The role of videolaryngoscopy in airway management of COVID-19 patients

Gómez-Ríos, Manuel Ángel; Casans‐Francés, Rubén; Abad‐Gurumeta, Alfredo; Esquinas, António M.

doi:10.5114/ait.2020.99504

Cited by 8 publications

(6 citation statements)

References 16 publications

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“…Recent literature has challenged the efficacy of this practice; however, there are few data about the impact of using barriers on outcomes in children. Videolaryngoscopy is recommended in people with COVID‐19 to increase the distance from the patient's airway to the clinician (‘mouth‐to‐mouth’ distance) [ 10 , 11 ] and probability of successful tracheal intubation on the first attempt [ 12 ].…”

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confidence: 99%

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Complications associated with paediatric airway management during the COVID‐19 pandemic: an international, multicentre, observational study

et al. 2022

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Summary Respiratory adverse events in adults with COVID‐19 undergoing general anaesthesia can be life‐threatening. However, there remains a knowledge gap about respiratory adverse events in children with COVID‐19. We created an international observational registry to collect airway management outcomes in children with COVID‐19 who were having a general anaesthetic. We hypothesised that children with confirmed or suspected COVID‐19 would experience more hypoxaemia and complications than those without. Between 3 April 2020 and 1 November 2020, 78 international centres participated. In phase 1, centres collected outcomes on all children (age ≤ 18 y) having a general anaesthetic for 2 consecutive weeks. In phase 2, centres recorded outcomes for children with test‐confirmed or suspected COVID‐19 (based on symptoms) having a general anaesthetic. We did not study children whose tracheas were already intubated. The primary outcome was the incidence of hypoxaemia during airway management. Secondary outcomes included: incidence of other complications; and first‐pass success rate for tracheal intubation. In total, 7896 children were analysed (7567 COVID‐19 negative and 329 confirmed or presumed COVID‐19 positive). The incidence of hypoxaemia during airway management was greater in children who were COVID‐19 positive (24 out of 329 (7%) vs. 214 out of 7567 (3%); OR 2.70 (95%CI 1.70–4.10)). Children who had symptoms of COVID‐19 had a higher incidence of hypoxaemia compared with those who were asymptomatic (9 out of 51 (19%) vs. 14 out of 258 (5%), respectively; OR 3.7 (95%CI 1.5–9.1)). Children with confirmed or presumed COVID‐19 have an increased risk of hypoxaemia during airway management in conjunction with general anaesthesia.

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confidence: 99%

“…Videolaryngoscopy is recommended in people with COVID-19 to increase the distance from the patient's airway to the clinician ('mouth-to-mouth' distance) [10,11] and probability of successful tracheal intubation on the first attempt [12].…”

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confidence: 99%

Complications associated with paediatric airway management during the COVID‐19 pandemic: an international, multicentre, observational study

et al. 2022

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“…The video laryngoscope was determined to be the most appropriate tool in COVID-19 airway management as it improves first pass-success and decreases time to intubation while increasing distance between patient and airway operator. 4,5 Prior to the pandemic, the department only had one functional reusable video laryngoscope. Procurement of single use, hand-held video laryngoscopes was done simultaneously with procurement of reusable ones.…”

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confidence: 99%

Airway Management in COVID-19: The University of the Philippines – Philippine General Hospital Experience

Hilvano-Corsiga

2022

Acta Med Philipp

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“…Brewster DJ, et al also recommended the use of a second-generation supraglottic airway device as its higher seal pressure during positive pressure ventilation decreases the risk of aerosolization of virus-containing fluid particles [1]. Video laryngoscopy can be used as an alternative to direct laryngoscopy for training and assessment in tracheal intubation in clinical settings and believe that all patients with COVID-19, and ideally every patient during the pandemic, should be intubated using video laryngoscopy [6,8,9,11,12]. During this pandemic, we encourage colleagues to prepare for difficulties during tracheal intubation and extubation as several reported cases of covid-19 association with airway edema, so especially emphasized that more care should be taken after documented difficult airway management or prolonged tracheal intubation.…”

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confidence: 99%

An Evaluation of Pediatric Airway Management Training for Suspected/Confirmed COVID-19 Patients Utilizing Medical Simulation at King Fahad Medical City, Riyadh, Saudi Arabia

Sawsan¹,

Raed²,

Ali³

et al. 2022

Int J Crit Care Emerg Med

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Introduction:The novel coronavirus disease 2019 (COVID-19) can be transmitted to clinicians involved in their care, particularly during aerosol-generating procedures. In spite centers for disease control and prevention (CDC) had put clear standards for precaution when dealing with such patients but unfortunately several health care providers had lost their lives around the world. Objectives:To evaluate virtual/in-person medical simulation training about airway management of suspected/ confirmed COVID-19 pediatric patients on pediatric health care provider in KFMC. Methods:Cross-section study done on pediatric health care providers at King Fahad Medical City (KFMC), Riyadh, Saudi Arabia through google form questioner. Inclusion criteria: Health care providers involved in pediatric airway management for confirmed/suspected Covid-19 patients at KFMC, whether they attended virtual/in-person simulation training courses or didn't attend. We decided in this study to transmit the guideline on airway management for confirmed/suspected Covid-19 pediatric patients into simulation training courses to be run into in-situ simulation for multidisciplinary team, then when in situ area was converted into covid-19 care area we video tape this course and add it as QR barcode to the guideline.Results: 70% of the responders had attended virtual/inperson simulation training, majorities were able to follow the guideline steps during airway management of suspected/ confirmed COVID-19 pediatric patients. 85% of responders indicate that, simulation training either hands-on or video demonstration had helped them in Airway management for confirmed/suspected COVID-19. Discussion: Most of the studies share the importance of generating guideline for pediatric airway management of suspected/confirmed COVID-19 pediatric patients. Adding simulation training as QR code to the guideline make it readily and easily accessed by healthcare providers and BRieF RePoRt Check for updates ResultsThis cross-sectional study evaluates healthcare providers' (HCPs) pediatric airway management training for suspected/confirmed COVID-19 patients utilizing medical simulation. As described in Table 1, nearly 70% of HCPs attended hands-on simulation training on airway management for confirmed or suspected COVID-19 patients. Of them, 61% had attended once. The prevalence of HCPs who attended video demonstrations on airway management for confirmed or suspected COVID-19 was 81.4%. Of them, 65.2% attended at least once. The proportion of HCPs who were involved in airway management on real confirmed or suspected COVID-19 pediatric patients was 59.3%. Of those who were involved, 34.3% provided IV medications.Table 2a and Table 2b presented the HCPs practice for those who were involved in airway management on real

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The role of videolaryngoscopy in airway management of COVID-19 patients

Cited by 8 publications

References 16 publications

Complications associated with paediatric airway management during the COVID‐19 pandemic: an international, multicentre, observational study

Complications associated with paediatric airway management during the COVID‐19 pandemic: an international, multicentre, observational study

Airway Management in COVID-19: The University of the Philippines – Philippine General Hospital Experience

An Evaluation of Pediatric Airway Management Training for Suspected/Confirmed COVID-19 Patients Utilizing Medical Simulation at King Fahad Medical City, Riyadh, Saudi Arabia

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