Evidence map›Paper›PMID 37020172›Full record

Trial reportCanadian journal of anaesthesia = Journal canadien d'anesthesie2023

A hood shield reduces postdoffing contamination during simulated COVID-19 airway management: an exploratory, simulation-based randomized study.

Felipe Muñoz-Leyva, Anahi Perlas, Ki Jinn Chin, Mehdi Soheili, Qixuan Li, Ella Huszti, Vincent Chan

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04373096 (Development of a Novel Hood Shield to Enhance PPE Security and Minimize COVID-19 Transmission to Front-line Health Care Workers Performing High-risk Procedures), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT04373096 naunknown statusnot on this map

Development of a Novel Hood Shield to Enhance PPE Security and Minimize COVID-19 Transmission to Front-line Health Care Workers Performing High-risk Procedures

TypeinterventionalSponsorUniversity Health Network, TorontoRan2020 to 2021Enrolled42ConditionsCovid19Armscurrent IPAC-UHN PPE, modified IPAC-UHN PPE
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

7 authors.

Felipe Muñoz-LeyvaDepartment of Anesthesiology and Pain Medicine, University Health Network, Toronto Western Hospital, University of Toronto, 399 Bathurst St., Mc Laughlin Pavilion, 2-405, Toronto, ON, M5T 2S8, Canada.
Anahi PerlasDepartment of Anesthesiology and Pain Medicine, University Health Network, Toronto Western Hospital, University of Toronto, 399 Bathurst St., Mc Laughlin Pavilion, 2-405, Toronto, ON, M5T 2S8, Canada. anahi.perlas@uhn.ca.ORCID http://orcid.org/0000-0002-8190-8314
Ki Jinn ChinDepartment of Anesthesiology and Pain Medicine, University Health Network, Toronto Western Hospital, University of Toronto, 399 Bathurst St., Mc Laughlin Pavilion, 2-405, Toronto, ON, M5T 2S8, Canada.
Mehdi SoheiliDepartment of Anesthesiology and Pain Medicine, University Health Network, Toronto Western Hospital, University of Toronto, 399 Bathurst St., Mc Laughlin Pavilion, 2-405, Toronto, ON, M5T 2S8, Canada.
Qixuan LiBiostatistics Research Unit, University Health Network, University of Toronto, Toronto, ON, Canada.
Ella HusztiBiostatistics Research Unit, University Health Network, University of Toronto, Toronto, ON, Canada.
Vincent ChanDepartment of Anesthesiology and Pain Medicine, University Health Network, Toronto Western Hospital, University of Toronto, 399 Bathurst St., Mc Laughlin Pavilion, 2-405, Toronto, ON, M5T 2S8, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSARS-CoV-2 poses a significant occupational health threat to health care workers performing aerosol-generating medical procedures, with a threefold increased risk of a positive test and predicted infection compared with the general population. Nevertheless, the personal protective equipment (PPE) configuration that provides better protection with lower contamination rates is still unknown.

methodsWe enrolled 40 practitioners with airway management training (anesthesiologists, anesthesia assistants/nurses) in an exploratory, simulation-based randomized study. We evaluated the performance of a novel, locally designed hood (n = 20) in terms of protection from surrogate contamination using an ultraviolet (UV) marker during a standardized urgent intubation procedure and a simulated episode of coughing in a high-fidelity simulation setting compared with standard PPE (n = 20). The primary outcome was the presence of residual UV fluorescent contamination on any base clothing or exposed skin of the upper body after doffing PPE assessed by a blinded evaluator.

resultsThe proportion of participants with residual contamination on any base clothing or exposed skin of the upper body after doffing was less than half in the hood PPE group compared with the standard PPE group (8/20 [40%] vs 18/20 [90%], respectively; P = 0.002).

conclusionsCompared with standard PPE, enhanced PPE with a locally designed prototype hood was associated with reduced contamination of the upper torso and fewer body areas being exposed to droplets after a simulated aerosol-generating scenario without designed airflow. STUDY REGISTRATION: ClinicalTrials.gov (NCT04373096); registered 4 May 2020.

Indexed as

COVID-19Health PersonnelHumansPersonal Protective EquipmentRespiratory Aerosols and DropletsSARS-CoV-2intubationpersonal protective equipmentSARS-CoV-2simulation training

Identifiers

PMID37020172
PMCPMC10075501

What OpenQuestion holds

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Registered trials

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.