Cuffed oropharyngeal airway (COPA) placement is delayed by wearing antichemical protective gear

Abstract

Antichemical protective gear slowed proper placement of COPA and its fixation compared with surgical attire. COPA may be a temporarily useful device in non-conventional settings, but functional reassessment is required when injured patients reach medical facilities.

Airway control in case of a mass toxicological event: superiority of second-generation supraglottic airway devices

“…The results are in accordance with previous studies, which demonstrated that wearing C-PPE significantly prolongs the time to AW control while using ETI [11,12], SAD [26][27][28], and ETI aids [29]. However, most of these studies were done on a small samples [11,12,26], were limited to anesthesiologists or paramedics [11,12,25,28,29], or did not compare ETI with SADs [12,[26][27][28]. None of these studies compared second-generation SADs with ETI and first-generation SADs in these groups of medical caregivers.…”

Insertion of six different supraglottic airway devices whilst wearing chemical, biological, radiation, nuclear‐personal protective equipment: a manikin study

“…Despite there being numerous supraglottic airways [12], to date, only the LMA [7,9], the intubating LMA TM (LMA Company, Jersey, Channel Isles, UK) [13] and the cuffed oropharyngeal airway (COPA; Mallinckrodt Medical, Athlone, Ireland) [14] have been evaluated for use whilst wearing CBRN-PPE. Recently, however, Barns et al [15] evaluated the Laryngeal Tube TM (VBM Medizintechnik GmbH, Sulz, Germany) for use whilst wearing fire rescue equipment, but not specifically CBRN-PPE.…”

Impact of Clinician Personal Protective Equipment on Medical Device Use During Public Health Emergency: A Review

“…performed all over the world, the United Kingdom (10), [19][20][21][22][23][24][25][26][27][28] Israel (6), [29][30][31][32][33][34] and the United States (5) 15,[35][36][37][38][52][53][54] ,published the majority of the studies. Australia (3), [39][40][41] South Africa (2), 42,43 Canada (1), 44 France (1), 45 and South Korea (1) 46 published the rest.…”

“…Each study reported significant negative impacts on task completion times. Seven studies assessed IO 15,23,[29][30][31]35,45 , infusion, 6 evaluated IV 15,20,21,23,34,44 , drug administration, and 3 studies included subcutaneous drug administration. 19,42,44 , Many of the reviewed studies showed that peripheral IV catheter insertion is often difficult, resulting in more frequent failures (12% compared with 3% of IO), with an average increase in completion time of 90 s compared with IO.…”