Turkish Journal of Anaesthesiology & Reanimation
ORIGINAL ARTICLE

A survey of current practices and adherence to COVID airway management guidelines among frontline healthcare professionals in a resource limited country

1.

Department of Anaesthesiology, The Aga Khan University Hospital, Karachi, Pakistan

2.

Department of Emergency Medicine, The Aga Khan University Hospital, Karachi, Pakistan

Turk J Anaesthesiol Reanim 1; 1: -
DOI: 10.5152/TJAR.2021.21104
Read: 258 Downloads: 133 Published: 29 November 2021

Introduction
The Coronavirus disease 2019 (COVID-19) has brought anaesthesiologist, intensive care, and emergency physicians to the forefront due to their airway management skills. The aim of survey was to determine current practice trends in COVID-19 airway management among frontline healthcare professionals of Pakistan and their adherence to standard principles proposed by most guidelines.
Methods
An online questionnaire was designed based on consensus guidelines from international societies. We contacted consultant and trainees nationwide working in Anaesthesia, intensive care and emergency departments through emails, phone calls and social media platforms.
Results
A total of 285 individuals participated in this cross-sectional descriptive study. Intubations were largely performed by anaesthetist followed by emergency physicians. Deteriorating respiratory failure (89%) was the most frequent indication. Availability of trained staff, use of intubation checklist, limited staff presence during
intubation and use of appropriate personal protective equipment (PPE) were positive findings. 12.5% reported that their workplace did not have negative pressure rooms for aerosol generating procedures. 63.3% responders do not perform airway assessment before intubation. Device of choice for first attempt at laryngoscopy was Macintosh laryngoscope (51.6%) followed by video laryngoscopes with disposable blades (24.2%). Availability of rescue devices in case of unanticipated difficult airway is variable; laryngeal mask airway (70.1%), bougie (82.2%) and stylet (68.7%) were present at majority places. Frequency of airway related adverse events including hypoxemia (69.8%) and failed first attempt intubation (35.2%) were significant.
Conclusion
This survey found satisfactory knowledge, comparable practices and offers some important insights about airway management in COVID-19 patients by healthcare professionals of Pakistan.
Cite this article as: Gulamani A, Shamim F, Khan S, Hashmi S, Abbasi S. A survey of current practices and adherence to COVID airway management guidelines among frontline healthcare professionals in a resource limited country. Turk J Anaesthesiol Reanim. 2021; doi: 10.5152/TJAR.2021.21104

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