The use of simulation to prepare for changes in emergent airway management in the early days of the Covid-19 outbreak

Tewfik, George; Shulman, Steven; Bachmann, Thomas

doi:10.1016/j.tacc.2020.04.003

Cited by 1 publication

(1 citation statement)

References 2 publications

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“…Simulation training is a commonly used strategy in airway management education and has been found to increase providers comfort in intubation [ [8] , [9] , [10] ]. More recently, simulation training has been used to prepare healthcare providers for airway management of COVID-19 patients [ [11] , [12] , [13] , [14] , [15] ]. One study assessing the utility of a simulation training educational intervention in 93 physicians found that simulation training increased providers’ comfort in suspected COVID-19 intubations compared to baseline comfort prior to the simulation, a difference of 1.3 points on a 5-point Likert scale (95% confidence interval 1.06–1.54, p < 0.001) [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 specific simulation training in improving intubators’ level of comfort during intubations of COVID-19 patients - Results from a USA national survey

Shabeeb

Lee

Shatanofy

et al. 2022

Trends in Anaesthesia and Critical Care

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Background Tracheal intubation is a hazardous aerosolizing procedure with a potential risk of spreading SAR-CoV-2 between patients and physicians. Aim The purpose of this study was to explore the impact of COVID-19 specific simulation training in improving provider level of comfort during the intubation of COVID-19 patients. Methods In this cross-sectional national study, an electronic survey was disseminated using a snowball sample approach to intubators from 55 hospitals across the United States. The survey assessed providers’ comfort of intubating and fear of contracting the virus during COVID-19 intubations. Results A total of 329 surveys from 55 hospitals were analyzed. Of 329 providers, 111 providers (33.7%) reported participating in simulation training. Of those, 86 (77.5%) reported that the simulation training helped reduce their fear of intubating COVID-19 patients. Providers in the simulation training group also reported a higher level of comfort level with intubating both general patients (median [range] no-simulation training group 9 [3–10], simulation training group 9 [6–10]; p = 0.015) and COVID-19 patients (no-ST 8 [1–10], ST group 9 [4–10]; p < 0.0005) than providers in the no-simulation training group. Conclusions Our study suggests that COVID-19 specific intubation simulation training promotes provider comfort. Simulation training may be implemented as part of airway management training during the current and novel pandemic situations.

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