«Management of nurses specialized in the aero-evacuation of highly infectious critical patients, during the COVID-19 pandemic. Systematic review».
V Leiva-Miranda, B Arriagada-Tirado, J C San Martín-Díaz and 5 others
PMID 36774249WHAT IT FOUND
Planning and operational safety were reported in 100% of included articles, nurse-specific management in 54.5%, and PPE use in 81.8%, but these are what articles reported, not patient outcomes.
Key findings
01Nurse-specific management was reported in 54.5% of included articles, while planning was reported in 100%.
02PPE use was specified in 81.8% of studies, with procedure gloves and eye protection each described in 81.8%.
03Decontamination protocols were included in 54.5% of studies, and only 27.2% stated that aircraft cleaning should occur after the evacuation.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review included only 11 articles, and their designs included cohort, retrospective, systematic review, narrative review, clinical guide, case study and letter to the editor rather than trials of patient outcomes. The search covered articles published only from 2019 to August 2020, so it reflects early pandemic practice. The authors state that publication bias is likely because many critical patient transfer teams may not have published their methods in accessible sources. The percentages describe how often included articles mentioned a topic, not how effective that topic was for patients or crews.
Declared interests
The study did not receive any type of funding, and the authors have no conflict of interests to declare.
The easy way to misread this
Do not read the high percentages as proof that these measures protect patients or staff. The review reports how often included articles mentioned planning, PPE and decontamination, not whether they improved infection rates or survival.