• Respiratory medicine · Aug 2020

    Review

    Safe extubation during the COVID-19 pandemic.

    • Aaron W Kangas-Dick, Bruce Swearingen, Elias Wan, Kabu Chawla, and Ory Wiesel.
    • Department of Surgery, Maimonides Medical Center, Brooklyn, NY, USA.
    • Respir Med. 2020 Aug 1; 170: 106038.

    AbstractExtubation of patients with Coronavirus Disease 2019 (COVID-19) is a high risk procedure for both patients and staff. Shortages in personal protective equipment (PPE) and the high volume of contact staff have with COVID-19 patients has generated an interest in ways to reduce exposure that might be feasible especially during pandemic times and in resource limited healthcare settings. The development of portable barrier hood devices (or intubation/extubation boxes) is an area of interest for many clinicians due to the theoretical reduction in aerosolization of SARS-CoV-2, the causative virus for COVID-19. We present a review of the current literature along with recommendations concerning safe extubation during the COVID-19 pandemic. In addition, a focused summary on the use of portable barrier hood devices, during the recent surge of COVID-19 is highlighted.Copyright © 2020 Elsevier Ltd. All rights reserved.

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