State of implementation of the Corona-Virus-Disease-2019 resuscitation guidelines : An online-based survey one year after publication in Germany.
Stand der Umsetzung der Corona-Virus-Disease-2019-Reanimationsleitlinien : Eine onlinebasierte Umfrage ein Jahr nach Veröffentlichung in Deutschland.
CPR
Education
E‑learning
Lockdown
Pandemic
SARS
Training
Journal
Die Anaesthesiologie
ISSN: 2731-6866
Titre abrégé: Anaesthesiologie
Pays: Germany
ID NLM: 9918384886806676
Informations de publication
Date de publication:
06 2023
06 2023
Historique:
received:
01
02
2022
accepted:
09
10
2022
revised:
02
09
2022
medline:
8
6
2023
pubmed:
24
12
2022
entrez:
23
12
2022
Statut:
ppublish
Résumé
The present study evaluated the implementation of the European Resuscitation Council Corona-Virus-Disease 2019 (COVID-19) resuscitation guidelines in Germany 1 year after publication. To evaluate the practical implementation of the COVID-19 resuscitation guidelines in Germany one year after their publication. In an online survey between April and May 2021 participants were asked about awareness of COVID-19 resuscitation guidelines, corresponding training, the resuscitation algorithm used and COVID-19 infections of emergency medicine personnel associated with COVID-19 resuscitation. A total of 961 (8%) of the 11,000 members took part in the survey and 85% (818/961) of questionnaires were fully completed. While 577 (70%) of the respondents were aware of the COVID-19 guidelines, only 103 (13%) had received respective training. A specific COVID-19 resuscitation algorithm was used by 265 respondents (32%). Adaptations included personal protective equipment (99%), reduction of staff caring for the patient, or routine use of video laryngoscopy for endotracheal intubation (each 37%), securing the airway before rhythm analysis (32%), and pausing chest compressions during endotracheal intubation (30%). Respondents without a specific COVID-19 resuscitation algorithm were more likely to use mouth-nose protection (47% vs. 31%; p < 0.001), extraglottic airway devices (66% vs. 55%; p = 0.004) and have more than 4 team members close to the patient (45% vs. 38%; p = 0.04). Use of an Filtering-Face-Piece(FFP)-2 or FFP3 mask (89% vs. 77%; p < 0.001; 58% vs. 70%; p ≤ 0.001) or performing primary endotracheal intubation (17% vs. 31%; p < 0.001) were found less frequently and 9% reported that a team member was infected with COVID-19 during resuscitation. The COVID-19 resuscitation guidelines are still insufficiently implemented 1 year after publication. Future publication strategies must ensure that respective guideline adaptations are implemented in a timely manner. HINTERGRUND: Angesichts der sich Anfang 2020 ausbreitenden COVID-19-Pandemie wurden die Reanimationsleitlinien zur Verbesserung des Helferschutzes angepasst. Evaluation der praktischen Umsetzung der COVID-19-Reanimationsleitlinien in Deutschland ein Jahr nach ihrer Veröffentlichung. Von April bis Mai 2021 wurde eine onlinebasierte Umfrage durchgeführt. Die Teilnehmenden wurden befragt nach Kenntnis, Art der Umsetzung und Training der COVID-19-Reanimationsleitlinien sowie Infektionen nach einer COVID-19-Reanimation. Insgesamt nahmen 961 (8 %) der 11.000 Mitglieder an der Umfrage teil. Vollständig beantwortet wurden 85 % (818/961) der Fragebögen. Kenntnis über die COVID-19-Leitlinien hatten 577 (70 %) der Teilnehmenden, 103 (13 %) ein entsprechendes Training absolviert und 265 (32 %) verwendeten einen spezifischen COVID-19-Algorithmus. Adaptationen betrafen die Schutzausrüstung (99 %), Reduktion der Einsatzkräfte in Patientennähe, videolaryngoskopische Intubation (jeweils 37 %), Atemwegssicherung vor der Rhythmusanalyse (32 %) und Unterbrechung der Thoraxkompressionen während der Intubation (30 %). Teilnehmende ohne COVID-19-Adaptationen nutzten signifikant häufiger Mund-Nasen-Schutz (47 % vs. 31 %; p < 0,001), mehr als 4 Einsatzkräfte in Patientennähe (45 % vs. 38 %; p = 0,04) und extraglottische Atemwegsdevices (66 % vs. 55 %; p = 0,004). FFP2-/FFP3-Masken (89 % vs. 77 %; p < 0,001; 58 % vs. 70 %; p ≤ 0,001) sowie die primäre Intubation (17 % vs. 31 %; p < 0,001) werden seltener genutzt. Über Infektionen der Einsatzkräfte während einer COVID-19-Reanimation berichteten 9 % der Befragten. Ein Jahr nach ihrer Veröffentlichung sind die COVID-19-Leitlinien weiterhin unzureichend umgesetzt. Publikationsstrategien müssen optimiert werden, um Leitlinienanpassungen zeitnah in die Praxis umzusetzen.
