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2020 ; 137
(4
): 333-338
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Percutaneous tracheostomy simulation training for ENT physicians in the treatment
of COVID-19-positive patients
#MMPMID32624392
Favier V
; Kimmoun A
; Gatin A
; Gallet P
Eur Ann Otorhinolaryngol Head Neck Dis
2020[Sep]; 137
(4
): 333-338
PMID32624392
show ga
Tracheostomy in COVID-19-related severe acute respiratory syndrome is at high
risk of viral dissemination. The percutaneous dilatation technique could reduce
this risk, being performed at the bedside and minimising airway opening. In the
COVID-19 context, however, with precarious respiratory status, it requires
specific preparation. We designed a 3-hour training module, and here provide a
step-by-step schedule, including video analysis, a demonstration of the kit, the
recommended precautions related to COVID-19, and several simulation scenarios of
increasing difficulty, using a high-tech mannequin. A low-tech procedural
simulator was also developed for practicing the steps of the procedure. Our
experience (3 sessions with 14 participants) highlighted the difficult points of
the procedure in the COVID-19 context, and defined a checklist for clinical
practice and an assessment grid. This type of simulation helps to prepare teams
for a potentially delicate technical act.