Motara Feroza, Laher Abdullah E, Du Plessis Jana, Moolla Muhammed
Emergency Medicine, University of the Witwatersrand, Johannesburg, ZAF.
Cureus. 2020 Jun 9;12(6):e8530. doi: 10.7759/cureus.8530.
There has been a substantial burden of healthcare worker infection during the current coronavirus (COVID-19) pandemic, likely due to a lack of adequate preparedness, suboptimal institutional infection control measures, atypical patient presentation, poor compliance with personal protective equipment (PPE) and exposure to high-risk aerosol generating procedures, such as endotracheal intubation. There is significant concern that developing countries will face heightened levels of staff exposure during the COVID-19 pandemic. To mitigate this exposure risk during procedures, such as endotracheal intubation, various "aerosol boxes" have been designed by frontline healthcare workers. However, in practice these boxes were found to hamper endotracheal intubation and other procedures due to the limited space and manoeuvrability they allow. To further reduce particle dispersion and to improve on the practicality and ergonomic design of the prototype "aerosol box", the Intubox was developed by staff at the Charlotte Maxeke Johannesburg Academic Hospital after instituting several changes to the prototype design.
在当前的冠状病毒（COVID-19）大流行期间，医护人员感染的负担相当沉重，这可能是由于准备不足、机构感染控制措施欠佳、患者表现不典型、对个人防护装备（PPE）的依从性差以及接触高风险的气溶胶生成操作，如气管插管。人们非常担心发展中国家在COVID-19大流行期间医护人员面临的暴露风险会更高。为了在诸如气管插管等操作过程中降低这种暴露风险，一线医护人员设计了各种“气溶胶箱”。然而，在实际操作中，由于这些箱子的空间和可操作性有限，人们发现它们会妨碍气管插管和其他操作。为了进一步减少颗粒扩散，并改进原型“气溶胶箱”的实用性和人体工程学设计，约翰内斯堡夏洛特·马克西克学术医院的工作人员在对原型设计进行了几处更改后，开发出了插管箱（Intubox）。
