Strategies for Optimizing the Use of PPE During Surgery in COVID-19 Pandemic: Rapid Scoping Review of Guidelines

Agrawal, Vikesh; Yadav, Sanjay Kumar; Agarwal, Pawan; Sharma, Dhananjaya

doi:10.1007/s12262-020-02713-x

Cited by 6 publications

(4 citation statements)

References 46 publications

(10 reference statements)

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“… 21 Though PPE kits have been recognized as the key support for surgical teams for the prevention of transmission, there have been difficulties faced due to extreme shortages in equipment and lack of training for appropriate utilization and decontamination, especially in developing countries. 22 Still, ongoing challenges due to the impact of COVID-19 on surgical units remain. These problems range from cancellation or delays in procedures, alterations in the nature of surgical treatment, shortages in resources and staffing, and missing recommendations for appropriate surgical service plans.…”

Section: Discussionmentioning

confidence: 99%

Challenges in providing surgical procedures during the COVID-19 pandemic: Qualitative study among Operating Department Practitioners in Pakistan

et al. 2021

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The surgical theatre is associated with the highest mortality rates since the onslaught of the COVID-19 pandemic. However, Operating Department Practitioners (ODPs) are neglected human resources for health in regards to both professional development and research for patient safety; even though they are key practitioners with respect to infection control during surgeries. Therefore, this study aims to describe challenges faced by ODPs during the pandemic. The secondary aim is to use empirical evidence to inform the public health sector management about both ODP professional development and improvement in surgical procedures, with a specific focus on pandemics. A qualitative study has been conducted. Data collection was based on an interview guide with open-ended questions. Interviews with 39 ODPs in public sector teaching hospitals of Pakistan who have been working during the COVID-19 pandemic were part of the analysis. Content analysis was used to generate themes. Ten themes related to challenges faced by ODPs in delivering services during the pandemic for securing patient safety were identified: (i) Disparity in training for prevention of COVID-19; (ii) Shortcomings in COVID-19 testing; (iii) Supply shortages of personal protective equipment; (iv) Challenges in maintaining physical distance and prevention protocols; (v) Human resource shortages and role burden; (vi) Problems with hospital administration; (vii) Exclusion and hierarchy; (viii) Teamwork limitations and other communication issues; (ix) Error Management; and (x) Anxiety and fear. The public health sector, in Pakistan and other developing regions, needs to invest in the professional development of ODPs and improve resources and structures for surgical procedures, during pandemics and otherwise.

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Section: Discussionmentioning

confidence: 99%

Challenges in providing surgical procedures during the COVID-19 pandemic: Qualitative study among Operating Department Practitioners in Pakistan

et al. 2021

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“…This attenuation, measured by changes in the intensity of the speech produced, in turn, affects how loud and intelligible the produced speech is to other listeners in the OR. Although multiple studies have been conducted on the impact of different kinds of face masks on produced speech, 2,3,[6][7][8][9][10][11][12] we are not aware of any studies that examined the impact of using multiple layers of FPPE with eyewear in combinations commonly worn in the OR and tested with a surgical phrase spoken by multiple speakers from varying backgrounds. Given that miscommunication remains a leading cause of patient injury in the OR, [13][14][15] the question of how different FPPE combinations affect speech production and potentially affect patient safety is a critical, yet currently unanswered question.…”

Section: Urogynecology Original Research Nmentioning

confidence: 99%

“…Face masks and eye protection have always been essential tools in the operating room (OR), but since the arrival of the COVID-19 pandemic, facial personal protective equipment (FPPE) has permeated nearly every aspect of health care delivery 1 . Multiple guidelines have recommended increased layers of FPPE and the increased use of FPPE containing greater filtering capability, especially for cases with a greater potential for aerosol generation 2 . While FPPE is important for the safety of OR staff and patients, it can affect speech intelligibility by decreasing speech intensity 2–4 …”

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The Impact of Facial Personal Protective Equipment on Speech Intensity

Krishnan

Rudy

Viswanathan

et al. 2022

UROGC

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Importance Facial personal protective equipment (FPPE) filters small particles in the operating room (OR) but also affects speech production, diminishing the effective transfer of information among OR team members.Objective The aim of the study is to assess the attenuating effects of different combinations of layered FPPE on speech intensity, including potential differences in the effect of talkers with varying backgrounds and speaking volumes. Study Design We recruited 30 speakers from health and nonhealth occupations with English as either their first or second language. All participants spoke unmasked, at varying voice levels into a portable Zoom H4n device 12 inches from the microphone. These no-mask recordings were played from a Styrofoam head, fitted with 7 combinations of FPPE commonly worn in the COVID-19 era, with the attenuated signals assessed for digital average signal levels. We submitted these attenuation values to an omnibus mixed analysis of variance and performed a spectral analysis on signal attenuation stratified by typical speech frequency bands. Results Signal attenuation was strongly determined by FPPE combination, regardless of talker sex, first language, and occupation (P < 0.01, η 2 p = 0.881). The effects of vocal output were also significant (P < 0.01, η 2 p = 0.881). Soft talkers experienced particularly high attenuation at frequency bands higher than 2,000 Hz. The signal of the softest talkers, when asked to speak loudly, was similar to the loud talkers' signal. Conclusions Layered FPPE in the OR protects the surgical team from small particle exposure but may increase communication failures. Our data can help OR staff choose FPPE and alter their vocal volume accordingly.

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Examining the surgical backlog due to COVID-19 in Latin America and the Caribbean: insights from a scoping review

Campos,

Bryce-Alberti,

Gerk

et al. 2024

The Lancet Regional Health - Americas

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Strategies for Optimizing the Use of PPE During Surgery in COVID-19 Pandemic: Rapid Scoping Review of Guidelines

Cited by 6 publications

References 46 publications

Challenges in providing surgical procedures during the COVID-19 pandemic: Qualitative study among Operating Department Practitioners in Pakistan

Challenges in providing surgical procedures during the COVID-19 pandemic: Qualitative study among Operating Department Practitioners in Pakistan

The Impact of Facial Personal Protective Equipment on Speech Intensity

Examining the surgical backlog due to COVID-19 in Latin America and the Caribbean: insights from a scoping review

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