A simple suggestion for safer patient transfer during COVID pandemic!

Tyagi, Mayank; Burman, Sourav; Brijkishore, Sharma Pradeep; Dube, Surya Kumar

doi:10.4103/ija.ija_464_20

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…The COVID-19 pandemic has prompted the revision of airway management protocols to minimise occupational risks. [ 11 12 13 14 ] Our study, which used a dye to simulate contamination during airway management, was devised in light of this new healthcare scenario. We found a significant decrease in the points of contamination and an increased adherence to protocols in the post-debrief session.…”

Section: Discussionmentioning

confidence: 99%

Simulation with a colour indicator to help reduce contamination during airway management in COVID-19 times: An experience from a tertiary centre in India

George

Dhawan

et al. 2021

Indian Journal of Anaesthesia

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Background and Aims: The coronavirus disease 2019 (COVID-19) pandemic has initiated modified protocols for aerosol-generating procedures. A simulation study using dye was conducted to highlight contamination at intubation and extubation and to encourage adherence to the new COVID-19 protocol among anaesthesia personnel in our institution. Methods: A video demonstrating the new COVID-19 protocols was circulated in the Department of Anaesthesiology a week prior to the study. Thirty teams, each comprising an anaesthesia resident and a staff technician, were enroled. Each team was asked to demonstrate the steps of preparation, intubation and extubation on a mannequin in a COVID-19 scenario. Checklists were used to assess points of contamination and adherence to the protocols. Following debriefing, a repeat simulation was conducted. The use of a dye highlighted the points of contamination. The study subjects provided feedback on the usefulness of the session and practical difficulties encountered in adapting to the new protocols. Results: The average contamination scores decreased by 3.4 (95% confidence interval (CI): 2.4–4.4, P < 0.001) in the post-debrief session. Adherence to the steps of the modified protocol improved by a score of 2.7 (CI: 3.6–1.83) among anaesthesiologists and by 4.3 (CI: 5.3–3.3) among technicians. Further, 93% felt that the use of the colour indicator reinforced awareness of the possible points of contamination. Conclusion: Simulation with a low-fidelity mannequin by using colour indicator for secretions is an effective teaching tool to reduce health hazards during airway management in COVID-19 times.

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Section: Discussionmentioning

confidence: 99%

Simulation with a colour indicator to help reduce contamination during airway management in COVID-19 times: An experience from a tertiary centre in India

George

Dhawan

et al. 2021

Indian Journal of Anaesthesia

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Bain H: Innovative Modification of Bain Circuit for the Resuscitation and Transportation of Patients With Coronavirus Disease 2019

Jain¹,

Chaurasia²,

Sengar

et al. 2021

A&A Practice

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Bain H circuit is an innovatively modified breathing circuit designed for the transportation and resuscitation of patients with coronavirus disease . For this circuit, the Heidbrink valve was replaced with a 15F inlet and 15M/22F outlet adjustable pressure-limiting (APL) valve, and a high-efficiency particulate air filter was placed over the APL outlet valve. The circuit is designed to filter the novel coronavirus without any increase in dead space or resistance. All benefits of the conventional Bain circuit were retained. Besides its use in dedicated COVID-19 areas, this circuit can be used in other emergency units of the hospital. (A&A Practice. 2021;15:e01530.) GLOSSARY APL = adjustable pressure-limiting; COVID-19 = coronavirus disease 2019; HEPA = high-efficiency particulate air; HME = heat and moisture exchanger; ICU = XXX; RT-PCR = reverse transcription polymerase chain reaction; SARS-CoV-2 = severe acute respiratory syndrome coronavirus 2; WHO = World Health Organization

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Editing from the dungeons of the pandemic; an editor's agonisingly painful battle with COVID-19

Bajwa

2020

Indian J Anaesth

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A simple suggestion for safer patient transfer during COVID pandemic!

Cited by 3 publications

References 6 publications

Simulation with a colour indicator to help reduce contamination during airway management in COVID-19 times: An experience from a tertiary centre in India

Simulation with a colour indicator to help reduce contamination during airway management in COVID-19 times: An experience from a tertiary centre in India

Bain H: Innovative Modification of Bain Circuit for the Resuscitation and Transportation of Patients With Coronavirus Disease 2019

Editing from the dungeons of the pandemic; an editor's agonisingly painful battle with COVID-19

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