An article was recently published online by The Augusta Chronicle highlighting how Augusta University Medical Center is devoting a portion of its Emergency Department for patients with COVID-19 and other respiratory illnesses. Featured in the article was a video of Dr. Richard Schwartz giving an informative tour of the department, highlighting the preparedness and the potential challenges that come with treating an acute COVID-19 patient. Included in the tour was an explanation of their rapid sequence intubation (RSI) procedure that used a Quest Medical infusion manifold “IV train.”
Dr. Schwartz painted a vivid picture of the environment surrounding the resuscitation of an unstable patient. With multiple clinicians working carefully in bulky personal protective equipment, steps were taken to reduce medication errors. Dr. Schwartz explained, “to make it easier to do those procedures, pharmacists in the department have created an ‘IV train’ of four pre-loaded syringes attached to an IV [manifold], arranged in the order they would need to be given to the patient during an intubation.” In the article’s accompanying video, Schwartz presents the IV train featuring Quest Medical’s infusion manifolds.
Progressive Medical’s (PMI) Director of Clinical Affairs, Anna Cunningham, Pharm D., discussed this article stating:
“The use of the flexible Quest infusion manifold for RSI in COVID-19 patients is a creative way to increase medication safety. The clinicians can efficiently deliver multiple medications in the recommended order through split-septum valves proven to reduce infection risk and avoiding high-risk, problematic stopcocks. I was proud that a pharmacist was involved in providing the solution at Augusta University. We know caring for COVID-19 patients involves hundreds of challenges for our healthcare teams, but I expect that our brilliant clinicians have figured out some very cool “new” ways to provide safe patient care.”
PMI’s Clinical Affairs Manager, William L. Calhoun, Jr., RPh, weighed in on the article’s main points:
“By creating the IV Train, the pharmacist has prepared a patient-specific sequence of RSI medications specific for that individual patient and placed them in the order of utilization using the Quest manifold. Using this manifold would be important, especially since it utilizes Q2 Split septum connector technology, which is important for infection control and will not come apart like stopcocks, preventing the medications from accidentally getting placed out of order.”