A Developing Nation’s Experience in Using Simulation-Based Training as a Preparation Tool for the Coronavirus Disease 2019 Outbreak

Loh, Pui San; Chaw, Sook Hui; Shariffuddin, Ina Ismiarti; Ng, Ching Choe; Yim, Carolyn Chue Wai; Hashim, Noorjahan Haneem Md

doi:10.1213/ane.0000000000005264

Cited by 10 publications

(8 citation statements)

References 15 publications

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“…24 The repeated simulation training and the presence of a “spotter” who ensured proper PPE practice among team members may have played an important role in these figures. 25 – 27 Nevertheless, even with these considerations in mind, there were (albeit very rare) breaches in best practices (such as not wearing a gown), and providers should always be mindful of the importance of adequate PPE.…”

Section: Discussionmentioning

confidence: 99%

A specialized airway management team for COVID-19 patients: a retrospective study of the experience of two Canadian hospitals in Toronto

Jarvis

Schiavo

Bartoszko

et al. 2021

Can J Anesth/J Can Anesth

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Background In the COVID-19 pandemic, an unprecedented number of individuals required endotracheal intubation. To safely face these challenges, expert intubation teams were formed in some institutions. Here, we report on the experience of emergency rapid intubation teams (ERITs) in two Canadian hospitals. Methods We retrospectively collected data on all airway management procedures in confirmed or suspected COVID-19 patients performed by ERITs at two academic hospitals between 3 April and 17 June 2020. The co-primary outcomes were incidence of periprocedural adverse events (hypoxemia, hypotension, and cardiac arrest within 15 min of intubation) and first-attempt intubation success rate. Secondary outcomes included number of intubation attempts, device used to achieve successful airway management, and adherence to personal protective equipment (PPE) protocols. Results During the study period, 123 patients were assessed for airway management, with 117 patients receiving airway interventions performed by the ERIT. The first-attempt success rate for intubation was 92%, and a videolaryngoscope was the final successful device in 93% of procedures. Hypoxemia (peripheral oxygen saturation [SpO 2 ] < 90%) occurred in 28 patients (24%) and severe hypoxemia (SpO 2 < 70%) occurred in ten patients (9%). Hypotension (systolic blood pressure [SBP] < 90 mm Hg) occurred in 37 patients (32%) and severe hypotension (SBP < 65 mm Hg) in 11 patients (9%). Adherence to recommended PPE use among providers was high. Conclusion In this cohort of critically ill patients with respiratory failure requiring time-sensitive airway management, specialized ERIT teams showed high rates of successful airway management with high adherence to PPE use. Hypoxemia and hemodynamic instability were common and should be anticipated within the first 15 min following intubation. Study registration www.ClinicalTrials.gov (NCT04689724); registered 30 December 2020.

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Section: Discussionmentioning

confidence: 99%

A specialized airway management team for COVID-19 patients: a retrospective study of the experience of two Canadian hospitals in Toronto

Jarvis

Schiavo

Bartoszko

et al. 2021

Can J Anesth/J Can Anesth

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“…13 Another study used RCDP to prepare individual consultants, specialists, and medical officers in a hospital in Malaysia for COVID-19 including donning and doffing of personal protective equipment and airway management protocols. 14 In a standalone pediatric hospital, RCDP was used to train interprofessional teams of 1 physician (practicing attending or resident physician) and ward nurse on pediatric cardiopulmonary resuscitation; participants rated the training as very useful and a few comments specifically mentioned the interprofessional nature and the style of RCDP simulation. 15 These studies assessed learner perception often by selection of usefulness through multiplechoice questions, scaled ratings, and Likert scales.…”

Section: Discussionmentioning

confidence: 99%

An Investigation on the Perceptions of Practicing Interdisciplinary Health Professionals on Rapid Cycle Deliberate Practice Simulation

Roszczynialski¹,

Bergman³

et al. 2021

Sim Healthcare

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Introduction: Rapid cycle deliberate practice (RCDP) is a relatively new method for delivering simulation for a structured algorithm-based clinical content. We sought to understand how a group of practicing emergency medicine healthcare professionals would perceive RCDP as a learning method. Methods: This was a qualitative study of participants' reactions to RCDP simulation during an orientation process to a new freestanding emergency department using grounded theory. Focus groups were held after simulation sessions to investigate the participants reactions to RCDP as well as the experience of multiple professions participating. Two investigators independently coded the focus group transcripts to detect themes and developed a list of codes, which were then confirmed by consensus. Data were organized into themes with contributing codes.Results: Thirty-one individuals participated in the focus groups including physicians, nurse practitioners, nurses, respiratory therapists, and patient care technicians. Four themes were detected: the procedural components of RCDP, the behavioral response to RCDP, learning through RCDP, and RCDP as interprofessional experience. The participants view of emotions and interruptions and pauses had discrepant interpretation. Conclusions: Participants received RCDP simulation positively. Initial negative reactions to the interruptions and pauses of RCDP dissipated as the simulation progressed. Ultimately, learners agreed that RCDP was extremely effective as compared with traditional simulation for medical resuscitation training because of the authenticity of the multidisciplinary aspect. This suggests that RCDP may be an effective tool for continuing education of practicing healthcare professionals.

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“…Study settings were mainly hospitals. 18,20−26,28, 30,31,33,37−39,43,47−52,55,56,59−64,67,68,70,71,73,74,79,80,82−84,86−89 Methods most frequently used to collect and report data were intervention proposals, 22,25,37,39,40,47,48,54,57,59,65,66,[70][71][72]74,76,80,82,85,86,89,90 surveys, 18 −21,24,26,41,45,46,51,58,61,68,69,79,81,83 practices/actions implementation description 31,32,36,[42][43][44]49,63,78,87,88 and interviews, 23,27,28,[33][34][35]38,50,52,55,56,60,62,…”

Section: Included Studiesmentioning

confidence: 99%

“…35,44 Other useful strategies included informing HW practices by making learning materials freely available in repositories, group chats, and social media. 19,39,47,52,65…”

Section: Hws Lack Of Preparedness Knowledge or Trainingmentioning

confidence: 99%

Personal protective equipment implementation in healthcare: A scoping review

Cordeiro¹,

Gnatta²,

Price³

et al. 2022

American Journal of Infection Control

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A Developing Nation’s Experience in Using Simulation-Based Training as a Preparation Tool for the Coronavirus Disease 2019 Outbreak

Abstract: Supplemental Digital Content is available in the text.

Cited by 10 publications

References 15 publications

A specialized airway management team for COVID-19 patients: a retrospective study of the experience of two Canadian hospitals in Toronto

A specialized airway management team for COVID-19 patients: a retrospective study of the experience of two Canadian hospitals in Toronto

An Investigation on the Perceptions of Practicing Interdisciplinary Health Professionals on Rapid Cycle Deliberate Practice Simulation

Personal protective equipment implementation in healthcare: A scoping review

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