Sections du résumé
BACKGROUND
The present study evaluated the implementation of the European Resuscitation Council Corona-Virus-Disease 2019 (COVID-19) resuscitation guidelines in Germany 1 year after publication.
AIM OF THE WORK
To evaluate the practical implementation of the COVID-19 resuscitation guidelines in Germany one year after their publication.
MATERIAL AND METHODS
In an online survey between April and May 2021 participants were asked about awareness of COVID-19 resuscitation guidelines, corresponding training, the resuscitation algorithm used and COVID-19 infections of emergency medicine personnel associated with COVID-19 resuscitation.
RESULTS
A total of 961 (8%) of the 11,000 members took part in the survey and 85% (818/961) of questionnaires were fully completed. While 577 (70%) of the respondents were aware of the COVID-19 guidelines, only 103 (13%) had received respective training. A specific COVID-19 resuscitation algorithm was used by 265 respondents (32%). Adaptations included personal protective equipment (99%), reduction of staff caring for the patient, or routine use of video laryngoscopy for endotracheal intubation (each 37%), securing the airway before rhythm analysis (32%), and pausing chest compressions during endotracheal intubation (30%). Respondents without a specific COVID-19 resuscitation algorithm were more likely to use mouth-nose protection (47% vs. 31%; p < 0.001), extraglottic airway devices (66% vs. 55%; p = 0.004) and have more than 4 team members close to the patient (45% vs. 38%; p = 0.04). Use of an Filtering-Face-Piece(FFP)-2 or FFP3 mask (89% vs. 77%; p < 0.001; 58% vs. 70%; p ≤ 0.001) or performing primary endotracheal intubation (17% vs. 31%; p < 0.001) were found less frequently and 9% reported that a team member was infected with COVID-19 during resuscitation.
CONCLUSION
The COVID-19 resuscitation guidelines are still insufficiently implemented 1 year after publication. Future publication strategies must ensure that respective guideline adaptations are implemented in a timely manner.
ZUSAMMENFASSUNG
HINTERGRUND: Angesichts der sich Anfang 2020 ausbreitenden COVID-19-Pandemie wurden die Reanimationsleitlinien zur Verbesserung des Helferschutzes angepasst.
ZIEL DER ARBEIT
Evaluation der praktischen Umsetzung der COVID-19-Reanimationsleitlinien in Deutschland ein Jahr nach ihrer Veröffentlichung.
MATERIAL UND METHODEN
Von April bis Mai 2021 wurde eine onlinebasierte Umfrage durchgeführt. Die Teilnehmenden wurden befragt nach Kenntnis, Art der Umsetzung und Training der COVID-19-Reanimationsleitlinien sowie Infektionen nach einer COVID-19-Reanimation.
ERGEBNISSE
Insgesamt nahmen 961 (8 %) der 11.000 Mitglieder an der Umfrage teil. Vollständig beantwortet wurden 85 % (818/961) der Fragebögen. Kenntnis über die COVID-19-Leitlinien hatten 577 (70 %) der Teilnehmenden, 103 (13 %) ein entsprechendes Training absolviert und 265 (32 %) verwendeten einen spezifischen COVID-19-Algorithmus. Adaptationen betrafen die Schutzausrüstung (99 %), Reduktion der Einsatzkräfte in Patientennähe, videolaryngoskopische Intubation (jeweils 37 %), Atemwegssicherung vor der Rhythmusanalyse (32 %) und Unterbrechung der Thoraxkompressionen während der Intubation (30 %). Teilnehmende ohne COVID-19-Adaptationen nutzten signifikant häufiger Mund-Nasen-Schutz (47 % vs. 31 %; p < 0,001), mehr als 4 Einsatzkräfte in Patientennähe (45 % vs. 38 %; p = 0,04) und extraglottische Atemwegsdevices (66 % vs. 55 %; p = 0,004). FFP2-/FFP3-Masken (89 % vs. 77 %; p < 0,001; 58 % vs. 70 %; p ≤ 0,001) sowie die primäre Intubation (17 % vs. 31 %; p < 0,001) werden seltener genutzt. Über Infektionen der Einsatzkräfte während einer COVID-19-Reanimation berichteten 9 % der Befragten.
DISKUSSION
Ein Jahr nach ihrer Veröffentlichung sind die COVID-19-Leitlinien weiterhin unzureichend umgesetzt. Publikationsstrategien müssen optimiert werden, um Leitlinienanpassungen zeitnah in die Praxis umzusetzen.
Autres résumés
Type: Publisher
(ger)
HINTERGRUND: Angesichts der sich Anfang 2020 ausbreitenden COVID-19-Pandemie wurden die Reanimationsleitlinien zur Verbesserung des Helferschutzes angepasst.
Identifiants
pubmed: 36562798
doi: 10.1007/s00101-022-01237-1
pii: 10.1007/s00101-022-01237-1
pmc: PMC9786513
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
408-415Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
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