Safe extubation during the COVID-19 pandemic

Aaron W Kangas-Dick, Bruce Swearingen, Elias Wan, Kabu Chawla, Ory Wiesel, Aaron W Kangas-Dick, Bruce Swearingen, Elias Wan, Kabu Chawla, Ory Wiesel

Abstract

Extubation 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.

Keywords: COVID-19; Coronavirus; Extubation; SARS-CoV-2.

Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.The Authors declare no competing interests, financial or otherwise. None of the authors has any commercial stake in any product discussed in this manuscript.

Copyright © 2020 Elsevier Ltd. All rights reserved.

Figures

Fig. 1
Fig. 1
Lightweight, disposable hood device with and without nylon covering.
Fig. 2
Fig. 2
Video of extubation.

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Source: PubMed

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