Management of nurses specialized in the aero-evacuation of highly infectious critical patients, during the COVID-19 pandemic. Systematic review

Leiva-Miranda, V.; Arriagada-Tirado, B.; San Martin-Diaz, J. C.; Carmona-Schonffeldt, L.; Fuentes-Trujillo, B.; La Rosa-Araya, G.; Fau-Fuentes, C.; Nasabun-Flores, V.

Abstract

Introduction: Aeromedical evacuation missions to transport highly infectious critical COVID-19 patients involve multiple factors, therefore planning is essential in their preparation. The management of specialist nurses is cross-cutting, as they participate in the planning, organisa-tion and implementation of aero-evacuation protocols, delivery of care and operational safety procedures throughout the operation, with an integrated aeromedical crew working as a team alongside the air crew.Objective: To study the management of nurses specialised in the aero-evacuation of highly infectious critical patients during the COVID-19 pandemic. Design: Through a systematic search of the biomedical literature, this study was conducted according to the standards of the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA. The literature search included articles published from 2019 to August 2020 and meta-search engines, yielding a total of 142 articles, and a triangulation of information was performed. A total of 11 articles were eventually included in the review, and the validity of each article was determined according to the guidelines of the Joanna Briggs Institute level of evidence.Results and discussion: The systematic review identified 11 studies that use different method-ological considerations for conducting an aeromedical evacuation and covering key aspects for a successful operation.Conclusion: The management of specialist nurses has a direct impact on the aeromedical evac-uation of the critical patient. It covers planning, organisation, and operational safety, applied in the instruction, training, execution and strict monitoring of the work of the aeromedical crew as a solid team. This contributes to the success of the aero-evacuation mission and the infectious patient's high likelihood of survival during the COVID-19 pandemic.(C) 2022 Sociedad Espanola de Enfermeria Intensiva y Unidades Coronarias (SEEIUC). Published by Elsevier Espana, S.L.U. All rights reserved.

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Título según WOS: Management of nurses specialized in the aero-evacuation of highly infectious critical patients, during the COVID-19 pandemic. Systematic review
Título de la Revista: ENFERMERIA INTENSIVA
Volumen: 34
Número: 1
Editorial: Elsevier Science Inc.
Fecha de publicación: 2023
Página de inicio: 27
Página final: 42
DOI:

10.1016/j.enfi.2021.11.002

Notas: ISI