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Percutaneous tracheostomy simulation training for ENT physicians in the treatment of COVID-19-positive patients.
Favier, V; Kimmoun, A; Gatin, A; Gallet, P.
  • Favier V; Département d'ORL et chirurgie maxillofaciale, CHU de Montpellier, Montpellier, France; Aide à la décision médicale personnalisée, EA 2415, institut universitaire de recherche clinique, université de Montpellier, Montpellier, France.
  • Kimmoun A; Département de réanimation médicale, CHRU de Nancy, INSERM U1116, université de Lorraine, 54511, Vandœuvre-Lès-Nancy, Nancy, France.
  • Gatin A; Service des urgences pédiatriques, CHRU de Nancy, université de Lorraine, 54511, Vandœuvre-Lès-Nancy, Nancy, France; Centre universitaire d'enseignement par simulation, CUESim, hôpital virtuel de Lorraine HVL, université de Lorraine, Nancy, France.
  • Gallet P; Centre universitaire d'enseignement par simulation, CUESim, hôpital virtuel de Lorraine HVL, université de Lorraine, Nancy, France; Département d'ORL et chirurgie cervico-faciale, CHRU de Nancy, université de Lorraine, 54511, Vandœuvre-Lès-Nancy, Nancy, France. Electronic address: p.gallet@chru-nan
Eur Ann Otorhinolaryngol Head Neck Dis ; 137(4): 333-338, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-592157
ABSTRACT
Tracheostomy in COVID-19-related severe acute respiratory syndrome is at high risk of viral dissemination. The percutaneous dilatation technique could reduce this risk, being performed at the bedside and minimising airway opening. In the COVID-19 context, however, with precarious respiratory status, it requires specific preparation. We designed a 3-hour training module, and here provide a step-by-step schedule, including video analysis, a demonstration of the kit, the recommended precautions related to COVID-19, and several simulation scenarios of increasing difficulty, using a high-tech mannequin. A low-tech procedural simulator was also developed for practicing the steps of the procedure. Our experience (3 sessions with 14 participants) highlighted the difficult points of the procedure in the COVID-19 context, and defined a checklist for clinical practice and an assessment grid. This type of simulation helps to prepare teams for a potentially delicate technical act.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Otolaryngology / Pneumonia, Viral / Tracheostomy / Coronavirus Infections / Simulation Training Type of study: Prognostic study Limits: Humans Language: English Journal: Eur Ann Otorhinolaryngol Head Neck Dis Year: 2020 Document Type: Article Affiliation country: J.anorl.2020.06.002

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Otolaryngology / Pneumonia, Viral / Tracheostomy / Coronavirus Infections / Simulation Training Type of study: Prognostic study Limits: Humans Language: English Journal: Eur Ann Otorhinolaryngol Head Neck Dis Year: 2020 Document Type: Article Affiliation country: J.anorl.2020.06.002