Department of Anesthesiology, Walter Reed National Military Medical Center, Bethesda, MD; Assistant Professor, Department of Anesthesiology, Uniformed Service University of the Health Sciences College of Medicine; Associate Program Director, National Capital Consortium Anesthesiology Residency.
Department of Anesthesiology, Walter Reed National Military Medical Center, Bethesda, MD; Chief of Nurse Anesthesia, Adjunct Faculty Uniformed Services University Graduate School of Nursing and the Johns Hopkins School of Nursing.
Med J (Ft Sam Houst Tex). 2021 Jan-Mar(PB 8-21-01/02/03):60-65.
The threat of shortages of personal protective equipment have led to innovations in protective barriers to limit the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Those performing aerosolizing procedures such as endotracheal intubation have been designated by the Centers for Disease Control as increased risk of contracting COVID-19. Evaluation of aerosolizing containing barriers for intubation has been limited to date. Some have raised concerns about the universal use of these devices and their possible iatrogenic side effects. It is clear that in time periods of atypical practice that quality and outcome review are critical to addressing novel problems as they arise. An unusual set of injury patterns associated with videolaryngoscopy lead to further evaluation and reconsideration of these devices in our own military department. We review the current literature on this topic and provide a perspective from a single large academic military treatment facility.
个人防护设备短缺的威胁导致了防护屏障的创新，以限制严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2) 的传播。疾病控制中心将进行诸如气管插管等气溶胶化操作的人员指定为 COVID-19 感染风险增加的人员。迄今为止，对含插管气溶胶化的防护屏障的评估有限。有人对这些设备的普遍使用及其可能的医源性副作用表示担忧。显然，在非典型实践时期，质量和结果评估对于解决新出现的问题至关重要。与可视喉镜相关的一组不常见的损伤模式导致我们在军内对这些设备进行进一步评估和重新考虑。我们回顾了这一主题的现有文献，并从单一的大型学术军事治疗机构的角度提供了看法。
