NCT04802109

The Rescuer Fatigue During Cardiopulmonary Resuscitation in Manikin by Using Personal Protective Equipment.

Completed NA Last updated 15 March 2022

What this trial tests

NA trial testing wearing level D personal protective equipment in Cardiac Arrest in 40 participants. Completed in 30 June 2021.

Timeline

1 April 2021

Primary endpoint
30 June 2021

30 June 2021

Quick facts

Lead sponsor	An-Nan Hospital, China Medical University
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	crossover
Masking	single
Primary purpose	other
Enrollment	40
Start date	1 April 2021
Primary completion	30 June 2021
Estimated completion	30 June 2021
Sites	1 location across Taiwan

Drugs / interventions tested

• wearing level D personal protective equipment
• wearing Level C personal protective equipment with N-95
• wearing Level C personal protective equipment with Powered Air-Purifying Respiratory

Conditions studied

• Cardiac Arrest — all drugs for Cardiac Arrest →

Sponsor

An-Nan Hospital, China Medical University

Who can join

Eligibility, any sex, with Cardiac Arrest. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Background:

High-quality cardiopulmonary resuscitation is the key to recovering patients with sudden cardiac death. However, when the environment is exposure to biologic hazard, the medical personnel need to use different personal protective equipment while doing CPR, and this difficulty is greatly increased. The research on this part is quite limited, and the results need to be further analyzed.

Purpose:

Compare the effects of CPR wearing different levels of personal protective equipment on CPR quality and rescue fatigue.

Material \& Methods:

This study is designed as a prospective randomized crossover trial with an expected total of 40 volunteer participants, performed during 2021 April 1 to 2021 June 30. Each participant is required to perform a five-minute CPR in kneeling position using three different types of personal protective equipment. These three modes are Level D protective equipment with surgical mask, Level C protective equipment with N-95 mask, and Level-C protective equipment with Powered Air Purifying Respirator. Participants are physicians or nurses at the hospital. The participation are randomly assigned to the order of the three modes, and each mode can be rested for 120 minutes. Laerdal Skillreporter is used for CPR and quality measurement. The main results were effective chest compression ratio, correct chest depth ratio, correct chest recoil ratio and chest compression number per minute. The secondary results were personal blood pressure before and after the CPR, heartbeat, pulse oximeter, number of breaths, and subjective fatigue index (VAS 1 \~ 100 points), Questionnaire for the opinion of wearing personal protective equipment and using the porta count test to test the N-95 face mask for its quantitative fitness factor before and during CPR, and infrared detector for qualitative fitness test.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

1. Impact of Personal Protective Equipment on Cardiopulmonary Resuscitation and Rescuer Safety.
   Cheng CH, Cheng YY, Yuan MK, Juang YJ, et al · · 2023 · cited 2× · PMID 38077106 · DOI 10.1155/2023/9697442