The effect of N95 respirators on vital parameters, PETCO2, among healthcare providers at the pandemic clinics

dc.authoridSabirli, Ramazan/0000-0003-4599-5833
dc.authoridKEMANCI, Aykut/0000-0002-6308-3830
dc.authorwosidkemanci, aykut/GQP-8081-2022
dc.contributor.authorKarsli, Emre
dc.contributor.authorYilmaz, Atakan
dc.contributor.authorKemanci, Aykut
dc.contributor.authorCanacik, Omer
dc.contributor.authorOzen, Mert
dc.contributor.authorSeyit, Murat
dc.contributor.authorSahin, Levent
dc.contributor.authorSabırlı, Ramazan
dc.date.accessioned2023-03-22T19:47:37Z
dc.date.available2023-03-22T19:47:37Z
dc.date.issued2022
dc.departmentBelirleneceken_US
dc.description.abstractBackground Wearing face shields and masks, which used to have very limited public use before the COVID-19 outbreak, has been highly recommended by organizations, such as CDC and WHO, during this pandemic period. Aims The aim of this prospective study is to scrutinize the dynamic changes in vital parameters, change in end tidal CO2 (PETCO2) levels, the relationship of these changes with taking a break, and the subjective complaints caused by respiratory protection, while healthcare providers are performing their duties with the N95 mask. Methods The prospective cohort included 54 healthcare workers (doctors, nurses, paramedics) who worked in the respiratory unit of the emergency department (ED) and performed their duties by wearing valved N95 masks and face shields. The vital parameters and PETCO2 levels were measured at 0-4th-5th and 9th hours of the work-shift. Results Only the decrease in diastolic BP between 0 and 9 h was statistically significant (p = 0.038). Besides, mean arterial pressure (MAP) values indicated a significant decrease between 0-9 h and 5-9 h (p = 0.024 and p = 0.049, respectively). In terms of the vital parameters of the subjects working with and without breaks, only PETCO2 levels of those working uninterruptedly increased significantly at the 4th hour in comparison to the beginning-of-shift baseline levels (p = 0.003). Conclusion Although the decrease in systolic blood pressure (SBP) and MAP values is assumed to be caused by increased fatigue due to workload and work pace as well as increase in muscle activity, the increase in PETCO2 levels in the ED healthcare staff working with no breaks between 0 and 4 h should be noted in terms of PPE-induced hypoventilation.en_US
dc.identifier.doi10.1007/s11845-022-03013-x
dc.identifier.issn0021-1265
dc.identifier.issn1863-4362
dc.identifier.pmid35415774en_US
dc.identifier.scopus2-s2.0-85127935841en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.1007/s11845-022-03013-x
dc.identifier.urihttps://hdl.handle.net/20.500.14034/795
dc.identifier.wosWOS:000781688400004en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer London Ltden_US
dc.relation.journalIrish Journal Of Medical Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEmergency departmenten_US
dc.subjectN95 respiratorsen_US
dc.subjectPandemic clinicsen_US
dc.subjectPETCO2en_US
dc.subjectVital parametersen_US
dc.subjectBlood-Pressureen_US
dc.subjectPhysiological Impacten_US
dc.subjectMasken_US
dc.titleThe effect of N95 respirators on vital parameters, PETCO2, among healthcare providers at the pandemic clinicsen_US
dc.typeArticleen_US

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