Novel method of performing brachial plexus block using an aerosol box during COVID-19 pandemic

Kulkarni, Rammurthy R.; Stephen, M. James; Shashank, Amrita; Mandhal, Lavanya N.

doi:10.1016/j.jclinane.2020.109943

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…craniotomy, oral maxillofacial, colorectal surgery) [ 5 , 6 , [72] , [73] , [74] , [75] ]. Other uses included dental procedures [ 41 , 76 ], dermatological procedures [ 29 ], and regional anesthesia [ 9 , 77 ] (4%, n = 5/123).…”

Section: Resultsmentioning

confidence: 99%

“…Usability was assessed primarily by self-reported qualitative feedback from physicians using these devices (81%, n = 21/26). Generally, authors reported success carrying out procedures using the device with no major issues, [ 33 , 44 , 54 , 61 , 75 , 77 , 84 ] however four studies using the box system reported additional workflow complexities [ 85 ] and challenges while performing intubation. [ 12 , 86 , 87 ]…”

Section: Resultsmentioning

confidence: 99%

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Barrier enclosure use during aerosol-generating medical procedures: A scoping review

Price

Ben-Yakov

Choi

et al. 2021

The American Journal of Emergency Medicine

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Introduction Barrier enclosure devices were introduced to protect against infectious disease transmission during aerosol generating medical procedures (AGMP). Recent discussion in the medical community has led to new designs and adoption despite limited evidence. A scoping review was conducted to characterize devices being used and their performance. Methods We conducted a scoping review of formal databases (MEDLINE, Embase, Cochrane Database of Systematic Reviews, CENTRAL, Scopus), grey literature, and hand-searched relevant journals. Forward and reverse citation searching was completed on included articles. Article/full-text screening and data extraction was performed by two independent reviewers. Studies were categorized by publication type, device category, intended medical use, and outcomes (efficacy – ability to contain particles; efficiency – time to complete AGMP; and usability – user experience). Results Searches identified 6489 studies and 123 met criteria for inclusion (k = 0.81 title/abstract, k = 0.77 full-text). Most articles were published in 2020 (98%, n = 120) as letters/commentaries (58%, n = 71). Box systems represented 42% ( n = 52) of systems described, while plastic sheet systems accounted for 54% ( n = 66). The majority were used for airway management (67%, n = 83). Only half of articles described outcome measures (54%, n = 67); 82% ( n = 55) reporting efficacy, 39% ( n = 26) on usability, and 15% ( n = 10) on efficiency. Efficacy of devices in containing aerosols was limited and frequently dependent on use of suction devices. Conclusions While use of various barrier enclosure devices has become widespread during this pandemic, objective data of efficacy, efficiency, and usability is limited. Further controlled studies are required before adoption into routine clinical practice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Barrier enclosure use during aerosol-generating medical procedures: A scoping review

Price

Ben-Yakov

Choi

et al. 2021

The American Journal of Emergency Medicine

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“…Programmes such as 'Plan A blocks' from the University Hospital of Nottingham included a hands-on model with ultrasonography equipment and high-definition multimedia interface (HDMI) technology to carry out a simulation [16]. Rammurthy et al [17] proposed using aerosol boxes to effectively reduce exposure to the virus, allowing residents to visualize the procedure and even perform it themselves. At Oxford University Hospital NHS Foundation, a cadaver anatomy programme was developed to enable residents to gain skills in sonoanatomy [18].…”

Section: Regional Anaesthesiamentioning

confidence: 99%

Retailoring training programmes in anaesthesia and intensive care after the coronavirus disease 2019 outbreak

Pereda

Hert

Tahan

et al. 2023

Current Opinion in Anaesthesiology

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Purpose of reviewIn this review, we want to collect all the adaptations that anaesthesiology training has faced because of the health crisis and social distancing measures resulting from coronavirus 2019 disease (COVID-19). We reviewed new teaching tools launched during the COVID-19 outbreak worldwide and particularly those implemented by the European Society of Anaesthesiology and Intensive Care (ESAIC) and the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC).Recent findingsGlobally, COVID-19 has interrupted health services and all aspects of training programmes. These unprecedented changes have led to teaching and trainee support innovation tools, focusing on online learning and simulation programmes. Airway management, critical care and regional anaesthesia, have been enhanced during the pandemic, while there were major obstacles in paediatrics, obstetrics and pain medicine.SummaryThe COVID-19 pandemic has altered profoundly the functioning of health systems worldwide. Anaesthesiologists and trainees have fought on the front lines of the battle against COVID-19. As a result, training in anaesthesiology during the last 2 years has focused on managing patients in intensive care. New training programmes have been designed to continue teaching residents of this speciality, focusing on e-learning and advanced simulation. It is necessary to present a review describing the impact that this turbulent period has had on the different subsections of anaesthesiology and to review the innovative measures that have been implemented to address these possible deficits in education and training.

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The FEES box: A novel barrier to contain particles during aerosol-generating procedures

Ganann

Kitila

Patel

et al. 2021

American Journal of Otolaryngology

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Novel method of performing brachial plexus block using an aerosol box during COVID-19 pandemic

Cited by 3 publications

References 5 publications

Barrier enclosure use during aerosol-generating medical procedures: A scoping review

Barrier enclosure use during aerosol-generating medical procedures: A scoping review

Retailoring training programmes in anaesthesia and intensive care after the coronavirus disease 2019 outbreak

The FEES box: A novel barrier to contain particles during aerosol-generating procedures

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