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Safe extubation during the COVID-19 pandemic.
Respir Med. 2020 Aug - Sep; 170:106038.RM

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.

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Authors+Show Affiliations

Kangas-Dick AW
Department of Surgery, Maimonides Medical Center, Brooklyn, NY, USA.
Swearingen B
Department of Surgery, Maimonides Medical Center, Brooklyn, NY, USA.
Wan E
Department of Surgery, Maimonides Medical Center, Brooklyn, NY, USA; Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
Chawla K
Department of Internal Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
Wiesel O
Department of Surgery, Maimonides Medical Center, Brooklyn, NY, USA. Electronic address: owiesel@maimonidesmed.org.

MeSH

Airway ExtubationBetacoronavirusCOVID-19Coronavirus InfectionsHumansOccupational ExposureOccupational HealthPandemicsPersonal Protective EquipmentPneumonia, ViralRisk ManagementSARS-CoV-2

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

32469731

Clinical Trial Links

Characteristics of Weaning From Mechanical Ventilation in COVID-19

Citation

Kangas-Dick, Aaron W., et al. "Safe Extubation During the COVID-19 Pandemic." Respiratory Medicine, vol. 170, 2020, p. 106038.
Kangas-Dick AW, Swearingen B, Wan E, et al. Safe extubation during the COVID-19 pandemic. Respir Med. 2020;170:106038.
Kangas-Dick, A. W., Swearingen, B., Wan, E., Chawla, K., & Wiesel, O. (2020). Safe extubation during the COVID-19 pandemic. Respiratory Medicine, 170, 106038. https://doi.org/10.1016/j.rmed.2020.106038
Kangas-Dick AW, et al. Safe Extubation During the COVID-19 Pandemic. Respir Med. 2020 Aug - Sep;170:106038. PubMed PMID: 32469731.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Safe extubation during the COVID-19 pandemic. AU - Kangas-Dick,Aaron W, AU - Swearingen,Bruce, AU - Wan,Elias, AU - Chawla,Kabu, AU - Wiesel,Ory, Y1 - 2020/05/23/ PY - 2020/05/18/received PY - 2020/05/19/accepted PY - 2020/5/30/pubmed PY - 2020/9/12/medline PY - 2020/5/30/entrez KW - COVID-19 KW - Coronavirus KW - Extubation KW - SARS-CoV-2 SP - 106038 EP - 106038 JF - Respiratory medicine JO - Respir Med VL - 170 N2 - 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. SN - 1532-3064 UR - https://www.unboundmedicine.com/medline/citation/32469731/Safe_extubation_during_the_COVID_19_pandemic_ DB - PRIME DP - Unbound Medicine ER -