Ibrahim Mohamed, Khan Ejaz, Babazade Rovnat, Simon Michelle, Vadhera Rakesh
From the Department of Anesthesiology, The University of Texas Medical Branch at Galveston, Galveston, Texas.
Department of Outcomes Research, Outcomes Research Consortium, Cleveland Clinic, Cleveland, Ohio.
A A Pract. 2020 Jun;14(8):e01252. doi: 10.1213/XAA.0000000000001252.
The coronavirus disease 2019 (COVID-19; SARS-CoV-2) pandemic has created serious challenges to anesthesiologists. As hospitalized patients' respiratory function deteriorates, many will require endotracheal intubation. Airway management of infected patients risks aerosolization of viral-loaded droplets that pose serious hazards to the anesthesiologist and all health care personnel present. The addition of an enclosure barrier during airway management minimizes the hazard by entrapping the droplets and possibly the aerosols within an enclosed space adding additional protection for health care workers. The aim of this study was to compare the effectiveness of different barrier enclosure techniques during tracheal intubation and extubation.
2019冠状病毒病(COVID-19;严重急性呼吸综合征冠状病毒2)大流行给麻醉医生带来了严峻挑战。随着住院患者呼吸功能恶化,许多患者将需要进行气管插管。感染患者的气道管理存在病毒载量飞沫形成气溶胶的风险,这对在场的麻醉医生和所有医护人员构成严重危害。在气道管理过程中增加一个封闭屏障,通过将飞沫以及可能的气溶胶截留在封闭空间内,从而将危害降至最低,为医护人员提供额外保护。本研究的目的是比较气管插管和拔管期间不同屏障封闭技术的有效性。