Airway management for one lung ventilation during COVID-19 pandemic: a survey within Italian anesthesiologists
Abstract Background Airway management for thoracic surgery represents a high risk setting for SARS-CoV-2 infection diffusion due to complex and invasive airway instrumentation and techniques. Results An 18-item questionnaire was submitted to the 56 members of the Thoracic subcommittee of the SIAARTI...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | Journal of Anesthesia, Analgesia and Critical Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s44158-021-00029-0 |
| _version_ | 1828096280770904064 |
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| author | Marco Rispoli Federico Piccioni Ida Di Giacinto Gerardo Cortese Stefano Falcetta Domenico Massullo Silvia Fiorelli Ivana Zdravkovic Cecilia Coccia Giulio Rosboch Antonio Corcione Massimiliano Sorbello |
| author_facet | Marco Rispoli Federico Piccioni Ida Di Giacinto Gerardo Cortese Stefano Falcetta Domenico Massullo Silvia Fiorelli Ivana Zdravkovic Cecilia Coccia Giulio Rosboch Antonio Corcione Massimiliano Sorbello |
| author_sort | Marco Rispoli |
| collection | DOAJ |
| description | Abstract Background Airway management for thoracic surgery represents a high risk setting for SARS-CoV-2 infection diffusion due to complex and invasive airway instrumentation and techniques. Results An 18-item questionnaire was submitted to the 56 members of the Thoracic subcommittee of the SIAARTI Cardio-Thoraco-Vascular Research Group to provide a snapshot of current situation and national variability of devices and procedures for airway management during the COVID-19 pandemic. The response rate was 64%. Eighty-three percent of anesthetists declared that they modified their airway management strategies. The Hospital Management considered necessary to provide a complete level 3 personal protective equipment for thoracic anesthetists only in 47% of cases. Double-lumen tube and bronchial blocker were preferred by 53% and 22% of responders to achieve one-lung ventilation respectively. Over 90% of responders considered the videolaryngoscope with separate screen and rapid sequence induction/intubation useful to minimize the infection risk. Thirty-nine percent of participants considered mandatory the bronchoscopic check of airway devices. Vivasight-DL was considered comfortable by more than 50% of responders while protective box and plastic drape were judged as uncomfortable by most of anesthetists. Conclusions The survey reveals many changes in the clinical practice due to SARS-CoV-2 outbreak. A certain diffusion of new devices such as the VivaSight-DL and barrier enclosure systems emerged too. Finally, we found that most of Italian hospitals did not recognize thoracic anesthesia as a high-risk specialty for risk of virus diffusion. |
| first_indexed | 2024-04-11T07:28:00Z |
| format | Article |
| id | doaj.art-c7567e0d7bdb42e3a5b2f6aeba1c6aac |
| institution | Directory Open Access Journal |
| issn | 2731-3786 |
| language | English |
| last_indexed | 2024-04-11T07:28:00Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Anesthesia, Analgesia and Critical Care |
| spelling | doaj.art-c7567e0d7bdb42e3a5b2f6aeba1c6aac2022-12-22T04:37:01ZengBMCJournal of Anesthesia, Analgesia and Critical Care2731-37862022-01-01211610.1186/s44158-021-00029-0Airway management for one lung ventilation during COVID-19 pandemic: a survey within Italian anesthesiologistsMarco Rispoli0Federico Piccioni1Ida Di Giacinto2Gerardo Cortese3Stefano Falcetta4Domenico Massullo5Silvia Fiorelli6Ivana Zdravkovic7Cecilia Coccia8Giulio Rosboch9Antonio Corcione10Massimiliano Sorbello11Anesthesia and Intensive Care Unit, Vincenzo Monaldi Medical HospitalAnesthesia and Intensive Care Unit, Department of Critical and Supportive Care, Fondazione IRCCS Istituto Nazionale dei TumoriAnesthesia and Intensive Care, Anestesia e Terapia Intensiva Polivalente, Azienda Ospedaliero Universitaria Sant’Orsola-Malpighi—Alma Mater StudiorumAnesthesia and Intensive Care, Dipartimento di Anestesia, Rianimazione ed Emergenze