Original Research Article
Year: 2020 | Month: July | Volume: 10 | Issue: 7 | Pages: 22-27
Impact of Aerosol Box on Duration of Intubation of COVID-19 Patients: Simulation Cross-over Study
Waleed Th. Aletreby1, Abdulrahman M. Alharthy1, Ahmed F. Madi1,2, Omar E. Ramadan1,3, Mohammed A. Alodat1, Basim M. Huwait1, Shahzad A. Mumtaz1, Abdullah A. Ba Lahmar1, Zahraa A. Alfrdan1
1Critical Care Department, King Saud Medical City, Riyadh, KSA.
2Anesthesia Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
3Anesthesia Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Corresponding Author: Waleed Th. Aletreby
ABSTRACT
COVID-19 outbreak is highly contagious, and healthcare workers are at higher risk of infection particularly with aerosol generating procedures like intubation. Airway management guidelines of COVID-19 patients recommend swift and familiar procedures, while recent reports indicate a safety benefit of using Aerosol Box (AB) during intubation.
Aim:Explore the impact of using AB on duration of intubation, and satisfaction of physicians using AB.
Design:Crossover simulation study of intubation on a manikin with and without AB.
Results:Duration of intubation without AB and with AB was 11.2±3.6 and 18±2.7 seconds respectively (p < 0.001). Most physicians were unsatisfied with using AB in intubation.
Conclusion:The protective benefits of AB are not established and validated, while it prolongs time of intubation, and exposes the airway manager to unduly difficulties, which may negatively impact safety.
Key words: COVID-19 patients, Aerosol Box, Intubation