Copyright
©The Author(s) 2020.
World J Crit Care Med. Dec 18, 2020; 9(5): 74-87
Published online Dec 18, 2020. doi: 10.5492/wjccm.v9.i5.74
Published online Dec 18, 2020. doi: 10.5492/wjccm.v9.i5.74
Table 4 Preparedness efforts by pediatric intensive care units
Practice change/Innovations | n (%) |
Concerns related to the current COVID-19 clinical practice | |
Lack of clinical guidelines/protocols | 5 (22.73) |
Changes in guidelines/protocols | 11 (50.00) |
Lack of PPE training | 3 (13.64) |
Physician staff shortage | |
RN staff shortage | 2 (9.09) |
Other staff shortage | 1 (4.55) |
Shortage in equipment/supplies | 8 (36.36) |
Patient surge and crowding | 5 (22.73) |
Other | 5 (22.73) |
Implementation of COVID focused airway management training | |
Yes | 18 (81.82) |
No | 3 (13.64) |
Unsure | |
Practice innovations for airway management | |
Caring for patients with suspected or confirmed COVID in negative pressure room | 14 (63.64) |
Using video laryngoscopy only for intubation | 15 (68.18) |
Decreased clinical care team numbers at bedside | 19 (86.36)a |
Incorporating new methods of communication between team members | 16 (72.73)a |
Implementing airway management checklists | 15 (68.18) |
Using telemedicine/video technology | 9 (40.91) |
Other | 2 (9.09) |
Intubation of suspected or confirmed COVID patients | |
By anesthesiologist who responds as part of the Airway Team | 5 (22.73) |
Anesthesiologist or other dedicated airway provider who is called if intubation is required | 7 (31.82) |
Attending physician unless the patient is suspected of having a difficult airway | 12 (54.55) |
Attending physician or fellow | 7 (31.82) |
Any appropriately trained member of the team | |
Other | 8 (36.36) |
Implementation of COVID focused cardiac arrest management training | |
Yes | 15 (68.18) |
No | 6 (27.27) |
Unsure | |
Practice innovations for cardiac arrest management | |
Caring for patients with suspected or confirmed COVID in negative pressure rooms only | 13 (59.09) |
Changing CPR practices | 10 (45.45) |
Decreased clinical care team numbers at bedside | 16 (72.73)a |
Incorporating new methods of communication between team members | 15 (68.18)a |
Using telemedicine/video technology | 7 (31.82) |
Other | 4 (18.18) |
Implementation of surge capacity management training | |
Yes | 8 (36.36) |
No | 13 (59.09) |
Unsure | |
How does your PICU keep all providers updated regarding COVID preparedness activities? | |
Mass e-mails | 20 (90.91)a |
Regular in-person huddle/meetings | 11 (50.00) |
Virtual conferences/meetings | 17 (77.27)a |
Simulation-based | 9 (40.91) |
Other |
- Citation: Abulebda K, Ahmed RA, Auerbach MA, Bona AM, Falvo LE, Hughes PG, Gross IT, Sarmiento EJ, Barach PR. National preparedness survey of pediatric intensive care units with simulation centers during the coronavirus pandemic. World J Crit Care Med 2020; 9(5): 74-87
- URL: https://www.wjgnet.com/2220-3141/full/v9/i5/74.htm
- DOI: https://dx.doi.org/10.5492/wjccm.v9.i5.74