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Performance and impact of an airway management team launched during the COVID-19 pandemic

PURPOSE: To determine the performance and impact of an airway management team (AMT) assembled during the COVID-19 pandemic. METHODS: We conducted a retrospective cohort review of all adult patients who had received airway management services from the AMT (n = 269) and administered a survey questionn...

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Autores principales: Magor, Keziah, Chhina, Tejinder, Cacic, Ivan, Wong, Bill I., El Beheiry, Hossam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8580171/
https://www.ncbi.nlm.nih.gov/pubmed/34761327
http://dx.doi.org/10.1007/s12630-021-02144-6
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author Magor, Keziah
Chhina, Tejinder
Cacic, Ivan
Wong, Bill I.
El Beheiry, Hossam
author_facet Magor, Keziah
Chhina, Tejinder
Cacic, Ivan
Wong, Bill I.
El Beheiry, Hossam
author_sort Magor, Keziah
collection PubMed
description PURPOSE: To determine the performance and impact of an airway management team (AMT) assembled during the COVID-19 pandemic. METHODS: We conducted a retrospective cohort review of all adult patients who had received airway management services from the AMT (n = 269) and administered a survey questionnaire targeting physicians who had the option to activate the AMT (n = 77). The retrospective review determined the performance of the AMT, and the physicians’ survey evaluated the impact of the AMT. The study was conducted at a large Canadian health centre (1,133 beds) from 28 March to 30 June 2020. We included patients in the cohort review who were ≥18 yr of age, whose chart showed that the AMT was activated, and whose airway was managed outside the operating room. We reviewed both electronic medical records and paper chart documentation. Outcomes included intubation success, number of intubation attempts, intubation time, team response time, patient contact time, intubation complications, and breaches of personal protective equipment (PPE) protocol. The physicians’ survey evaluated the relevance, performance, reasonableness, and clinical utility of the AMT. RESULTS: The AMT intubated 231 patients. Charts showed that 91% of intubations were accomplished on first attempt. The mean (standard deviation) intubation time was 2.1 (0.2) min. The complication rate was minimal. The incidence of breaching PPE protocol items was less than 6%. No AMT members reported COVID-19 symptoms. The response rate for the physician’s survey was 36%. The consensus among the participants was that the AMT had considerable clinical utility during the COVID-19 pandemic. CONCLUSION: An AMT assembled during the COVID-19 pandemic showed high competency and effectiveness, and had favourable impact on the main responsible physicians who activated the team.
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spelling pubmed-85801712021-11-12 Performance and impact of an airway management team launched during the COVID-19 pandemic Magor, Keziah Chhina, Tejinder Cacic, Ivan Wong, Bill I. El Beheiry, Hossam Can J Anaesth Reports of Original Investigations PURPOSE: To determine the performance and impact of an airway management team (AMT) assembled during the COVID-19 pandemic. METHODS: We conducted a retrospective cohort review of all adult patients who had received airway management services from the AMT (n = 269) and administered a survey questionnaire targeting physicians who had the option to activate the AMT (n = 77). The retrospective review determined the performance of the AMT, and the physicians’ survey evaluated the impact of the AMT. The study was conducted at a large Canadian health centre (1,133 beds) from 28 March to 30 June 2020. We included patients in the cohort review who were ≥18 yr of age, whose chart showed that the AMT was activated, and whose airway was managed outside the operating room. We reviewed both electronic medical records and paper chart documentation. Outcomes included intubation success, number of intubation attempts, intubation time, team response time, patient contact time, intubation complications, and breaches of personal protective equipment (PPE) protocol. The physicians’ survey evaluated the relevance, performance, reasonableness, and clinical utility of the AMT. RESULTS: The AMT intubated 231 patients. Charts showed that 91% of intubations were accomplished on first attempt. The mean (standard deviation) intubation time was 2.1 (0.2) min. The complication rate was minimal. The incidence of breaching PPE protocol items was less than 6%. No AMT members reported COVID-19 symptoms. The response rate for the physician’s survey was 36%. The consensus among the participants was that the AMT had considerable clinical utility during the COVID-19 pandemic. CONCLUSION: An AMT assembled during the COVID-19 pandemic showed high competency and effectiveness, and had favourable impact on the main responsible physicians who activated the team. Springer International Publishing 2021-11-10 2022 /pmc/articles/PMC8580171/ /pubmed/34761327 http://dx.doi.org/10.1007/s12630-021-02144-6 Text en © Canadian Anesthesiologists' Society 2021, Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Reports of Original Investigations
Magor, Keziah
Chhina, Tejinder
Cacic, Ivan
Wong, Bill I.
El Beheiry, Hossam
Performance and impact of an airway management team launched during the COVID-19 pandemic
title Performance and impact of an airway management team launched during the COVID-19 pandemic
title_full Performance and impact of an airway management team launched during the COVID-19 pandemic
title_fullStr Performance and impact of an airway management team launched during the COVID-19 pandemic
title_full_unstemmed Performance and impact of an airway management team launched during the COVID-19 pandemic
title_short Performance and impact of an airway management team launched during the COVID-19 pandemic
title_sort performance and impact of an airway management team launched during the covid-19 pandemic
topic Reports of Original Investigations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8580171/
https://www.ncbi.nlm.nih.gov/pubmed/34761327
http://dx.doi.org/10.1007/s12630-021-02144-6
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