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Croatian national audit on videolaryngoscopes and alternative intubation devices in the era of COVID-19 pandemic.
Matas, Marijana; Miklic Bublic, Martina; Sekulic, Ante; Curic Radivojevic, Renata; Nagy, Bálint.
  • Matas M; Department of Anesthesiology, Reanimatology and Intensive Care Medicine, University Hospital Center Zagreb, Zagreb, Croatia.
  • Miklic Bublic M; Department of Anesthesiology, Reanimatology and Intensive Care Medicine, University Hospital Center Zagreb, Zagreb, Croatia.
  • Sekulic A; School of Medicine, Catholic University of Croatia, Zagreb, Croatia.
  • Curic Radivojevic R; Department of Anesthesiology, Reanimatology and Intensive Care Medicine, University Hospital Center Zagreb, Zagreb, Croatia.
  • Nagy B; Department of Anesthesiology and Intensive Therapy, Medical School, University of Pécs, Pécs, Hungary.
PLoS One ; 18(1): e0280236, 2023.
Article in English | MEDLINE | ID: covidwho-2197143
ABSTRACT

INTRODUCTION:

Videolaryngoscopy (VL) is the recommended strategy for airway management in COVID-19 patients and guidelines recommends that all anesthesiologists should be trained to use and have immediate access to the device. However, the availability of VL in hospitals and its use may vary, as well as the choice of the device and necessary training. Our primary aim was to investigate data on availability of VL in Croatia, its use, the choice of the device and its implementation, with special consideration of COVID-19 management. MATERIALS AND

METHODS:

An electronic survey was sent to all Croatian hospitals that have anesthesiology service available. The survey was designed to examine data on availability and use of VL with special consideration of COVID-19 wards. The survey was conducted between 1.03.2021 and 30.08.2021.

RESULTS:

Response rate was 83%. VL was available in 86% of hospitals and the best supplied areas were intensive care units, general surgery and gynecology/obstetrics. The most common VL devices were Bonfils, C-MAC and C-MAC D-blade. The choice of VL was mainly based on centralized hospital procurement and informal introduction was found to be the most frequent training method. The VL was mainly used in Croatian hospitals in cases of difficult airway or as a backup method after failed intubation. Only 16% of hospitals reported regular use in everyday practice. Even though, VL was available in 64% of COVID-19 wards, only 21% of hospitals reported routine use.

CONCLUSION:

Although VL is available in the majority of Croatian hospitals, its use is still mainly restricted to difficult airway scenarios. Use of VL in COVID-19 management is also low and education on the method is still mainly informal. Based upon our results better implementation in practice should be targeted, as well as formal skill trainings especially regarding COVID-19 care.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Laryngoscopes / COVID-19 Type of study: Observational study / Qualitative research Limits: Humans Country/Region as subject: Europa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2023 Document Type: Article Affiliation country: Journal.pone.0280236

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Laryngoscopes / COVID-19 Type of study: Observational study / Qualitative research Limits: Humans Country/Region as subject: Europa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2023 Document Type: Article Affiliation country: Journal.pone.0280236