Airway management of COVID-19 patients: A survey on the experience of 1125 physicians in Spain
M Granell Gil 1 , N Sanchís López 2 , C Aldecoa Álvarez de Santulano 3 , J A de Andrés Ibáñez 1 , P Monedero Rodríguez 4 , J Álvarez Escudero 5 , R Rubini Puig 6 , C S Romero García 7 ; COV2-VIAEREA Network Study Group
Background: We explored the experience of clinicians from the Spanish Society of Anesthesiology (SEDAR) in airway management of COVID-19 patients.
Methods: An software-based survey including a 32-item questionnaire was conducted from April 18 to May 17, 2020. Participants who have been involved in tracheal intubations in patients with suspected or confirmed COVID-19 infection were included anonymously after obtaining their informed consent. The primary outcome was the preferred airway device for tracheal intubation. Secondary outcomes included the variations in clinical practice including the preferred video laryngoscope, plans for difficult airway management, and personal protective equipment.
Results: 1125 physicians completed the questionnaire with a response rate of 40,9%. Most participants worked in public hospitals and were anesthesiologists. The preferred device for intubation was the video laryngoscope (5.1/6), with the type of device in decreasing order as follows: Glidescope, C-MAC, Airtraq, McGrath and King Vision. The most frequently used device for intubation was the video laryngoscope (70,5%), using them in descending order as follow: the Airtraq, C-MAC, Glidescope, McGrath and King Vision. Discomfort of intubating wearing personal protective equipment and the frequency of breaching a security step was statistically significant, increasing the risk of cross infection between patients and healthcare workers. The opinion of senior doctors differed from younger physicians in the type of video-laryngoscope used, the number of experts involved in tracheal intubation and the reason that caused more stress during the airway management.
Conclusions: Most physicians preferred using a video-laryngoscope with remote monitor and disposable Macintosh blade, using the Frova guide.
CITA DEL ARTÍCULO Rev Esp Anestesiol Reanim (Engl Ed). 2022 Jan;69(1):12-24. doi: 10.1016/j.redare.2021.01.004. Epub 2022 Jan 14.