• A&A practice · Dec 2020

    Case Reports

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

    • Luis F Gonzalez-Ciccarelli, James Nilson, Horacio M Hojman, Pavan Sekhar, Madeline Velez, and Sadeq A Quraishi.
    • From the Department of Anesthesiology and Perioperative Medicine.
    • A A Pract. 2020 Dec 21; 14 (14): e01371.

    AbstractRespiratory 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.Copyright © 2020 International Anesthesia Research Society.

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