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Novel Multidisciplinary Vascular Access Team Helps to Improve ICU Workflow Amidst Covid-19 Pandemic

Published online by Cambridge University Press:  02 May 2022

Anna K. Hackett Open the ORCID record for Anna K. Hackett [Opens in a new window] ,
Celia M. Wells ,
Rohit Gupta ,
Ziya Zhang ,
Amy Brito ,
Natalie B. Kirton ,
Christy C. Chan ,
Kester Brown ,
Caitlin Wong  and
Kayla M. Leonardi
...Show all authors
Anna K. Hackett*
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Celia M. Wells
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Rohit Gupta
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Ziya Zhang
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Amy Brito
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Natalie B. Kirton
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Christy C. Chan
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Kester Brown
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Caitlin Wong
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Kayla M. Leonardi
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Atinuke Shittu
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Cappi Lay
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
Roopa Kohli-Seth
Affiliation:
Icahn School of Medicine at Mount Sinai, New York, NY, USA
*
Corresponding Author: Anna K. Hackett, Email: anna.hackett@mountsinai.org.
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Abstract

Objective:

The surge in critically ill patients has pressured hospitals to expand their intensive care unit capacities and critical care staff. This was difficult given the country’s shortage of intensivists. This paper describes the implementation of a multidisciplinary central line placement team and its impact in reducing the vascular access workload of ICU physicians during the height of the COVID-19 pandemic.

Methods:

Vascular surgeons, interventionalists, and anesthesiologists, were redeployed to the ICU Access team to place central and arterial lines. Nurses with expertise in vascular access were recruited to the team to streamline consultation and assist with line placement.

Results:

While 51 central and arterial lines were placed per 100 ICU patients in 2019, there were 87 central and arterial lines placed per 100 COVID-19 ICU patients in the sole month of April, 2020. The ICU Access Team placed 107 of the 226 vascular access devices in April 2020, reducing the procedure-related workload of ICU treating teams by 46%.

Conclusions:

The ICU Access Team was able to complete a large proportion of vascular access insertions without reported complications. Given another mass casualty event, this ICU Access Team could be reassembled to rapidly meet the increased vascular access needs of patients.

Keywords

critical carevascular access devicesemergency medical servicecentral venous catheterarterial line
Type
Brief Report
Information
Disaster Medicine and Public Health Preparedness , Volume 16 , Issue 6 , December 2022 , pp. 2416 - 2418
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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References

Mayo, A. Teamwork in a pandemic: insights from management research. BMJ Leader. 2020;4:53-56.CrossRefGoogle Scholar
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