Evidence map›Paper›PMID 37532861›Full record

ArticleScientific reports2023

A comparative analysis of aerosol exposure and prevention strategies in bystander, pre-hospital, and inpatient cardiopulmonary resuscitation using simulation manikins.

Tzu-Yao Hung, Chung-Shiung Wen, Sheng-Han Yu, Yi-Chang Chen, Hsin-Ling Chen, Wei-Lun Chen, Chih-Chieh Wu, Yung-Cheng Su, Chun-Lung Lin, Shih-Cheng Hu and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06719401 (Comparing Foot and Hand Cardiopulmonary Resuscitation), 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
1.0field-weighted citation impact, top 24% of its field
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.

NCT06719401 nacompletednot on this map

Comparing Foot and Hand Cardiopulmonary Resuscitation: a Non- Inferiority, Crossover, Randomised Controlled Simulation Study

TypeinterventionalSponsorSeoul National University HospitalRan2022 to 2022Enrolled72ConditionsCardiac Arrest (CA), Simulation TrainingArmsFoot Chest Compression, Hand Chest Compression
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  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

11 authors at 3 institutions in 1 country.

Tzu-Yao HungDepartment of Emergency Medicine, Zhong-Xing Branch, Taipei City Hospital, Taipei City, Taiwan.
Chung-Shiung WenDepartment of Emergency Medicine, Zhong-Xing Branch, Taipei City Hospital, Taipei City, Taiwan.
Sheng-Han YuDepartment of Emergency Medicine, Zhong-Xing Branch, Taipei City Hospital, Taipei City, Taiwan.
Yi-Chang ChenDepartment of Energy and Refrigerating Air-Conditioning Engineering, National Taipei University of Technology, Taipei, Taiwan.
Hsin-Ling ChenDepartment of Emergency Medicine, Zhong-Xing Branch, Taipei City Hospital, Taipei City, Taiwan.
Wei-Lun ChenDepartment of Emergency Medicine, Zhong-Xing Branch, Taipei City Hospital, Taipei City, Taiwan.
Chih-Chieh WuDepartment of Emergency Medicine, Zhong-Xing Branch, Taipei City Hospital, Taipei City, Taiwan.
Yung-Cheng Su *School of Medicine, Tzu Chi University, Hualien County, Taiwan. drsu119@gmail.com.
Chun-Lung Lin *Department of Emergency Medicine, Zhong-Xing Branch, Taipei City Hospital, Taipei City, Taiwan.
Shih-Cheng Hu *Department of Energy and Refrigerating Air-Conditioning Engineering, National Taipei University of Technology, Taipei, Taiwan.
Tee Lin *Department of Energy and Refrigerating Air-Conditioning Engineering, National Taipei University of Technology, Taipei, Taiwan.
Taipei City Hospital · TWNational Taipei University of Technology · TWChia-Yi Christian Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To evaluate aerosol exposure risk and prevention strategies during bystander, pre-hospital, and inpatient cardiopulmonary resuscitation (CPR). This study compared hands-only CPR, CPR with a surgical or N95 mask, and CPR with a non-rebreather mask at 15 L/min. 30:2 compression-ventilation ratio CPR was tested with face-mask ventilation (FMV), FMV with a high efficiency particulate air (HEPA) filter; supraglottic airway (SGA), SGA with a surgical mask, SGA with a HEPA filter, or SGA with both. Continuous CPR was tested with an endotracheal tube (ET), ET with a surgical mask, a HEPA filter, or both. Aerosol concentration at the head, trunk, and feet of the mannequin were measured to evaluate exposure to CPR personnel. Hands-only CPR with a surgical or N95 face mask coverings and ET tube ventilation CPR with filters showed the lowest aerosol exposure among all study groups, including CPR with NRM oxygenation, FMV, and SGA ventilation. NRM had a mask effect and reduced aerosol exposure at the head, trunk, and feet of the mannequin. FMV with filters during 30:2 CPR reduced aerosol exposure at the head and trunk, but increased at the feet of the mannequin. A tightly-sealed SGA when used with a HEPA filter, reduced aerosol exposure by 21.00-63.14% compared with a loose-fitting one. Hands-only CPR with a proper fit surgical or N95 face mask coverings is as safe as ET tube ventilation CPR with filters, compared with CPR with NRM, FMV, and SGA. FMV or tight-sealed SGA ventilation with filters prolonged the duration to achieve estimated infective dose of SARS-CoV-2 2.4-2.5 times longer than hands-on CPR only. However, a loose-fitting SGA is not protective at all to chest compressor or health workers standing at the foot side of the victim, so should be used with caution even when using with HEPA filters.

Indexed as

Cardiopulmonary ResuscitationCOVID-19HospitalsHumansInpatientsIntubation, IntratrachealManikinsRespiratory Aerosols and DropletsSARS-CoV-2

Identifiers

PMID37532861
PMCPMC10397338
OpenAlexW4385491424

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.