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Human Factors and Airway Management in COVID-19 Patients: The Perfect Storm?

The SARS-CoV-2 pandemic heavily impacted healthcare workers, increasing their physical and psychological workload. Specifically, COVID-19 patients’ airway management is definitely a challenging task regarding both severe and acute respiratory failure and the risk of contagion while performing aeroso...

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Autores principales: Cortese, Gerardo, Sorbello, Massimiliano, Di Giacinto, Ida, Cedrone, Martina, Urdaneta, Felipe, Brazzi, Luca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9330625/
https://www.ncbi.nlm.nih.gov/pubmed/35893372
http://dx.doi.org/10.3390/jcm11154271
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author Cortese, Gerardo
Sorbello, Massimiliano
Di Giacinto, Ida
Cedrone, Martina
Urdaneta, Felipe
Brazzi, Luca
author_facet Cortese, Gerardo
Sorbello, Massimiliano
Di Giacinto, Ida
Cedrone, Martina
Urdaneta, Felipe
Brazzi, Luca
author_sort Cortese, Gerardo
collection PubMed
description The SARS-CoV-2 pandemic heavily impacted healthcare workers, increasing their physical and psychological workload. Specifically, COVID-19 patients’ airway management is definitely a challenging task regarding both severe and acute respiratory failure and the risk of contagion while performing aerosol-generating procedures. The category of anesthesiologists and intensivists, the main actors of airway management, showed a poor psychological well-being and a high stress and burnout risk. Identifying and better defining the specific main SARS-CoV-2-related stressors can help them deal with and effectively plan a strategy to manage these patients in a more confident and safer way. In this review, we therefore try to analyze the relevance of human factors and non-technical skills when approaching COVID-19 patients. Lessons from the past, such as National Audit Project 4 recommendations, have taught us that safe airway management should be based on preoperative assessment, the planning of an adequate strategy, the optimization of setting and resources and the rigorous evaluation of the scenario. Despite, or thanks to, the critical issues and difficulties, the “take home lesson” that we can translate from SARS-CoV-2 to every airway management is that there can be no more room for improvisation and that creating teamwork must become a priority.
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spelling pubmed-93306252022-07-29 Human Factors and Airway Management in COVID-19 Patients: The Perfect Storm? Cortese, Gerardo Sorbello, Massimiliano Di Giacinto, Ida Cedrone, Martina Urdaneta, Felipe Brazzi, Luca J Clin Med Opinion The SARS-CoV-2 pandemic heavily impacted healthcare workers, increasing their physical and psychological workload. Specifically, COVID-19 patients’ airway management is definitely a challenging task regarding both severe and acute respiratory failure and the risk of contagion while performing aerosol-generating procedures. The category of anesthesiologists and intensivists, the main actors of airway management, showed a poor psychological well-being and a high stress and burnout risk. Identifying and better defining the specific main SARS-CoV-2-related stressors can help them deal with and effectively plan a strategy to manage these patients in a more confident and safer way. In this review, we therefore try to analyze the relevance of human factors and non-technical skills when approaching COVID-19 patients. Lessons from the past, such as National Audit Project 4 recommendations, have taught us that safe airway management should be based on preoperative assessment, the planning of an adequate strategy, the optimization of setting and resources and the rigorous evaluation of the scenario. Despite, or thanks to, the critical issues and difficulties, the “take home lesson” that we can translate from SARS-CoV-2 to every airway management is that there can be no more room for improvisation and that creating teamwork must become a priority. MDPI 2022-07-22 /pmc/articles/PMC9330625/ /pubmed/35893372 http://dx.doi.org/10.3390/jcm11154271 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Opinion
Cortese, Gerardo
Sorbello, Massimiliano
Di Giacinto, Ida
Cedrone, Martina
Urdaneta, Felipe
Brazzi, Luca
Human Factors and Airway Management in COVID-19 Patients: The Perfect Storm?
title Human Factors and Airway Management in COVID-19 Patients: The Perfect Storm?
title_full Human Factors and Airway Management in COVID-19 Patients: The Perfect Storm?
title_fullStr Human Factors and Airway Management in COVID-19 Patients: The Perfect Storm?
title_full_unstemmed Human Factors and Airway Management in COVID-19 Patients: The Perfect Storm?
title_short Human Factors and Airway Management in COVID-19 Patients: The Perfect Storm?
title_sort human factors and airway management in covid-19 patients: the perfect storm?
topic Opinion
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9330625/
https://www.ncbi.nlm.nih.gov/pubmed/35893372
http://dx.doi.org/10.3390/jcm11154271
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