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Using Simulation to Develop Solutions for Ventilator Shortages From the Epicenter.

Garrett W Burnett¹, Anjan Shah, Eric A Fried

¹From the Department of Anesthesiology, Perioperative & Pain Medicine (G.W.B., A.S., E.A.F., C.Y.L., M.L.), Icahn School of Medicine at Mount Sinai; and Department of Anesthesiology & Critical Care Medicine (R.S.), Memorial Sloan Kettering Cancer Center, New York, NY.

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare

|October 21, 2020

Summary

This summary is machine-generated.

High-fidelity simulation successfully tested solutions for critical ventilator shortages during the COVID-19 pandemic. This approach safely evaluated innovative device designs and protocols, proving vital for emergency preparedness.

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Area of Science:

Medical simulation
Biomedical engineering
Emergency medicine

Background:

The COVID-19 pandemic posed a severe threat to healthcare systems, particularly concerning ventilator availability.
New York City faced a critical risk of overwhelming its medical capacity due to potential ventilator shortages.

Purpose of the Study:

To evaluate the efficacy of high-fidelity simulation in addressing critical care device shortages.
To test and refine solutions for ventilator scarcity during a public health crisis.

Main Methods:

Utilized high-fidelity simulation to model and test various strategies for augmenting ventilator capacity.
Assessed innovative ventilator splitting techniques and conversions of noninvasive to invasive devices.
Evaluated and improved ventilators developed by external manufacturers in a simulated environment.

Main Results:

Simulation effectively identified and validated multiple approaches to mitigate ventilator shortages.
The study demonstrated the feasibility of safely splitting ventilators and converting noninvasive devices.
Performance of externally developed ventilators was tested and enhanced through simulation.

Conclusions:

High-fidelity simulation offers a safe and effective platform for testing medical devices and protocols before patient use.
Simulation is an essential tool for emergency preparedness, particularly for managing critical equipment shortages like ventilators.
The findings support the integration of simulation into strategies for responding to future pandemics and healthcare crises.