Will Protective Innovations Like the “Airway Box” Become Routine Practice After the Pandemic?: An Opinion Survey

Background Tracheal intubation carries an elevated risk of exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) due to the generation of aerosols containing high concentrations of the virus. An airway box was designed to mitigate the exposure of healthcare professionals performin...

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Autores principales: Ellison, Pavithra, Nanners, Benton, Schaefer, Gregory, Krueger, Austin, Dhumak, Vipul, Shepherd, Jason L, Nguyen, Khoa, Allen, Kathrin, Ellison, Matthew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7877255/
https://www.ncbi.nlm.nih.gov/pubmed/33585148
http://dx.doi.org/10.7759/cureus.13258
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author Ellison, Pavithra
Nanners, Benton
Schaefer, Gregory
Krueger, Austin
Dhumak, Vipul
Shepherd, Jason L
Nguyen, Khoa
Allen, Kathrin
Ellison, Matthew
author_facet Ellison, Pavithra
Nanners, Benton
Schaefer, Gregory
Krueger, Austin
Dhumak, Vipul
Shepherd, Jason L
Nguyen, Khoa
Allen, Kathrin
Ellison, Matthew
author_sort Ellison, Pavithra
collection PubMed
description Background Tracheal intubation carries an elevated risk of exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) due to the generation of aerosols containing high concentrations of the virus. An airway box was designed to mitigate the exposure of healthcare professionals performing intubations. Aim We evaluated usability and sustainability in the routine practice of the "airway box" as a protective device during high-risk airway procedures.  Materials and methods After institutional review board approval, clinicians were educated on using the device through simulation, intranet learning modules, and emailed resources. The airway box was made available in the emergency department, critical care units, perioperative area, and operating rooms. QR codes affixed to the box, emailed, and displayed in common areas provided easy access to complete a REDcap survey (Vanderbilt University Nashville, USA) eliciting providers’ experience. Data was collected and analyzed between April 1 and July 31, 2020, on REDcap, and the results were analyzed. Results 687 emergent intubations took place. 232 were performed by anesthesiologists, 315 by emergency department providers, and 140 by critical care specialists. 39 surveys were completed, 29 from intubations in the operating room, three from the critical care units, five from interventional radiology suites, and two perioperatively. Providers found the device to be readily available, with a score of 4.51/5, and the majority of providers, 60%, found the device easy to use, rating it either a 4 or 5 out of 5. Providers acquired a mean Mallampati score of 1.75 and 1.40 mean laryngoscopic grade view. Conclusion Intubation boxes may effectively mitigate high-risk viral exposure during airway procedures. Survey responses show that devices were easy to use and did not significantly affect visualization of the airway. Similar to mask use, enclosure devices in clinical practice could become a vital part of medical protective equipment even after the SARS-CoV-2 pandemic if they are effectively implemented. 
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spelling pubmed-78772552021-02-12 Will Protective Innovations Like the “Airway Box” Become Routine Practice After the Pandemic?: An Opinion Survey Ellison, Pavithra Nanners, Benton Schaefer, Gregory Krueger, Austin Dhumak, Vipul Shepherd, Jason L Nguyen, Khoa Allen, Kathrin Ellison, Matthew Cureus Anesthesiology Background Tracheal intubation carries an elevated risk of exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) due to the generation of aerosols containing high concentrations of the virus. An airway box was designed to mitigate the exposure of healthcare professionals performing intubations. Aim We evaluated usability and sustainability in the routine practice of the "airway box" as a protective device during high-risk airway procedures.  Materials and methods After institutional review board approval, clinicians were educated on using the device through simulation, intranet learning modules, and emailed resources. The airway box was made available in the emergency department, critical care units, perioperative area, and operating rooms. QR codes affixed to the box, emailed, and displayed in common areas provided easy access to complete a REDcap survey (Vanderbilt University Nashville, USA) eliciting providers’ experience. Data was collected and analyzed between April 1 and July 31, 2020, on REDcap, and the results were analyzed. Results 687 emergent intubations took place. 232 were performed by anesthesiologists, 315 by emergency department providers, and 140 by critical care specialists. 39 surveys were completed, 29 from intubations in the operating room, three from the critical care units, five from interventional radiology suites, and two perioperatively. Providers found the device to be readily available, with a score of 4.51/5, and the majority of providers, 60%, found the device easy to use, rating it either a 4 or 5 out of 5. Providers acquired a mean Mallampati score of 1.75 and 1.40 mean laryngoscopic grade view. Conclusion Intubation boxes may effectively mitigate high-risk viral exposure during airway procedures. Survey responses show that devices were easy to use and did not significantly affect visualization of the airway. Similar to mask use, enclosure devices in clinical practice could become a vital part of medical protective equipment even after the SARS-CoV-2 pandemic if they are effectively implemented.  Cureus 2021-02-10 /pmc/articles/PMC7877255/ /pubmed/33585148 http://dx.doi.org/10.7759/cureus.13258 Text en Copyright © 2021, Ellison et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Ellison, Pavithra
Nanners, Benton
Schaefer, Gregory
Krueger, Austin
Dhumak, Vipul
Shepherd, Jason L
Nguyen, Khoa
Allen, Kathrin
Ellison, Matthew
Will Protective Innovations Like the “Airway Box” Become Routine Practice After the Pandemic?: An Opinion Survey
title Will Protective Innovations Like the “Airway Box” Become Routine Practice After the Pandemic?: An Opinion Survey
title_full Will Protective Innovations Like the “Airway Box” Become Routine Practice After the Pandemic?: An Opinion Survey
title_fullStr Will Protective Innovations Like the “Airway Box” Become Routine Practice After the Pandemic?: An Opinion Survey
title_full_unstemmed Will Protective Innovations Like the “Airway Box” Become Routine Practice After the Pandemic?: An Opinion Survey
title_short Will Protective Innovations Like the “Airway Box” Become Routine Practice After the Pandemic?: An Opinion Survey
title_sort will protective innovations like the “airway box” become routine practice after the pandemic?: an opinion survey
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7877255/
https://www.ncbi.nlm.nih.gov/pubmed/33585148
http://dx.doi.org/10.7759/cureus.13258
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