Song Lijun, Tan Li, Ma Ning, Li Qi, Zhou Miao, Hu Yongchu, Liu Yang, Chen Hui, Xu Wenyun, Zou Zui
Hebei North University Zhangjiakou 075000, Hebei, China.
School of Anesthesiology, Naval Medical University Shanghai 200433, China.
Am J Transl Res. 2021 Dec 15;13(12):13811-13814. eCollection 2021.
Consensus guidelines to protect airway managers during COVID-19 were developed to encourage safe, accurate and swift performance in intubation and extubation, but reintubation was not considered. With the massive surge of patients requiring mechanical ventilation in this COVID-19 pandemic, great incidence of difficult airways may necessitate reintubation. Equipments could be used now in extubation and reintubation are either too expensive and time-consuming in decontamination, or have not gained wide acceptance. Here, we adapted an extubation device from an intubating stylet, which is provided as accessory of endotracheal tube. Such stylet could provide safe access for expediting reintubation both during and after the COVID-19 pandemic, which is inexpensive, single-use, readily available, straightforward to handle, and well-tolerated, thereby benefiting both the patients and healthcare providers.
为保护新冠疫情期间的气道管理医护人员制定了共识指南，以鼓励在插管和拔管过程中安全、准确且迅速地操作，但未考虑再次插管的情况。在此次新冠疫情大流行期间，大量患者需要机械通气，困难气道的发生率很高，可能需要再次插管。目前可用于拔管和再次插管的设备要么在消毒方面过于昂贵且耗时，要么尚未得到广泛认可。在此，我们将一种插管探条改装成了拔管装置，该探条是气管内导管的配件。这种探条可为在新冠疫情期间及之后加快再次插管提供安全通道，其价格低廉、一次性使用、易于获取、操作简单且耐受性良好，从而使患者和医护人员都受益。
