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The effect of severe acute respiratory syndrome (SARS) on emergency airway management()

From early March 2003 to late May 2003, severe acute respiratory syndrome (SARS) was detected in Singapore. The increase in workload and new infection control procedures were thought to affect resuscitation and airway management. Our aim was to study the effects of wearing of personal protective equ...

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Autores principales: Wong, Evelyn, Ho, Khoy Kheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ireland Ltd. 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7125627/
https://www.ncbi.nlm.nih.gov/pubmed/16762480
http://dx.doi.org/10.1016/j.resuscitation.2005.11.010
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author Wong, Evelyn
Ho, Khoy Kheng
author_facet Wong, Evelyn
Ho, Khoy Kheng
author_sort Wong, Evelyn
collection PubMed
description From early March 2003 to late May 2003, severe acute respiratory syndrome (SARS) was detected in Singapore. The increase in workload and new infection control procedures were thought to affect resuscitation and airway management. Our aim was to study the effects of wearing of personal protective equipment (PPE) and powered air-purifying respirator (PAPR) and the restriction in the number of resuscitation personnel on airway management during the SARS crisis. Data was collected prospectively through an ongoing emergency airway registry. The data was divided into three periods: (1) before PPE was instituted from 1 November 2002 to 31 March 2003; (2) during SARS (when PPE use was mandatory) from 1 April to 31 July 2003; (3) post-SARs (when PPE use was non-mandatory but encouraged) from 1 August to 31 March 2004. There was no change in patient demographics during the three periods. There were significant increases in the proportion of resuscitation cases and airway interventions during the SARS period compared to the pre-SARS period. The resident medical officer intubation rate decreased from 45.1% pre-SARS to 35.2% during SARS and 17.7% post-SARS. The complication rates were 10.5%, 9.9% and 9.4% in periods 1–3, respectively. Restriction in the number of healthcare staff attending to each patient may have influenced the department's decision to allow only the most confident or experienced personnel to manage the airway. The exposure of junior medical officers in emergency airway management during SARS and the immediate post-SARS period was decreased. This trend should be monitored further and intervention may be necessary should it continue to decline.
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spelling pubmed-71256272020-04-08 The effect of severe acute respiratory syndrome (SARS) on emergency airway management() Wong, Evelyn Ho, Khoy Kheng Resuscitation Clinical Paper From early March 2003 to late May 2003, severe acute respiratory syndrome (SARS) was detected in Singapore. The increase in workload and new infection control procedures were thought to affect resuscitation and airway management. Our aim was to study the effects of wearing of personal protective equipment (PPE) and powered air-purifying respirator (PAPR) and the restriction in the number of resuscitation personnel on airway management during the SARS crisis. Data was collected prospectively through an ongoing emergency airway registry. The data was divided into three periods: (1) before PPE was instituted from 1 November 2002 to 31 March 2003; (2) during SARS (when PPE use was mandatory) from 1 April to 31 July 2003; (3) post-SARs (when PPE use was non-mandatory but encouraged) from 1 August to 31 March 2004. There was no change in patient demographics during the three periods. There were significant increases in the proportion of resuscitation cases and airway interventions during the SARS period compared to the pre-SARS period. The resident medical officer intubation rate decreased from 45.1% pre-SARS to 35.2% during SARS and 17.7% post-SARS. The complication rates were 10.5%, 9.9% and 9.4% in periods 1–3, respectively. Restriction in the number of healthcare staff attending to each patient may have influenced the department's decision to allow only the most confident or experienced personnel to manage the airway. The exposure of junior medical officers in emergency airway management during SARS and the immediate post-SARS period was decreased. This trend should be monitored further and intervention may be necessary should it continue to decline. Elsevier Ireland Ltd. 2006-07 2006-06-09 /pmc/articles/PMC7125627/ /pubmed/16762480 http://dx.doi.org/10.1016/j.resuscitation.2005.11.010 Text en Copyright © 2005 Elsevier Ireland Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Clinical Paper
Wong, Evelyn
Ho, Khoy Kheng
The effect of severe acute respiratory syndrome (SARS) on emergency airway management()
title The effect of severe acute respiratory syndrome (SARS) on emergency airway management()
title_full The effect of severe acute respiratory syndrome (SARS) on emergency airway management()
title_fullStr The effect of severe acute respiratory syndrome (SARS) on emergency airway management()
title_full_unstemmed The effect of severe acute respiratory syndrome (SARS) on emergency airway management()
title_short The effect of severe acute respiratory syndrome (SARS) on emergency airway management()
title_sort effect of severe acute respiratory syndrome (sars) on emergency airway management()
topic Clinical Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7125627/
https://www.ncbi.nlm.nih.gov/pubmed/16762480
http://dx.doi.org/10.1016/j.resuscitation.2005.11.010
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