scholarly journals Assessing the impact of FFP3 masks to oxygen saturation and pulse rate in the Oral Surgery department at the Glasgow Dental Hospital during the COVID‐19 pandemic: an observational study

Oral Surgery ◽  
2021 ◽  
Author(s):  
Ilyaas Rehman ◽  
Sarah Ali ◽  
Conor O’Brien ◽  
Christine Goodall
2021 ◽  
Vol 2 (6) ◽  
pp. 8-11
Author(s):  
Shree Patel ◽  
Sonita Koshal ◽  
Onkar Mudhar

Introduction: A rise in post-operative complications (POCs) was observed following the second national lockdown due to the ongoing Coronavirus 2019 (COVID-19) pandemic. This prompted our Oral Surgery Department to investigate this to understand why this increase had occurred. Aim: To evaluate the rise in POCs at The Eastman Dental Hospital Oral Surgery Department during and after the COVID-19 pandemic lockdown. Materials and methods: A two cycle audit to assess the effect of the restrictions and ease imposed by lockdown on the number of POCs reported within the department. Results: A spike in POCs was observed during the second lockdown. Following the ease of these restrictions, POCs reduced by half. Discussion: As lockdown eased, the number of patient’s contacting the department following surgical procedures significantly reduced. Did the pandemic cause patients to become more observant with regards to their post-operative site? Conclusions: COVID-19 has had a lasting effect amongst our society and healthcare professionals are seeing not only the physical detriment but also the mental effects on our patients. We must ask if the increase in our POCs be caused by underlying “health anxiety” amongst members of the general public and if so, how can it be overcome?


2021 ◽  
Author(s):  
Sabina Saccomanno ◽  
Rebecca Jewel Manenti ◽  
Silvia Giancaspro ◽  
Licia Coceani Paskay ◽  
Christine Sofiane Katzenmaier ◽  
...  

Abstract Objective. The aim of this cross-sectional observational study was to evaluate how and how much the use of Filtering Face Piece (FFP2) masks can affect the dental professionals, and to offer some strategies to minimize discomfort and improve communication with their patients. Materials and methods. A 17-item questionnaire was sent via Google Drive to various practitioners in Italy and the USA. A sample of 162 questionnaires were returned from dentists, orthodontists, dental hygienists and dental assistants who committed to wearing a FFP2 for 4 consecutive hours during a work day and then measuring the oxygen saturation by way of a pulse oximeter before and after the 4 working hours. The final analysis was performer on 147 viable questionnaires returned. The sample was composed of 62 males and 85 females with an average age of 42.9 ± 12.0 years. Results. For the entire sample population, the baseline saturation was 98.6±1.2 and, after four hours of mask wearing, there was a significant decrease in oxygen saturation to 97.0+2.9 (p<0.01). No statistical differences in SpO2 were found across specialties or across types of procedures performed during the 4 hours. Heart rates were not significantly different before and after the 4 hours in all categories. The 3 most frequent reported complaints were: fatigue (64%), headache (36%) and external ear pain (31%). The most common additional personal protective equipment (PPE) was a mask shield (78%) and those who wore the mask continuously reported more communication difficulty with patients, compared with those who took the mask off more often, in fact, 64% of the subjects reported that using the mask influenced their communication with their patients. Based on the results of the questionnaire, a list of breathing and vocal folds health strategies was devised and proposed, along with strategies to augment communication with patients. Conclusions. This study highlights a significant decrease in oxygen saturation after only 4 hours of work (except for smokers) while wearing a FFP2, and confirms the widespread symptoms of fatigue, headache and pain behind the ears that dental professionals experience. But it also highlighted how mask wearing impaired communication with patients and wearing additional masks and a facial screen may add to those communications difficulties. This aspect and the need for better communication can lead the operators to remove the mask to improve breathing and communication, thus putting themselves at a risk of infection. Of all the aspects explored in this study, the most interesting was indeed the impact on fatigue and communication and the strategies proposed in this article can easily be implemented to reduce headache and fatigue by improving breathing efficiency and by aiding communication while donning a mask by improving voice quality and by using augmentative communication tools.


2020 ◽  
Vol 63 (6) ◽  
Author(s):  
Camilla de Laurentis ◽  
Julius Höhne ◽  
Claudio Cavallo ◽  
Francesco Restelli ◽  
Jacopo Falco ◽  
...  

Author(s):  
Caterina Trevisan ◽  
Susanna Del Signore ◽  
Stefano Fumagalli ◽  
Pietro Gareri ◽  
Alba Malara ◽  
...  

Author(s):  
James W. E. Dickey ◽  
Neil E. Coughlan ◽  
Jaimie T. A. Dick ◽  
Vincent Médoc ◽  
Monica McCard ◽  
...  

AbstractThe influence of climate change on the ecological impacts of invasive alien species (IAS) remains understudied, with deoxygenation of aquatic environments often-overlooked as a consequence of climate change. Here, we therefore assessed how oxygen saturation affects the ecological impact of a predatory invasive fish, the Ponto-Caspian round goby (Neogobius melanostomus), relative to a co-occurring endangered European native analogue, the bullhead (Cottus gobio) experiencing decline in the presence of the IAS. In individual trials and mesocosms, we assessed the effect of high, medium and low (90%, 60% and 30%) oxygen saturation on: (1) functional responses (FRs) of the IAS and native, i.e. per capita feeding rates; (2) the impact on prey populations exerted; and (3) how combined impacts of both fishes change over invasion stages (Pre-invasion, Arrival, Replacement, Proliferation). Both species showed Type II potentially destabilising FRs, but at low oxygen saturation, the invader had a significantly higher feeding rate than the native. Relative Impact Potential, combining fish per capita effects and population abundances, revealed that low oxygen saturation exacerbates the high relative impact of the invader. The Relative Total Impact Potential (RTIP), modelling both consumer species’ impacts on prey populations in a system, was consistently higher at low oxygen saturation and especially high during invader Proliferation. In the mesocosm experiment, low oxygen lowered RTIP where both species were present, but again the IAS retained high relative impact during Replacement and Proliferation stages at low oxygen. We also found evidence of multiple predator effects, principally antagonism. We highlight the threat posed to native communities by IAS alongside climate-related stressors, but note that solutions may be available to remedy hypoxia and potentially mitigate impacts across invasion stages.


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