Noor, Mohamad Hamzi Mohamad
(2020)
Ergonomic risk assessment of musculoskeletal disorders (MSD) during simulated endotracheal intubation in Hospital Universiti Sains Malaysia (HUSM).
Other.
Pusat Pengajian Sains Kesihatan, Universiti Sains Malaysia.
Abstract
Background: Endotracheal intubation is a form of airway procedure usually performed in
the emergency department. This procedure is done as a method to secure the airways of
patients during cardiac arrest. Body posture during intubation may cause musculoskeletal
problems, but doctors usually do not have the awareness on the ergonomic factors and the
effects on their health. There is a rise in the prevalence of work-related musculoskeletal
disorder (MSD) in medical personnel performing this procedure due to lack of ergonomic
postures. There is little evidence on the optimum bed level for intubation in association
with ergonomic body posture during tracheal intubation.
Objectives: This study was performed to evaluate the effects of different bed levels during
endotracheal intubation on ergonomic body postures, intubation time and success rates of
procedures and to find the optimum bed level for intubation with lower risk of MSD,
shortest time and higher success rate.
Method: This cross-sectional study was performed among 80 master’s students using the
rapid entire body assessment (REBA) method. This study was carried out at the
resuscitation zone of the accident and emergency department in Hospital Universiti Sains
Malaysia, Kubang Kerian, Kelantan. During this study, 80 doctors were asked to perform
endotracheal intubation using a mannequin at three different bed levels: supra pubic,
umbilical and sub-xyphoid levels. At each level, their body posture, intubation time and
success rate were recorded. We compared the mean of REBA score, mean of time and
success rate for each level
Result: This study showed that there were significantly lower risks for MSD and shorter
intubation time when the procedure was performed at the sub-xyphoid level. However, no
significant differences in performance were observed.
Conclusion: Medical personnel should be advised to intubate patients at the sub-xyphoid
level. The finding of the study can be used for teaching and learning purposes.
Actions (login required)
 |
View Item |
