基于问卷的横断面试点调查,了解COVID-19大流行期间气道管理人员在插管期间遵守公认指南的情况

IF 0.2 Q4 ANESTHESIOLOGY
Debarshi Guha, D. Dwivedi, D. Paul, S. Chakrabarti, J. Talukdar, Shalendra Singh
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引用次数: 0

摘要

背景和目的:COVID-19感染有可能在气管插管等产生气溶胶的过程中呈指数级传播。目的是了解在对已知或疑似COVID-19患者进行插管时,医疗专业人员对实际做法的遵守情况以及现有的知识差距和对指南的遵守情况。材料和方法:采用在线形式(谷歌®Forms)的英语问卷,计划采用基于网络的横断面调查形式。共收到27个问题的140份有效答复。在政府、半政府和私人保健机构工作的印度麻醉师最大限度地参与了例行插管工作。通过计算均值和比例的显著差异对所有有效应答进行统计学分析,以P < 0.05为差异有统计学意义。结果:80%的受访者接受了戴帽和脱帽的培训,并定期佩戴气道手术的个人防护设备。缺乏模拟训练(22.1%)、进入插管现场前最少筛查(37.9%)、频繁使用袋罩通气(18.2%)或高流量鼻插管(19.7%)进行预充氧、听诊确认气管内管深度(34.5%)、没有应对意外气道困难的B计划(27.9%),这些都是知识差距明显的原因。调查指出了负压插管室的基础设施要求、波形超声的可用性和视频喉镜的广泛使用。结论:本调查揭示了COVID-19大流行期间气道管理推荐指南存在的漏洞和不统一做法的合规性,并提出了切实可行的解决方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A questionnaire-based cross-sectional pilot survey on adherence to the recognized guidelines by the airway managers during intubation at the time of COVID-19 pandemic
Background and Aims: COVID-19 infection has the potential to spread exponentially during aerosol-generating procedures like intubation. The aim was to find the compliance toward the actual practice as well as the existing knowledge gap and adherence to the guidelines among the medical professionals while attempting intubation in a known or suspected COVID-19 patients. Materials and Methods: A cross-sectional web-based survey format was planned using English questionnaire in an online form (Google® Forms). One hundred and forty valid responses for 27 questions were received. Maximum participation was received from Indian anesthesiologists working in government, semi-government, and private health facilities, performing the intubation routinely. All the valid responses were statistically analyzed by calculating the significant difference in means and proportions, with P < 0.05 being considered statistically significant. Results: Eighty percent of the respondents received training for donning and doffing and regularly wore personal protective equipment for the airway procedure. Scarce simulation training (22.1%), minimum screening before entering into a intubation scene (37.9%), frequent use of bag-mask ventilation (18.2%) or high flow nasal cannula (19.7%) use for preoxygenation, confirmation of the depth of endotracheal tube by auscultation (34.5%), and having no plan B in case of unanticipated difficult airway (27.9%) make the knowledge gap evident. The survey pointed out toward the infrastructural requirement of negative pressure intubation rooms, availability of waveform capnography, and widespread use of videolaryngoscope. Conclusion: This survey gives us an insight into the compliance with existing lacunae and nonuniform practices of the recommended guidelines for the airway management during COVID-19 pandemic with its pragmatic solution.
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来源期刊
Indian Anaesthetists Forum
Indian Anaesthetists Forum ANESTHESIOLOGY-
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发文量
17
审稿时长
6 weeks
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