RESUMEN
This single-center retrospective study evaluated a protocol for the intubation of patients with confirmed or suspected coronavirus disease 2019 (COVID-19). Twenty-one patients were intubated, 9 of whom were found to have COVID-19. Adherence to the airway management protocol was high. COVID-19 patients had lower peripheral capillary oxygen saturation by pulse oximetry (Spo2) nadirs during intubation (Spo2, 73% [72%-77%] vs 89% [86%-94%], P = .024), and a greater percentage experienced severe hypoxemia defined as Spo2 ≤80% (89% vs 25%, P = .008). The incidence of severe hypoxemia in COVID-19 patients should be considered in the development of guidelines that incorporate high-flow nasal cannula and noninvasive positive pressure ventilation.
Asunto(s)
COVID-19/terapia , Hipoxia/terapia , Intubación Intratraqueal/métodos , Intubación e Inducción de Secuencia Rápida/métodos , Insuficiencia Respiratoria/terapia , Adulto , Anciano , Manejo de la Vía Aérea , Cánula , Femenino , Humanos , Hipoxia/prevención & control , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Laringoscopía , Masculino , Persona de Mediana Edad , Respiradores N95 , Ventilación no Invasiva , Oximetría , Terapia por Inhalación de Oxígeno , Aisladores de Pacientes , Equipo de Protección Personal , Respiración con Presión Positiva , Guías de Práctica Clínica como Asunto , Estudios Retrospectivos , SARS-CoV-2 , Índice de Severidad de la EnfermedadRESUMEN
As the SARS-COV-2 pandemic created the need for social distancing and the implementation of nonessential travel bans, residency and fellowship programs have moved toward a web-based virtual process for applicant interviews. As part of the Society of Asian Academic Surgeons 5th Annual Meeting, an expert panel was convened to provide guidance for prospective applicants who are new to the process. This article provides perspectives from applicants who have successfully navigated the surgical subspecialty fellowship process, as well as program leadership who have held virtual interviews.