Related Experiment Video
Updated: Dec 11, 2025
07:16
An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
4.2K
COVID-19 Intubation Safety: A Multidisciplinary, Rapid-Cycle Model of Improvement
Amy Tronnier1, Collin F Mulcahy, Ayal Pierce
1The George Washington University, Washington, DC The George Washington University Hospital, Washington, DC.
Summary
This study created a quality improvement framework for COVID-19 intubation safety. A multidisciplinary model enhanced provider safety and adherence to protocols during the pandemic.
Area of Science:
- Medicine
- Public Health
- Healthcare Management
Background:
- The COVID-19 pandemic heightened risks for healthcare providers during aerosolizing procedures like intubation.
- Dynamic protocols were necessary to maximize provider safety and mitigate SARS-CoV-2 transmission.
- Intubation procedures pose a significant risk of viral transmission due to aerosol generation.
Purpose of the Study:
- To develop a quality improvement framework ensuring safe intubation practices for healthcare providers.
- To describe a multidisciplinary model for rapid-cycle improvements and gap analysis in COVID-19 intubation safety.
- To enhance adherence to safety protocols during the COVID-19 pandemic.
Main Methods:
- Implementation of an Intubation Safety Checklist and standardized documentation template.
- Real-time feedback mechanisms and weekly multidisciplinary team meetings for data review.
- Utilizing a rapid-cycle improvement approach for continuous process enhancement.
Main Results:
- The study captured 68 intubations in patients suspected of having COVID-19.
- High compliance with personal protective equipment (PPE) was observed.
- Identified specific areas for further process improvement in intubation safety.
Conclusions:
- An interdisciplinary workgroup is crucial for enhancing provider safety during intubations.
- Integration of standardized processes improves adherence to safety protocols.
- The developed model offers a framework for enhancing intubation safety during infectious disease pandemics.
Related Concept Videos
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
323
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
323
01:17Endotracheal Intubation II: Nursing Management
2.0K
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
2.0K
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
367
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
367
01:28Acute Coronary Syndrome IV: Interprofessional Care
135
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
135
01:15Endotracheal Intubation I: Procedure
6.0K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
6.0K
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
152
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
152