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Evaluation of Capillary Blood Gases in Medical Personnel Caring for Patients Isolated Due to SARS-CoV-2 in Intensive Care Units before and after Using Enhanced Filtration Masks: A Prospective Cohort Study

The dynamically changing epidemiological situation caused by the SARS-CoV-2 virus is associated with the increased burden and fatigue of medical personnel. The aim of the study was to evaluate: (1) oxygen and carbon dioxide blood pressure and saturation levels in medical personnel caring for patient...

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Autores principales: Mędrzycka-Dąbrowska, Wioletta, Ślęzak, Daniel, Robakowska, Marlena, Żuratyński, Przemysław, Krzyżanowski, Kamil, Małecka-Dubiela, Anna, Dąbrowski, Sebastian, Zorena, Katarzyna, Lewandowska, Katarzyna, Ozga, Dorota, Chmielarz, Karina, Buca, Paulina, Tomaszek, Lucyna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8467996/
https://www.ncbi.nlm.nih.gov/pubmed/34574350
http://dx.doi.org/10.3390/ijerph18189425
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author Mędrzycka-Dąbrowska, Wioletta
Ślęzak, Daniel
Robakowska, Marlena
Żuratyński, Przemysław
Krzyżanowski, Kamil
Małecka-Dubiela, Anna
Dąbrowski, Sebastian
Zorena, Katarzyna
Lewandowska, Katarzyna
Ozga, Dorota
Chmielarz, Karina
Buca, Paulina
Tomaszek, Lucyna
author_facet Mędrzycka-Dąbrowska, Wioletta
Ślęzak, Daniel
Robakowska, Marlena
Żuratyński, Przemysław
Krzyżanowski, Kamil
Małecka-Dubiela, Anna
Dąbrowski, Sebastian
Zorena, Katarzyna
Lewandowska, Katarzyna
Ozga, Dorota
Chmielarz, Karina
Buca, Paulina
Tomaszek, Lucyna
author_sort Mędrzycka-Dąbrowska, Wioletta
collection PubMed
description The dynamically changing epidemiological situation caused by the SARS-CoV-2 virus is associated with the increased burden and fatigue of medical personnel. The aim of the study was to evaluate: (1) oxygen and carbon dioxide blood pressure and saturation levels in medical personnel caring for patients isolated due to SARS-CoV-2 in ICUs; (2) adverse symptoms reported by medical personnel after leaving the isolation zone. Design: A Prospective Cohort Study. Methods: The project was implemented in the first quarter of 2021. Medical personnel working with patients isolated due to SARS-CoV-2 in the ICU of three hospitals were eligible for the study. The participants of the study were subjected to two analyses of capillary blood by a laboratory diagnostician. Results: In the studied group of medical personnel (n = 110) using FFP2/FFP3 masks, no significant differences (p > 0.05) were found between the parameters of geometric examination performed before and after leaving the isolation ward of the hospital. After working in the isolation ward, nurses reported malaise (somnolence, fatigue, sweating, dizziness) more often than paramedics (44% vs. 9%; p = 0.00002). The risk of ill-being in nurses was approximately nine times higher than in paramedics (OR = 8.6; Cl 95%: 2.7 to 26.8) and increased with the age of the subjects (OR = 1.05; Cl 95%: 1.01 to 1.08). Conclusion: FFP2/FFP3 filter masks did not worsen blood oxygenation in medical staff caring for patients isolated due to SARS-CoV-2 in the ICU. The presence of subjective symptoms such as fatigue may be due to lack of adequate hydration.
