Impact of Environmental Noise Levels on Endotracheal Intubation Performance Among Pediatric Emergency Providers: A Simulation Study.

Szczegóły
Abstrakt

Tytuł:: Impact of Environmental Noise Levels on Endotracheal Intubation Performance Among Pediatric Emergency Providers: A Simulation Study.
Autorzy:: Salzman GA; From the Keck School of Medicine of the University of Southern California.
El H; Division of Emergency and Transport Medicine, Children's Hospital Los Angeles, Los Angeles, CA.
Chang TP
Źródło:: Pediatric emergency care [Pediatr Emerg Care] 2021 Dec 01; Vol. 37 (12), pp. e944-e949.
Typ publikacji:: Journal Article; Randomized Controlled Trial
Język:: English
Imprint Name(s):: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Baltimore, Md. : Williams & Wilkins, [c1985-
MeSH Terms:: Intubation, Intratracheal*
Manikins*
Adult ; Child ; Computer Simulation ; Emergency Service, Hospital ; Humans
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Entry Date(s):: Date Created: 20190410 Date Completed: 20211217 Latest Revision: 20231003
Update Code:: 20240104
DOI:: 10.1097/PEC.0000000000001831
PMID:: 30964852
: Czasopismo naukowe

Background: The emergency department is a stressful workplace environment with environmental stimuli and distractions, including noise. This has potential effects on perceived stress for providers and critical procedure performance.
Objective: This study aimed to characterize the impact of environmental noise levels on the time to intubate, the quality of intubation, and physiologic stress response in pediatric emergency department providers.
Methods: This was a randomized control simulation-based study in which experienced pediatric providers intubated an adult manikin 3 times while experiencing 3 different ambient noise levels (60, 75, 80 dB) in random order. Participants' times to intubate were measured, as was the endotracheal tube depth. The quality of each intubation attempt was assessed via video review against a standardized checklist. Lastly, participants' heart rates were monitored in real time to assess for physiologic stress response. Differences in performance were analyzed using a repeated-measures analysis of variance.
Results: No significant difference was found between noise levels and time to intubate (P = 0.19), although each subsequent attempt shortened the time to intubate (P = 0.01). Physiological heart rate changes did not differ by noise level (P = 0.35). Subjectively, "time and economy of motion" and "overall performance" did not differ by noise level but did improve for each subsequent attempt number (P < 0.046).
Conclusions: Intubation performance improved with attempt number, but no differences in performance were seen between noise levels. This suggests that rehearsing and practice impacts performance more than environmental noise levels.
Competing Interests: Disclosure: The authors declare no conflict of interest.
(Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.)

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