Al Shabeeb Reem Qabas, Lee Esther, El Shatanofy Muhammad, Mulcahy Collin F, Sherman Marian L, Heinz Eric R, Yamane David P
The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Western University of Health Sciences, Pomona, CA, USA.
Trends Anaesth Crit Care. 2022 Apr;43:17-22. doi: 10.1016/j.tacc.2022.01.004. Epub 2022 Jan 24.
Tracheal intubation is a hazardous aerosolizing procedure with a potential risk of spreading SAR-CoV-2 between patients and physicians.
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.
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.
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.
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.
气管插管是一种具有风险的雾化操作，存在严重急性呼吸综合征冠状病毒2（SAR-CoV-2）在患者与医护人员之间传播的潜在风险。
本研究旨在探讨新型冠状病毒肺炎（COVID-19）特定模拟培训对提高医护人员在COVID-19患者插管过程中的舒适度的影响。
在这项全国性横断面研究中，采用滚雪球抽样法向美国55家医院的插管人员发放电子调查问卷。该调查评估了医护人员在COVID-19插管过程中对插管的舒适度以及对感染病毒的恐惧程度。
共分析了来自55家医院的329份调查问卷。在329名医护人员中，111名（33.7%）报告参加了模拟培训。其中，86名（77.5%）报告模拟培训有助于减轻他们对为COVID-19患者插管的恐惧。模拟培训组的医护人员在为普通患者插管（中位数[范围]：非模拟培训组9[3 - 10]，模拟培训组9[6 - 10]；p = 0.015）和为COVID-19患者插管（非模拟培训组8[1 - 10]，模拟培训组9[4 - 10]；p < 0.0005）时，报告的舒适度水平也高于非模拟培训组的医护人员。
我们的研究表明，COVID-19特定插管模拟培训可提高医护人员的舒适度。在当前及新型大流行情况下，模拟培训可作为气道管理培训的一部分实施。
