Projects

Background and Aims: The COVID‑19 pandemic led to significant infections among healthcare
workers and deaths warranting the need for personal protective equipment. This study aimed
to estimate the proportion of anaesthesiologists adhering to safety precautions and to evaluate
their adherence patterns, difficulties faced and coping mechanisms in the operation theatre
during the pandemic. Methods: This was a multicentric mixed methods study conducted among
anaesthesiologists from two tertiary care hospitals. A paper‑based questionnaire was given to
all participants. The first part consisted of 21 questions regarding safety measures and extent of
adherence. The second part was a response sheet regarding the various difficulties faced and
coping mechanisms adopted. Following this, an in‑depth interview was conducted to understand
the same. The proportion of anaesthesiologists in different categories of adherence, patterns of
adherence, difficulties faced, and coping mechanisms were computed and compared. Thematic
framework analysis was done for in‑depth interview. Results: Sixty participants were included.
The adherence levels for N95 masks and face shields were higher. Most participants practised
frequent handwashing and took showers after work. Fogging, difficulty in communication, marks
on the face were the commonly faced difficulties. Self reassurance, adjusting the fit of masks/face
shields, or taking breaks were the coping mechanisms mostly followed. Themes generated from
in‑depth interview include waning of caution, adaptation through innovative methods and stress
due to uncertainty. Conclusion: The N95 mask was the most preferred safety precaution. Ease of
use and safety were important considerations for adherence. Physical and mental acclimatisation
and improved knowledge of disease played a vital role