Evidence map›Paper›PMID 35361300›Full record

ArticleInfection control and hospital epidemiology2023

HALO CleanSpace PAPR evaluation: Communication, respiratory protection, and usability.

Irene Ng, Keat Lee, Benjamin Kave, Michael Kluger, Camille Paynter, Reny Segal, Roni Benjamin Krieser, Paul Mario Mezzavia, Shan Hung, Yinwei Chen and 2 more

Abstract read
In one paragraph

Article in Infection control and hospital epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Irene NgDepartment of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia.ORCID 0000-0002-6632-5604
Keat LeeDepartment of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia.ORCID 0000-0001-9904-4676
Benjamin KaveDepartment of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia.
Michael KlugerDepartment of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia.ORCID 0000-0002-5834-9980
Camille PaynterDepartment of Speech Pathology, The Royal Melbourne Hospital, Parkville, Australia.ORCID 0000-0002-1845-126X
Reny SegalDepartment of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia.ORCID 0000-0001-5805-5491
Roni Benjamin KrieserDepartment of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia.ORCID 0000-0001-7120-5677
Paul Mario MezzaviaDepartment of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia.ORCID 0000-0001-5472-1098
Shan HungDepartment of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia.
Yinwei ChenDepartment of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia.ORCID 0000-0001-7673-405X
Teresa SindoniDepartment of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia.ORCID 0000-0002-4646-7015
Daryl Lindsay WilliamsDepartment of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia.ORCID 0000-0002-6987-5804

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate a relatively new half-face-piece powered air-purifying respirator (PAPR) device called the HALO (CleanSpace). We assessed its communication performance, its degree of respiratory protection, and its usability and comfort level. DESIGN AND

settingThis simulation study was conducted at the simulation center of the Royal Melbourne Hospital.

participantsIn total, 8 voluntary healthcare workers participated in the study: 4 women and 4 men comprising 3 nursing staff and 5 medical staff.

methodsWe performed the modified rhyme test, outlined by the National Institute for Occupational Safety and Health (NIOSH), for the communication assessment. We conducted quantitative fit test and simulated workplace protection factor studies to assess the degree of respiratory protection for participants at rest, during, and immediately after performing chest compression. We also invited the participants to complete a usability and comfort survey.

resultsThe HALO PAPR met the NIOSH minimum standard for speech intelligibility, which was significantly improved with the addition of wireless communication headsets. The HALO provided consistent and adequate level of respiratory protection at rest, during and after chest compression regardless of the device power mode. It was rated favorably for its usability and comfort. However, participants criticized doffing difficulty and perceived communication interference.

conclusionsThe HALO device can be considered as an alternative to a filtering face-piece respirator. Thorough doffing training and mitigation planning to improve the device communication performance are recommended. Further research is required to examine its clinical outcomes and barriers that may potentially affect patient or healthcare worker safety.

Indexed as

Occupational ExposureRespiratory Protective DevicesCommunicationFemaleHealth PersonnelHumansMaleVentilators, Mechanical

Identifiers

PMID35361300
PMCPMC9929704

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.