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

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Summary

Introduction

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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