| Home | E-Submission | Sitemap | Contact Us |  
Clin Exp Emerg Med > Accepted Articles
doi: https://doi.org/10.15441/ceem.22.342    [Accepted]
Efficiency, limitations, and familiarization of a novel negative pressure aerosol box for intubation: a simulation-based randomized crossover study
Youngbin Park1 , Ki Sub Sung2 , Ji Hoon Kim1 , Jinwoo Myung1 , Ju Young Hong1
1Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea
2SS-ENG Co., Ltd., Bucheon, Korea
Correspondence  Ju Young Hong Email: juyoungbaby@yuhs.ac
Received: July 2, 2022. Revised: August 31, 2022.  Accepted: September 1, 2022. Published online: January 18, 2023.
This study aimed to introduce a novel negative pressure aerosol box (Carrycure Isolator) and to test its efficiency and limitations, with the hope of suggesting improvements and further directions.
A novel aerosol box (Carrycure Isolator) was invented. A single-center, randomized, crossover simulation study of 28 emergency medicine physicians was designed. Three trials of each participant using an intubation manikin were conducted, including intubation without the aerosol box (trial A), intubation with the aerosol box (trial B), and intubation with the aerosol box after familiarization (trial C). The primary endpoint was the time to intubation. The secondary endpoints were first-attempt success, number of attempts, percentage of glottic opening score, and Cormack- Lehane view. Collected data were statistically analyzed for their significance.
The median times to intubation of trials A, B, and C were 30.5 (interquartile range [IQR], 28.0–40.0 seconds), 59.0 (IQR, 50.0–75.5 seconds), and 34.0 seconds (IQR, 30.5–47.0 seconds), respectively. Post hoc analysis showed that the time to intubation in trial B was significantly longer than that in trial A (P<0.05), while that the time to intubation in trial C was significantly shorter than that in trial B (P<0.05). Results concerning secondary endpoints showed similar patterns. Participants reported performing intubation with Carrycure Isolator to be relatively difficult, necessitating significant arm movement and view restrictions while increasing their time to intubation.
Physicians took a longer time to intubate a manikin using Carrycure Isolator, a novel negative pressure aerosol box. However, the time was improved after a period of familiarization.
Keywords: Patient isolators; Efficiency; Simulation training; Crossover studies; Intratracheal intubation
Editorial Office
The Korean Society of Emergency Medicine
101-3104, Brownstone Seoul, 464 Cheongpa-ro, Jung-gu, Seoul 04510, Korea
TEL: +82-31-709-0918   E-mail: office@ceemjournal.org
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © by The Korean Society of Emergency Medicine.                 Developed in M2PI