Abstract
The coronavirus disease 2019 (COVID-19) pandemic has highlighted the need for appropriate protective measures for health care providers, particularly for those involved in aerosol-generating procedures. We report the use of the banded bag for extubation to contain infectious aerosols. The banded bag is a clear and disposable shower-cap style image intensifier cover which is commonly used as a sterile cover for mobile X-ray systems. With the addition of a filtered suction, safe air exchange rates can be obtained. We anticipate that the banded bag, which is economical, convenient, and highly practical, can be used as a safety-enhancing device for COVID-19 extubations.
Highlights
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus responsible for coronavirus disease 2019 (COVID-19) has caused a global pandemic due to the infectivity of the virus particles
The virus may still pose an infective risk in airborne particles for hours and on surfaces for days [2]. Both intubation and extubation of patients infected with COVID-19 are considered aerosol-generating procedures and carry risk to the proceduralist
While aerosol and contact precautions, including protective equipment (PPE) usage, are mandatory during airway management, some practitioners have taken to utilizing forms of patient barriers for added protection
Summary
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus responsible for coronavirus disease 2019 (COVID-19) has caused a global pandemic due to the infectivity of the virus particles. The virus may still pose an infective risk in airborne particles for hours and on surfaces for days [2] Both intubation and extubation of patients infected with COVID-19 are considered aerosol-generating procedures and carry risk to the proceduralist. Some have utilized a plastic intubation box while others have utilized a clear plastic drape over a patient’s head during intubation and extubation in order to prevent respiratory droplets and aerosols from spreading [4,5,7] These barriers have shown reduced contamination to the area around the patient in simulation [4,5]. A filtered suction is included within the design for negative pressure air exchange rates
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