Short-term usage of three non-invasive ventilation interfaces causes progressive discomfort in healthy adults

Cunha-Martins, Beatriz Silva Menezes da; Ribeiro, Gabriel; Jandre, Frederico C.

doi:10.1007/s42600-020-00114-3

Cited by 3 publications

(3 citation statements)

References 42 publications

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“…Discomfort due to the mask will be evaluated every 12 h using a 5-level Likert-like scale [ 17 , 37 ] to answer the questions “How is your level of discomfort related to the mask?”. The extremes of the scale are “1—no discomfort” and “5—unbearable discomfort,” with three intermediate levels: “light discomfort,” “moderate discomfort,” and “intense discomfort”).…”

Section: Interventionsmentioning

confidence: 99%

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A pragmatic, open-label, multi-center, randomized controlled clinical trial on the rotational use of interfaces vs standard of care in patients treated with noninvasive positive pressure ventilation for acute hypercapnic respiratory failure: the ROTAtional-USE of interface STUDY (ROTA-USE STUDY)

Vaschetto

Gregoretti

Scotti

et al. 2023

Trials

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Background In the last decades, noninvasive ventilation (NIV) has been increasingly used to support patients with hypercapnic and hypoxemic acute respiratory failure. Pressure ulcers are a frequently observed NIV-related adverse effect, directly related to interface type and exposure time. Switching to a different interface has been proposed as a solution to improve patient comfort. However, large studies investigating the benefit of this strategy are not available. Thus, the aim of the ROTAtional-USE of interface STUDY (ROTA-USE STUDY) is to investigate whether a protocolized rotational use of interfaces during NIV is effective in reducing the incidence of pressure ulcers. Methods The ROTA-USE STUDY is a pragmatic, parallel arm, open-label, multicenter, spontaneous, non-profit, randomized controlled trial requiring non-significant risk medical devices, with the aim to determine whether a rotational strategy of NIV interfaces is associated with a lower incidence of pressure ulcers compared to the standard of care. In the intervention group, NIV mask will be randomly chosen and rotated every 6 h. In the control group, mask will be chosen according to the standard of care of the participating centers and changed in case of discomfort or in the presence of new pressure sores. In both groups, the skin underneath the mask will be inspected every 12 h for any possible damage by blinded assessors. The primary outcome is the proportion of patients developing new pressure sores at 36 h from randomization. The secondary outcomes are (i) onset of pressure sores measured at different time points, i.e., 12, 24, 36, 48, 60, 72, 84, and 96 h; (ii) number and stage of pressure sores and comfort measured at 12, 24, 36, 48, 60, 72, 84, and 96 h; and (iii) the economic impact of the protocolized rotational use of interfaces. A sample size of 239 subjects per group (intervention and control) is estimated to detect a 10% absolute difference in the proportion of patients developing pressure sores at 36 h. Discussion The development of pressure ulcers is a common side effect of NIV that negatively affects the patients’ comfort and tolerance, often leading to NIV failure and adverse outcomes. The ROTA-USE STUDY will determine whether a protocolized rotational approach can reduce the incidence, number, and severity of pressure ulcers in NIV-treated patients. Trial registration ClinicalTrials.gov NCT05513508. Registered on August 24, 2022.

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Section: Interventionsmentioning

confidence: 99%

“…The right size of the mask will be selected according to the indications provided by the manufacturer. The mask straps will be adjusted in compliance with the “two-finger rule” so as to not tighten too hard the headgear [ 37 ].…”

Section: Interventionsmentioning

confidence: 99%

A pragmatic, open-label, multi-center, randomized controlled clinical trial on the rotational use of interfaces vs standard of care in patients treated with noninvasive positive pressure ventilation for acute hypercapnic respiratory failure: the ROTAtional-USE of interface STUDY (ROTA-USE STUDY)

Vaschetto

Gregoretti

Scotti

et al. 2023

Trials

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“…For example, the speaker's mood can impact their speech rate (Ellgring and Scherer, 1996), articulation rate or average syllable duration (Alghowinem et al, 2012), while F0 and sound pressure level vary depending on the time of day, associated to vocal fatigue (Jónsdottir et al, 2002;Laukkanen and Kankare, 2006). In fact, several studies have reported discomfort caused by wearing a mask (Shenal et al, 2012;da Cunha-Martins et al, 2021). In Ribeiro et al (2020), participants having to wear a mask while working reported increased difficulty in coordinating speech and breathing, vocal fatigue and avoidance of voice use compared to participants wearing masks only to perform sporadic essential activities.…”

Section: Potential Negative Impact Of Facemasks On Communicative Beha...mentioning

confidence: 99%

Mask wearing in Japanese and French nursery schools: The perceived impact of masks on communication

et al. 2022

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Due to the global COVID-19 pandemic, covering the mouth region with a face mask became pervasive in many regions of the world, potentially impacting how people communicate with and around children. To explore the characteristics of this masked communication, we asked nursery school educators, who have been at the forefront of daily masked interaction with children, about their perception of daily communicative interactions while wearing a mask in an online survey. We collected data from French and Japanese nursery school educators to gain an understanding of commonalities and differences in communicative behavior with face masks given documented cultural differences in pre-pandemic mask wearing habits, face scanning patterns, and communicative behavior. Participants (177 French and 138 Japanese educators) reported a perceived change in their own communicative behavior while wearing a mask, with decreases in language quantity and increases in language quality and non-verbal cues. Comparable changes in their team members’ and children’s communicative behaviors were also reported. Moreover, our results suggest that these changes in educators’ communicative behaviors are linked to their attitudes toward mask wearing and their potential difficulty in communicating following its use. These findings shed light on the impact of pandemic-induced mask wearing on children’s daily communicative environment.

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Bi-Level Pressure Ventilation Assistive Device for Pulmonary Ailments and Overlap Syndromes

Vigneshwari

Jenifer

et al. 2021

2021 Second International Conference on Electronics and Sustainable Communication Systems (ICESC)

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Short-term usage of three non-invasive ventilation interfaces causes progressive discomfort in healthy adults

Cited by 3 publications

References 42 publications

A pragmatic, open-label, multi-center, randomized controlled clinical trial on the rotational use of interfaces vs standard of care in patients treated with noninvasive positive pressure ventilation for acute hypercapnic respiratory failure: the ROTAtional-USE of interface STUDY (ROTA-USE STUDY)

A pragmatic, open-label, multi-center, randomized controlled clinical trial on the rotational use of interfaces vs standard of care in patients treated with noninvasive positive pressure ventilation for acute hypercapnic respiratory failure: the ROTAtional-USE of interface STUDY (ROTA-USE STUDY)

Mask wearing in Japanese and French nursery schools: The perceived impact of masks on communication

Bi-Level Pressure Ventilation Assistive Device for Pulmonary Ailments and Overlap Syndromes

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