Emergency Tracheal Intubation in Patients with COVID-19: Experience from a UK Centre
المؤلفون المشاركون
Gandhi, Ajay
Sokhi, Jagdish
Lockie, Chris
Ward, Patrick A.
المصدر
Anesthesiology Research and Practice
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-12-10
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
This retrospective observational case series describes a single centre’s preparations and experience of 53 emergency tracheal intubations in patients with COVID-19 respiratory failure.
The findings of a contemporaneous online survey exploring technical and nontechnical aspects of airway management, completed by intubation team members, are also presented.
Preparations included developing a COVID-19 intubation standard operating procedure and checklist, dedicated airway trolleys, a consultant-led mobile intubation team, and an airway education programme.
Tracheal intubation was successful in all patients.
Intubation first-pass success rate was 85%, first-line videolaryngoscopy use 79%, oxygen desaturation 49%, and hypotension 21%.
Performance was consistent across all clinical areas.
The main factor impeding first-pass success was larger diameter tracheal tubes.
The majority of intubations was performed by consultant anaesthetists.
Nonconsultant intubations demonstrated higher oxygen desaturation rates (75% vs.
45%, p=0.610) and lower first-pass success (0% vs.
92%, p<0.001).
Survey respondents (n = 29) reported increased anxiety at the start of the pandemic, with statistically significant reduction as the pandemic progressed (median: 4/5 very high vs.
2/5 low anxiety, p<0.001).
Reported procedural/environmental challenges included performing tasks in personal protective equipment (62%), remote-site working (48%), and modification of normal practices (41%)—specifically, the use of larger diameter tracheal tubes (21%).
Hypoxaemia was identified by 90% of respondents as the most challenging patient-related factor during intubations.
Our findings demonstrate that a consultant-led mobile intubation team can safely perform tracheal intubation in critically ill COVID-19 patients across all clinical areas, aided by thorough preparation and training, despite heightened anxiety levels.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Gandhi, Ajay& Sokhi, Jagdish& Lockie, Chris& Ward, Patrick A.. 2020. Emergency Tracheal Intubation in Patients with COVID-19: Experience from a UK Centre. Anesthesiology Research and Practice،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1130559
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Gandhi, Ajay…[et al.]. Emergency Tracheal Intubation in Patients with COVID-19: Experience from a UK Centre. Anesthesiology Research and Practice No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1130559
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Gandhi, Ajay& Sokhi, Jagdish& Lockie, Chris& Ward, Patrick A.. Emergency Tracheal Intubation in Patients with COVID-19: Experience from a UK Centre. Anesthesiology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1130559
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1130559
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر