Protecting Health Care Workers: Use of a Body Covering Transparent Sheet During and After Intubation of Patients With COVID-19

Aerosol boxes and barrier enclosures for airway management in COVID-19 patients: a scoping review and narrative synthesis

“… Use of modified CPS for intubation and extubation (left in place) Modification aimed to improve laryngoscopic manoeuvring; multi-layer option Babazade and colleagues 26 Letter to the editor Technical report CPS with cross-cut N/A Mannequin? Use of modified CPS for airway management Economic; intubation feasible Rehm and colleagues 27 Letter to the editor Clinical report Full-body CPS N/A (60 patients?) Mannequin and patients Use of total-body CPS for airway management Economic; intubation feasible; also for transport Scapigliati and colleagues 28 Letter to the editor Technical report CPS N/A CPS over SAD during CPR in mannequin model Hypothesis of aerosol limitation when using SAD during CPR; measurement of differential inspiration/expiration with spirometer during simulated mechanical ventilation Hypothesis of efficacy Patino Montoya and Chitilian 29 Letter to the editor Technical report CPS with midline slit N/A CPS sealed to tracheal tube to prevent aerosolisation and droplets during extubation Use of CPS for extubation The CPS blocks the dispersion of aerosolised particles during extubation.…”

“…5,6,8e11,13,14,17e21,23,25e27,29e31,33,40,41,46,48,52,53,57,58 Cases of barrier-enclosure use with one mannequin or one human were noted in eight reports, 12,15,16,42,50,54,62,63 five cases in three reports, 22,24,44 and series of 25 or more cases in three reports. 37,45,47 The reported settings were simulations with mannequins in 20 cases, 4e6,11e13, 16,19,21e23,25e28,39,41,45,49,60 simulations with study volunteers in two cases, 9,51 use in adult patients in 11 cases, 7,15,23,27,31,37,42,44,47,50,55 and four in paediatric patients. 41,43,52,56 In 24 reports, there was either no setting described or there was a barrier-enclosure description without demonstration.…”

“…All were published between December 1, 2019 and May 27, 2020. There were 19 correspondences, 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 16 letters to the editor, 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 35 , 36 , 37 , 38 , 39 10 original articles, 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 three research letters, 34 , 50 , 51 one guideline, 52 one short recommendation, 53 one case report, 54 and one quality improvement study. 55 Of these reports, there were only six case reports or small case series.…”

“… 55 Of these reports, there were only six case reports or small case series. 6 , 15 , 42 , 43 , 44 , 54 The most common barrier-enclosure types were plastic wraps or tents (25 reports), 5 , 9 , 12 , 15 , 17 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 31 , 33 , 34 , 38 , 39 , 41 , 42 , 44 , 46 , 47 , 52 , 54 , 56 acrylic aerosol boxes (19 reports), 4 , 5 , 6 , 8 , 11 , 15 , 16 , 18 , 19 , 22 , 24 , 35 , 36 , 43 , 45 , 51 , 53 , 57 , 58 and combinations of aerosol boxes and plastic wraps (eight reports). 6 , 8 , 13 , 15 , 32 , 37 , 43 , 49 Eleven reports included other types of barrier enclosures (modified incubator hood, ...…”

“… 5 , 6 , 8 , 9 , 10 , 11 , 13 , 14 , 17 , 18 , 19 , 20 , 21 , 23 , 25 , 26 , 27 , 29 , 30 , 31 , 33 , 40 , 41 , 46 , 48 , 52 , 53 , 57 , 58 Cases of barrier-enclosure use with one mannequin or one human were noted in eight reports, 12 , 15 , 16 , 42 , 50 , 54 , 62 , 63 five cases in three reports, 22 , 24 , 44 and series of 25 or more cases in three reports. 37 , 45 , 47 The reported settings were simulations with mannequins in 20 cases, 4 , 5 , 6 , 11 , 12 , 13 , 16 , 19 , 21 , 22 , 23 , 25 , 26 , 27 , 28 , 39 , 41 , 45 , 49 , ...…”