About: The aerosol box for intubation in coronavirus disease 2019 patients: an in‐situ simulation crossover study

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About: The aerosol box for intubation in coronavirus disease 2019 patients: an in‐situ simulation crossover study Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	The aerosol box for intubation in coronavirus disease 2019 patients: an in‐situ simulation crossover study
Creator	Begley, J Brewster, D Lavery, K Nickson, C
Source	Medline; PMC
abstract	The coronavirus disease 2019 pandemic has led to the manufacturing of novel devices to protect clinicians from the risk of transmission, including the aerosol box for use during tracheal intubation. We evaluated the impact of two aerosol boxes (an early‐generation box and a latest‐generation box) on intubations in patients with severe coronavirus disease 2019 with an in‐situ simulation crossover study. The simulated process complied with the Safe Airway Society coronavirus disease 2019 airway management guidelines. The primary outcome was intubation time; secondary outcomes included first‐pass success and breaches to personal protective equipment. All intubations were performed by specialist (consultant) anaesthetists and video recorded. Twelve anaesthetists performed 36 intubations. Intubation time with no aerosol box was significantly shorter than with the early‐generation box (median (IQR [range]) 42.9 (32.9–46.9 [30.9–57.6])s vs. 82.1 (45.1–98.3 [30.8–180.0])s p = 0.002) and the latest‐generation box (52.4 (43.1–70.3 [35.7–169.2])s, p = 0.008). No intubations without a box took more than 1 min, whereas 14 (58%) intubations with a box took over 1 min and 4 (17%) took over 2 min (including one failure). Without an aerosol box, all anaesthetists obtained first‐pass success. With the early‐generation and latest‐generation boxes, 9 (75%) and 10 (83%) participants obtained first‐pass success, respectively. One breach of personal protective equipment occurred using the early‐generation box and seven breaches occurred using the latest‐generation box. Aerosol boxes may increase intubation times and therefore expose patients to the risk of hypoxia. They may cause damage to conventional personal protective equipment and therefore place clinicians at risk of infection. Further research is required before these devices can be considered safe for clinical use.
has issue date	2020-06-01(xsd:dateTime)
bibo:doi	10.1111/anae.15115
bibo:pmid	32397008
has license	no-cc
sha1sum (hex)	b25406fedda8c98e076135cef12df228ca6fd4f1
schema:url	https://doi.org/10.1111/anae.15115
resource representing a document's title	The aerosol box for intubation in coronavirus disease 2019 patients: an in‐situ simulation crossover study
has PubMed Central identifier	PMC7273017
has PubMed identifier	32397008
schema:publication	Anaesthesia
resource representing a document's body	covid:b25406fedda8c98e076135cef12df228ca6fd4f1#body_text
is schema:about of	named entity 'simulation' named entity 'process' named entity 'All' named entity 'Intensive Care' named entity '008' named entity 'SIMULATION' named entity 'PERSONAL PROTECTIVE EQUIPMENT' named entity 'RECORDED' named entity 'aerosol' named entity 'impact' named entity 'intubations' named entity 'first-pass' named entity 'intubations' named entity 'Intubation' named entity 'severe' named entity 'median' named entity 'crossover study' named entity 'airway management' named entity 'intubations' named entity 'aerosol' named entity 'intubations' named entity 'intubations' named entity 'Australia' named entity 'anaesthetists' named entity 'success' named entity 'healthcare workers' named entity 'PPE' named entity 'healthcare workers' named entity 'COVID' named entity 'patient safety' named entity 'SARS-CoV-2' named entity 'anaesthetist' named entity 'intubation' named entity 'PPE' named entity 'airway management' named entity 'anxiety' named entity 'aerosols' named entity 'airway management' named entity 'intubation' named entity 'COVID' named entity 'occlusive dressings' named entity 'PPE' named entity 'aerosol' named entity 'aerosol' named entity 'airway management' named entity 'COVID-19' named entity 'ICU' named entity 'SAS' named entity 'SARS-CoV-2 pandemic' named entity 'aerosol' named entity 'Difficult Airway' named entity 'COVID' named entity 'hypoxia' named entity 'intubation' named entity 'COVID' named entity 'PPE' named entity 'tracheal intubation' named entity 'decision making' named entity 'aerosol' named entity 'intubation' named entity 'crossover study' named entity 'medical device' named entity 'healthcare workers' named entity 'intubations' named entity 'SARS-CoV-2' named entity 'severe acute respiratory syndrome' named entity 'occlusive dressings' named entity 'airway management' named entity 'intubation' named entity 'aerosol' named entity 'virus' named entity 'PPE' named entity 'aerosol' named entity 'epidemic' named entity 'airway management' named entity 'intubation' named entity 'Cognitive overload' named entity 'cricothyrotomy'

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