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Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital

Tracheal intubation of a patient with COVID-19 is a high-risk procedure for not only the patient, but all healthcare workers involved, leading to an understandable degree of staff anxiety. We used simulation to help train airway managers to intubate patients with COVID-19. Based on action cards deve...

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Detalles Bibliográficos
Autores principales: Wong, Heung Yan, Johnstone, Craig, Dua, Gunjeet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8445193/
https://www.ncbi.nlm.nih.gov/pubmed/34603745
http://dx.doi.org/10.1136/bmjstel-2020-000755
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author Wong, Heung Yan
Johnstone, Craig
Dua, Gunjeet
author_facet Wong, Heung Yan
Johnstone, Craig
Dua, Gunjeet
author_sort Wong, Heung Yan
collection PubMed
description Tracheal intubation of a patient with COVID-19 is a high-risk procedure for not only the patient, but all healthcare workers involved, leading to an understandable degree of staff anxiety. We used simulation to help train airway managers to intubate patients with COVID-19. Based on action cards developed by our department, we designed a series of scenarios to simulate airway management during the COVID-19 pandemic. Teams were asked to perform a rapid sequence induction with tracheal intubation. We designed in situ scenarios with low-fidelity manikins that could be set up in operating theatres across multiple sites. Over a period of 4 weeks, 101 consultant anaesthetists, 58 anaesthetic trainees and 30 operating department practitioners received intubation training. These members made up the airway response team of our hospital. 30 emergency department doctors also received training in anticipation of further COVID-19 surges leading to the possibility of overwhelmed services. Simulation-based training was an invaluable tool for our hospital to rapidly upskill medical professionals during the first wave of the COVID-19 pandemic. We have used feedback and additional guidelines to improve our scenarios to retrain staff during subsequent waves.
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spelling pubmed-84451932021-10-01 Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital Wong, Heung Yan Johnstone, Craig Dua, Gunjeet BMJ Simul Technol Enhanc Learn Short Report Tracheal intubation of a patient with COVID-19 is a high-risk procedure for not only the patient, but all healthcare workers involved, leading to an understandable degree of staff anxiety. We used simulation to help train airway managers to intubate patients with COVID-19. Based on action cards developed by our department, we designed a series of scenarios to simulate airway management during the COVID-19 pandemic. Teams were asked to perform a rapid sequence induction with tracheal intubation. We designed in situ scenarios with low-fidelity manikins that could be set up in operating theatres across multiple sites. Over a period of 4 weeks, 101 consultant anaesthetists, 58 anaesthetic trainees and 30 operating department practitioners received intubation training. These members made up the airway response team of our hospital. 30 emergency department doctors also received training in anticipation of further COVID-19 surges leading to the possibility of overwhelmed services. Simulation-based training was an invaluable tool for our hospital to rapidly upskill medical professionals during the first wave of the COVID-19 pandemic. We have used feedback and additional guidelines to improve our scenarios to retrain staff during subsequent waves. BMJ Publishing Group 2021-06-21 /pmc/articles/PMC8445193/ /pubmed/34603745 http://dx.doi.org/10.1136/bmjstel-2020-000755 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Short Report
Wong, Heung Yan
Johnstone, Craig
Dua, Gunjeet
Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital
title Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital
title_full Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital
title_fullStr Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital
title_full_unstemmed Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital
title_short Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital
title_sort developing a simulation programme to train airway management during the covid-19 pandemic in a tertiary-level hospital
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8445193/
https://www.ncbi.nlm.nih.gov/pubmed/34603745
http://dx.doi.org/10.1136/bmjstel-2020-000755
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