The Ventilator Management Team: Repurposing Anesthesia Workstations and Personnel to Combat COVID-19

被引:14
作者
Canelli, Robert [1 ]
Spence, Nicole [1 ]
Kumar, Nisha [2 ]
Rodriguez, Gerardo [1 ]
Gonzalez, Mauricio [1 ]
机构
[1] Boston Univ, Dept Anesthesiol, Sch Med, Boston, MA 02118 USA
[2] Boston Med Ctr, Dept Anesthesiol, Boston, MA USA
关键词
anesthesia; critical care; mechanical ventilators; multidisciplinary critical care;
D O I
10.1177/0885066620942097
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The coronavirus disease 2019 pandemic resulted in unprecedented numbers of patients with respiratory failure requiring ventilatory support. The number of patients who required critical care quickly outpaced the availability of intensive care unit (ICU) beds. Consequently, health care systems had to creatively expand critical care services into alternative hospital locations with repurposed staff and equipment. Deploying anesthesia workstations to the ICU to serve as mechanical ventilators requires equipment preparation, multidisciplinary planning, and targeted education. We aim to contextualize this process, highlighting major differences between anesthesia workstations and ICU ventilators, and to share the insights gained from our experiences creating an anesthesia provider-based ventilator management team.
引用
收藏
页码:927 / 932
页数:6
相关论文
共 12 条
[1]  
American Society of Anesthesiologists Anesthesia Patient Safety Foundation, 2020, QUICK REF SET MAINT
[2]  
American Society of Anesthesiologists Anesthesia Patient Safety Foundation, 2020, APSF ASA GUID PURP A
[3]  
Anesthesia Patient Safety Foundation, 2020, FAQ AN MACH US PROT
[4]  
[Anonymous], 2016, Safe Staffing Standards Position Statement and White Paper
[5]  
BOMA & AARC Leadership Respond to New Ventilator Video Course, 2020, BOMA AARC LEAD RESP
[6]  
Drager, 2017, FILT HMES SUPP DAIL
[7]   Managing COVID-19 in Low- and Middle-Income Countries [J].
Hopman, Joost ;
Allegranzi, Benedetta ;
Mehtar, Shaheen .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (16) :1549-1550
[8]  
Institute for Health Metrics and Evaluation, 2020, COVID 19 PROJ US
[9]   Respiratory Therapy Organizational Changes Are Associated With Increased Respiratory Care Utilization [J].
Parker, Ann M. ;
Liu, Xinggang ;
Harris, Anthony D. ;
Shanholtz, Carl B. ;
Smith, Robin L. ;
Hess, Dean R. ;
Reynolds, Marty ;
Netzer, Giora .
RESPIRATORY CARE, 2013, 58 (03) :438-449
[10]  
Riutort KT, 2017, CLIN ANESTH, P680