Video-Assisted Stylet Intubation with a Plastic Sheet Barrier, a Safe and Simple Technique for Tracheal Intubation of COVID-19 Patients

As the COVID-19 pandemic evolves, infection with the Omicron variants has become a serious risk to global public health. Anesthesia providers are often called upon for endotracheal intubations for COVID patients. Expedite and safe intubation can save patient’s life, while minimizing the virus exposu...

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Main Authors: Ching-Hsuan Huang, I-Min Su, Bo-Jyun Jhuang, Hsiang-Ning Luk, Jason Zhensheng Qu, Alan Shikani
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/6/1105
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author Ching-Hsuan Huang
I-Min Su
Bo-Jyun Jhuang
Hsiang-Ning Luk
Jason Zhensheng Qu
Alan Shikani
author_facet Ching-Hsuan Huang
I-Min Su
Bo-Jyun Jhuang
Hsiang-Ning Luk
Jason Zhensheng Qu
Alan Shikani
author_sort Ching-Hsuan Huang
collection DOAJ
description As the COVID-19 pandemic evolves, infection with the Omicron variants has become a serious risk to global public health. Anesthesia providers are often called upon for endotracheal intubations for COVID patients. Expedite and safe intubation can save patient’s life, while minimizing the virus exposure to the anesthesia provider and personnel involved during airway intervention is very important to protect healthcare workers and conserve the medical work force. In this paper, we share clinical experience of using a video-assisted intubating stylet technique combined with a simple plastic sheet barrier placed over the patients’ mouth for tracheal intubation during the Omicron crisis in Taiwan. We demonstrated that the use of an intubating stylet combined with plastic sheet barrier is swift, safe, and accurate in securing the airway in patients with COVID-19.
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spelling doaj.art-5d232b96508d4d619f8fb047753fa11f2023-11-23T16:52:59ZengMDPI AGHealthcare2227-90322022-06-01106110510.3390/healthcare10061105Video-Assisted Stylet Intubation with a Plastic Sheet Barrier, a Safe and Simple Technique for Tracheal Intubation of COVID-19 PatientsChing-Hsuan Huang0I-Min Su1Bo-Jyun Jhuang2Hsiang-Ning Luk3Jason Zhensheng Qu4Alan Shikani5Department of Anesthesia, Hualien Tzuchi Hospital, Hualien 97002, TaiwanDepartment of Anesthesia, Hualien Tzuchi Hospital, Hualien 97002, TaiwanDepartment of Anesthesia, Hualien Tzuchi Hospital, Hualien 97002, TaiwanDepartment of Anesthesia, Hualien Tzuchi Hospital, Hualien 97002, TaiwanDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USADivision of Otolaryngology-Head and Neck Surgery, LifeBridge Sinai Hospital, Baltimore, MD 21215, USAAs the COVID-19 pandemic evolves, infection with the Omicron variants has become a serious risk to global public health. Anesthesia providers are often called upon for endotracheal intubations for COVID patients. Expedite and safe intubation can save patient’s life, while minimizing the virus exposure to the anesthesia provider and personnel involved during airway intervention is very important to protect healthcare workers and conserve the medical work force. In this paper, we share clinical experience of using a video-assisted intubating stylet technique combined with a simple plastic sheet barrier placed over the patients’ mouth for tracheal intubation during the Omicron crisis in Taiwan. We demonstrated that the use of an intubating stylet combined with plastic sheet barrier is swift, safe, and accurate in securing the airway in patients with COVID-19.https://www.mdpi.com/2227-9032/10/6/1105difficult airwayvideo-assisted intubating styletShikani techniquevideo-laryngoscopyplastic sheetbarrier enclosure
spellingShingle Ching-Hsuan Huang
I-Min Su
Bo-Jyun Jhuang
Hsiang-Ning Luk
Jason Zhensheng Qu
Alan Shikani
Video-Assisted Stylet Intubation with a Plastic Sheet Barrier, a Safe and Simple Technique for Tracheal Intubation of COVID-19 Patients
Healthcare
difficult airway
video-assisted intubating stylet
Shikani technique
video-laryngoscopy
plastic sheet
barrier enclosure
title Video-Assisted Stylet Intubation with a Plastic Sheet Barrier, a Safe and Simple Technique for Tracheal Intubation of COVID-19 Patients
title_full Video-Assisted Stylet Intubation with a Plastic Sheet Barrier, a Safe and Simple Technique for Tracheal Intubation of COVID-19 Patients
title_fullStr Video-Assisted Stylet Intubation with a Plastic Sheet Barrier, a Safe and Simple Technique for Tracheal Intubation of COVID-19 Patients
title_full_unstemmed Video-Assisted Stylet Intubation with a Plastic Sheet Barrier, a Safe and Simple Technique for Tracheal Intubation of COVID-19 Patients
title_short Video-Assisted Stylet Intubation with a Plastic Sheet Barrier, a Safe and Simple Technique for Tracheal Intubation of COVID-19 Patients
title_sort video assisted stylet intubation with a plastic sheet barrier a safe and simple technique for tracheal intubation of covid 19 patients
topic difficult airway
video-assisted intubating stylet
Shikani technique
video-laryngoscopy
plastic sheet
barrier enclosure
url https://www.mdpi.com/2227-9032/10/6/1105
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