Continuous Negative Pressure Operative Field Barrier for Combined Open Tracheostomy and Percutaneous Endoscopic Gastrostomy Tube Placement During Coronavirus Disease 2019

Respiratory failure in coronavirus disease 2019 (COVID-19) patients with prolonged endotracheal intubation may require a tracheostomy and percutaneous endoscopic gastrostomy (PEG) tube placement to facilitate recovery. Both techniques are considered high-risk aerosol-generating procedures and presen...

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Detalles Bibliográficos
Autores principales: Gonzalez-Ciccarelli, Luis F., Nilson, James, Hojman, Horacio M., Sekhar, Pavan, Velez, Madeline, Quraishi, Sadeq A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Innovation
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7771639/
https://www.ncbi.nlm.nih.gov/pubmed/33350677
http://dx.doi.org/10.1213/XAA.0000000000001371
Descripción
Sumario:Respiratory failure in coronavirus disease 2019 (COVID-19) patients with prolonged endotracheal intubation may require a tracheostomy and percutaneous endoscopic gastrostomy (PEG) tube placement to facilitate recovery. Both techniques are considered high-risk aerosol-generating procedures and present a heightened risk of exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) for operating room personnel. We designed, simulated, and implemented a portable, continuous negative pressure, operative field barrier system using standard equipment available in hospitals to enhance health care provider safety during high-risk aerosol-generating procedures.

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