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spelling pubmed-84679962021-09-27 Evaluation of Capillary Blood Gases in Medical Personnel Caring for Patients Isolated Due to SARS-CoV-2 in Intensive Care Units before and after Using Enhanced Filtration Masks: A Prospective Cohort Study Mędrzycka-Dąbrowska, Wioletta Ślęzak, Daniel Robakowska, Marlena Żuratyński, Przemysław Krzyżanowski, Kamil Małecka-Dubiela, Anna Dąbrowski, Sebastian Zorena, Katarzyna Lewandowska, Katarzyna Ozga, Dorota Chmielarz, Karina Buca, Paulina Tomaszek, Lucyna Int J Environ Res Public Health Article The dynamically changing epidemiological situation caused by the SARS-CoV-2 virus is associated with the increased burden and fatigue of medical personnel. The aim of the study was to evaluate: (1) oxygen and carbon dioxide blood pressure and saturation levels in medical personnel caring for patients isolated due to SARS-CoV-2 in ICUs; (2) adverse symptoms reported by medical personnel after leaving the isolation zone. Design: A Prospective Cohort Study. Methods: The project was implemented in the first quarter of 2021. Medical personnel working with patients isolated due to SARS-CoV-2 in the ICU of three hospitals were eligible for the study. The participants of the study were subjected to two analyses of capillary blood by a laboratory diagnostician. Results: In the studied group of medical personnel (n = 110) using FFP2/FFP3 masks, no significant differences (p > 0.05) were found between the parameters of geometric examination performed before and after leaving the isolation ward of the hospital. After working in the isolation ward, nurses reported malaise (somnolence, fatigue, sweating, dizziness) more often than paramedics (44% vs. 9%; p = 0.00002). The risk of ill-being in nurses was approximately nine times higher than in paramedics (OR = 8.6; Cl 95%: 2.7 to 26.8) and increased with the age of the subjects (OR = 1.05; Cl 95%: 1.01 to 1.08). Conclusion: FFP2/FFP3 filter masks did not worsen blood oxygenation in medical staff caring for patients isolated due to SARS-CoV-2 in the ICU. The presence of subjective symptoms such as fatigue may be due to lack of adequate hydration. MDPI 2021-09-07 /pmc/articles/PMC8467996/ /pubmed/34574350 http://dx.doi.org/10.3390/ijerph18189425 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mędrzycka-Dąbrowska, Wioletta
Ślęzak, Daniel
Robakowska, Marlena
Żuratyński, Przemysław
Krzyżanowski, Kamil
Małecka-Dubiela, Anna
Dąbrowski, Sebastian
Zorena, Katarzyna
Lewandowska, Katarzyna
Ozga, Dorota
Chmielarz, Karina
Buca, Paulina
Tomaszek, Lucyna
Evaluation of Capillary Blood Gases in Medical Personnel Caring for Patients Isolated Due to SARS-CoV-2 in Intensive Care Units before and after Using Enhanced Filtration Masks: A Prospective Cohort Study
title Evaluation of Capillary Blood Gases in Medical Personnel Caring for Patients Isolated Due to SARS-CoV-2 in Intensive Care Units before and after Using Enhanced Filtration Masks: A Prospective Cohort Study
title_full Evaluation of Capillary Blood Gases in Medical Personnel Caring for Patients Isolated Due to SARS-CoV-2 in Intensive Care Units before and after Using Enhanced Filtration Masks: A Prospective Cohort Study
title_fullStr Evaluation of Capillary Blood Gases in Medical Personnel Caring for Patients Isolated Due to SARS-CoV-2 in Intensive Care Units before and after Using Enhanced Filtration Masks: A Prospective Cohort Study
title_full_unstemmed Evaluation of Capillary Blood Gases in Medical Personnel Caring for Patients Isolated Due to SARS-CoV-2 in Intensive Care Units before and after Using Enhanced Filtration Masks: A Prospective Cohort Study
title_short Evaluation of Capillary Blood Gases in Medical Personnel Caring for Patients Isolated Due to SARS-CoV-2 in Intensive Care Units before and after Using Enhanced Filtration Masks: A Prospective Cohort Study
title_sort evaluation of capillary blood gases in medical personnel caring for patients isolated due to sars-cov-2 in intensive care units before and after using enhanced filtration masks: a prospective cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8467996/
https://www.ncbi.nlm.nih.gov/pubmed/34574350
http://dx.doi.org/10.3390/ijerph18189425
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