Airwaves Episode 1

 

 

What have we learned about best-practice airway management in COVID-19?

What have been the pre-hospital challenges in airway management during COVID-19?

What changes has COVID-19 forced upon us that we should retain in the future?

 

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CONTRIBUTORS

 

Jon Gatward @jgatward

Intensivist, Sydney, Australia

President, Safe Airway Society

Co-author, SAS COVID Airway Guidelines

 

Anoushka Perera @noushperera

Emergency Physician, Geelong, Australia

Simulation Instructor

Medical Educator

 

David Brewster @drdavidbrewster

Intensivist/Anaesthetist, Melbourne, Australia

Board Member, SAS

Lead author, SAS COVID Airway Guidelines

Airway Researcher

Andy Higgs @AndyHiggsGAA

Intensivist/Anaesthetist, Warrington, UK

Board Member, SAS

Co author, SAS COVID Airway Guidelines

Co author, DAS/AA/ICS/FICM/RCOA COVID Airway Guidelines

Alan Eade ASM @alan_eade

Chief Paramedic Officer (Safer Care Victoria)

Intensive Care (MICA) Paramedic (Ambulance Victoria)

Erin Foulsham

Clinical Nurse Educator, Anaesthesia, Sydney, Australia

 

RESOURCES

 

Guidelines

 

Safe Airway Society - Consensus Statement on Airway Management and Tracheal Intubation in COVID-19 patients - MJA March 2020

 

Safe Airway Society COVID-19 resources

 

Difficult Airway Society, Association of Anaesthetists, Intensive Care Society, Faculty of Intensive Care Medicine, Royal College of Anaesthetists - Consensus guidelines for managing the airway in patients with COVID-19 - Anaesthesia March 2020

 

McGrath et al - Tracheostomy in the COVID-19 era: global and multidisciplinary guidance

 

Australian National COVID Clinical Evidence Taskforce

 

Aerosol Generation and Transmission

 

Klompas et al - Airborne Transmission of SARS-CoV-2 - Theoretical Considerations and Available Evidence

 

Brown et al. A quantitative evaluation of aerosol generation during tracheal intubation and extubation. Anaesthesia October 2020.

 

Dhillon et al. Aerosolisation during tracheal intubation and extubation in an operating theatre setting. Anaesthesia October 2020.

 

Gaeckle et al - Aerosol Generation from the Respiratory Tract with Various Modes of Oxygen Delivery

 

McGain et al - Aerosol generation related to respiratory interventions and the effectiveness of a personal ventilation hood

 

Ne-Hooi et al - The impact of high-flow nasal cannula (HFNC) on coughing distance: implications on its use during the novel coronavirus disease outbreak

 

Hui et al - Exhaled air dispersion during high-flow nasal cannula therapy versus CPAP via different masks

 

Kotoda et al - Assessment of the potential for pathogen dispersal during high-flow nasal therapy

 

Iwashyna et al - Variation in Aerosol Production Across Oxygen Delivery Devices in Spontaneously Breathing Human Subjects

 

Personal Protective Equipment and Barrier Precautions

 

Cook - Personal protective equipment during the coronavirus disease (COVID) 2019 pandemic – a narrative review

 

Licina et al - Use of powered air-purifying respirator (PAPR) by healthcare workers for preventing highly infectious viral diseases—a systematic review of evidence

 

Begley et al - The aerosol box for intubation in coronavirus disease 2019 patients: an in‐situ simulation crossover study

 

Sorbello et al - Aerosol boxes and barrier enclosures for airway management in COVID-19 patients: a scoping review and narrative synthesis

 

Ventilation

 

Cook and Harrop-Griffiths - Aerosol clearance times to better communicate safety after aerosol‐generating procedures

 

Risks to Healthcare Workers

 

Cook - Risk to health from COVID‐19 for anaesthetists and intensivists – a narrative review

 

Wilson et al - Airborne transmission of severe acute respiratory syndrome coronavirus‐2 to healthcare workers: a narrative review