Intubation strategy in COVID-19 era: An observational study
Background and Aims: Aerosol protection equipment aim at protecting the anaesthesiologist, from aerosol-borne infections, namely, severe acute respiratory syndrome corona virus-2. Methods: We improvised the first-generation intubation box (IB) by increasing its dimensions, including heat and moistur...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=2;spage=234;epage=238;aulast=Sinha |
| _version_ | 1797775518291984384 |
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| author | Aparna Sinha Dinesh Punhani Abhishek Sharma Kumar Gaurav Dhakate Nivedita Garg Sangeeta Patro |
| author_facet | Aparna Sinha Dinesh Punhani Abhishek Sharma Kumar Gaurav Dhakate Nivedita Garg Sangeeta Patro |
| author_sort | Aparna Sinha |
| collection | DOAJ |
| description | Background and Aims: Aerosol protection equipment aim at protecting the anaesthesiologist, from aerosol-borne infections, namely, severe acute respiratory syndrome corona virus-2.
Methods: We improvised the first-generation intubation box (IB) by increasing its dimensions, including heat and moisture exchanger with filter, suction catheter, and attaching arm sleeves to make a modified intubation box (MIB). The impact of IB, MIB and transparent sheets (TS) on the patient outcomes during airway management was evaluated.
Results: A significant difference in median (interquartile range in minutes) was observed in time to intubate between IB (4 [4–5]); TS (0.5 [0.3–0.5]) and MIB (0.3 [0.3–1.5]): P = 0.004); and airway devices; McCoy (0.5 [0.3–2]), CMac (0.5 [0.3–1.5]): P = 0.004. First-pass success was 100% with the TS, whereas more than three attempts were required with IB 66.7% and 5.2% with MIB. Video laryngoscope was associated with less airway-related adverse events (ARAEs). The need for mask ventilation (and hence possible aerosolisation) was maximum with IB. All the ARAEs resolved uneventfully. No breach of personal protective equipment was observed; none of the health-care professionals involved in patient care developed any symptoms suggestive of COVID-19.
Conclusion: Video laryngoscope is favourable for managing airway in COVID-19 times. In view of the ongoing pandemic and added protection that it offers, it is worthwhile to include the MIB in the armamentarium for managing the airway of patients with COVID-19. |
| first_indexed | 2024-03-12T22:36:53Z |
| format | Article |
| id | doaj.art-ddede2f0f12c4a7fab8ea6453ccb6bd7 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-03-12T22:36:53Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-ddede2f0f12c4a7fab8ea6453ccb6bd72023-07-21T11:56:36ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212023-01-0119223423810.4103/jmas.jmas_11_22Intubation strategy in COVID-19 era: An observational studyAparna SinhaDinesh PunhaniAbhishek SharmaKumar Gaurav DhakateNivedita GargSangeeta PatroBackground and Aims: Aerosol protection equipment aim at protecting the anaesthesiologist, from aerosol-borne infections, namely, severe acute respiratory syndrome corona virus-2. Methods: We improvised the first-generation intubation box (IB) by increasing its dimensions, including heat and moisture exchanger with filter, suction catheter, and attaching arm sleeves to make a modified intubation box (MIB). The impact of IB, MIB and transparent sheets (TS) on the patient outcomes during airway management was evaluated. Results: A significant difference in median (interquartile range in minutes) was observed in time to intubate between IB (4 [4–5]); TS (0.5 [0.3–0.5]) and MIB (0.3 [0.3–1.5]): P = 0.004); and airway devices; McCoy (0.5 [0.3–2]), CMac (0.5 [0.3–1.5]): P = 0.004. First-pass success was 100% with the TS, whereas more than three attempts were required with IB 66.7% and 5.2% with MIB. Video laryngoscope was associated with less airway-related adverse events (ARAEs). The need for mask ventilation (and hence possible aerosolisation) was maximum with IB. All the ARAEs resolved uneventfully. No breach of personal protective equipment was observed; none of the health-care professionals involved in patient care developed any symptoms suggestive of COVID-19. Conclusion: Video laryngoscope is favourable for managing airway in COVID-19 times. In view of the ongoing pandemic and added protection that it offers, it is worthwhile to include the MIB in the armamentarium for managing the airway of patients with COVID-19.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=2;spage=234;epage=238;aulast=Sinhaaerosolisationanaesthesiaboxcovid-19intubation |
| spellingShingle | Aparna Sinha Dinesh Punhani Abhishek Sharma Kumar Gaurav Dhakate Nivedita Garg Sangeeta Patro Intubation strategy in COVID-19 era: An observational study Journal of Minimal Access Surgery aerosolisation anaesthesia box covid-19 intubation |
| title | Intubation strategy in COVID-19 era: An observational study |
| title_full | Intubation strategy in COVID-19 era: An observational study |
| title_fullStr | Intubation strategy in COVID-19 era: An observational study |
| title_full_unstemmed | Intubation strategy in COVID-19 era: An observational study |
| title_short | Intubation strategy in COVID-19 era: An observational study |
| title_sort | intubation strategy in covid 19 era an observational study |
| topic | aerosolisation anaesthesia box covid-19 intubation |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=2;spage=234;epage=238;aulast=Sinha |
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