AOU Citta della salute e della scienzaAnesthesia and Intensive Care, Clinica di Anestesia e Rianimazione Ospedali RiunitAnesthesia and Intensive Care Medicine, Department of Clinical and Surgical Translational Medicine, Sapienza University of Rome, Sant’Andrea HospitalAnesthesia and Intensive Care Medicine, Department of Clinical and Surgical Translational Medicine, Sapienza University of Rome, Sant’Andrea HospitalAnesthesia and Intensive Care, Casa di cura GibiinoAnesthesia and Intensive Care, UOC Anestesia, Terapia Intensiva, IRCCS IFO “Regina Elena” National Cancer InstituteAnesthesia and Intensive Care, Dipartimento di Anestesia, Rianimazione ed Emergenze AOU Citta della salute e della scienzaAnesthesia and Intensive Care Unit, Vincenzo Monaldi Medical HospitalAnesthesia and Intensive Care, Policlinico San Marco University HospitalAbstract Background Airway management for thoracic surgery represents a high risk setting for SARS-CoV-2 infection diffusion due to complex and invasive airway instrumentation and techniques. Results An 18-item questionnaire was submitted to the 56 members of the Thoracic subcommittee of the SIAARTI Cardio-Thoraco-Vascular Research Group to provide a snapshot of current situation and national variability of devices and procedures for airway management during the COVID-19 pandemic. The response rate was 64%. Eighty-three percent of anesthetists declared that they modified their airway management strategies. The Hospital Management considered necessary to provide a complete level 3 personal protective equipment for thoracic anesthetists only in 47% of cases. Double-lumen tube and bronchial blocker were preferred by 53% and 22% of responders to achieve one-lung ventilation respectively. Over 90% of responders considered the videolaryngoscope with separate screen and rapid sequence induction/intubation useful to minimize the infection risk. Thirty-nine percent of participants considered mandatory the bronchoscopic check of airway devices. Vivasight-DL was considered comfortable by more than 50% of responders while protective box and plastic drape were judged as uncomfortable by most of anesthetists. Conclusions The survey reveals many changes in the clinical practice due to SARS-CoV-2 outbreak. A certain diffusion of new devices such as the VivaSight-DL and barrier enclosure systems emerged too. Finally, we found that most of Italian hospitals did not recognize thoracic anesthesia as a high-risk specialty for risk of virus diffusion.https://doi.org/10.1186/s44158-021-00029-0Airway managementCOVID-19Lung separationAerosol generating proceduresBronchial blockers |
| spellingShingle | Marco Rispoli Federico Piccioni Ida Di Giacinto Gerardo Cortese Stefano Falcetta Domenico Massullo Silvia Fiorelli Ivana Zdravkovic Cecilia Coccia Giulio Rosboch Antonio Corcione Massimiliano Sorbello Airway management for one lung ventilation during COVID-19 pandemic: a survey within Italian anesthesiologists Journal of Anesthesia, Analgesia and Critical Care Airway management COVID-19 Lung separation Aerosol generating procedures Bronchial blockers |
| title | Airway management for one lung ventilation during COVID-19 pandemic: a survey within Italian anesthesiologists |
| title_full | Airway management for one lung ventilation during COVID-19 pandemic: a survey within Italian anesthesiologists |
| title_fullStr | Airway management for one lung ventilation during COVID-19 pandemic: a survey within Italian anesthesiologists |
| title_full_unstemmed | Airway management for one lung ventilation during COVID-19 pandemic: a survey within Italian anesthesiologists |
| title_short | Airway management for one lung ventilation during COVID-19 pandemic: a survey within Italian anesthesiologists |
| title_sort | airway management for one lung ventilation during covid 19 pandemic a survey within italian anesthesiologists |
| topic | Airway management COVID-19 Lung separation Aerosol generating procedures Bronchial blockers |
| url | https://doi.org/10.1186/s44158-021-00029-0 |
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