standard PPE recommended by the WHO, the use of additional PPE resulted in a significant reduction in the non-technical skills of teams (TEAM score 30.6±5.7 vs. 36.2± 5.0, p=0.030). This reduction was mainly due to impaired performance in complex tasks such as planning, prioritization, and following guidelines. However, there was no significant difference in the quality or timing of milestones during simulated CPR. Additionally, there were no differences in the physiological responses of the rescuers.

Conclusions

In a simulated crisis, the use of additional PPE compared to the WHO-recommended PPE resulted in a degradation of non-technical team skills. However, this did not translate into any noticeable deterioration in patient-centered outcomes, such as the quality or timing of CPR.

Publikováno: 3. 8. 2023 13:49

Autor:

David Peřan