Taipei Azalea – Supraglottic airways (SGA) preassembled with high-efficiency particulate air (HEPA) filters to simplify prehospital airway management for patients with out-of-hospital cardiac arrests (OHCA) during Coronavirus Disease 2019 (COVID-19) pandemic

Yang, Wen-Shuo; Hou, Sheng Wen; Lee, Bin Chou; Chiang, Wen-Chu; Chien, Yu-Chun; Chen, Shey-Ying; Huei‐Ming, Matthew

doi:10.1016/j.resuscitation.2020.03.021

Cited by 16 publications

(15 citation statements)

References 3 publications

(2 reference statements)

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“…Dos oito estudos incluídos nesta revisão, quatro abordaram orientações acerca de medidas a serem adotadas pelos profissionais durante os atendimentos aos pacientes suspeitos ou contaminados pelo COVID-19. Já em relação ao uso de equipamentos de proteção individual (11)(12)(13)(14) , três apresentaram estratégias para reduzir o risco de infecção na realização de procedimentos invasivos (11,13,15) , e três forneceram orientações sobre o uso de equipamento de proteção individual durante o transporte de pacientes suspeitos e/ou contaminados (16)(17)(18) . Os países de publicação foram: EUA (11) , Suíça (12) , França (13)(14) , Taiwan (15) , Espanha (16) e Brasil (17)(18) .…”

Section: Resultsunclassified

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Measures for the prevention of COVID-19 transmission for prehospital care workers

Souza

Silva

et al. 2021

Rev Rene

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Objective: to identify measures to prevent transmission of COVID-19 for prehospital care health care workers. Methods: integrative review using LILACS and BDENF databases via the Virtual Health Library, CINAHL, MEDLINE/PubMed, Web of Science, EMBASE, Cochrane Library, and SCOPUS. Results: eight publications were included that presented recommendations regarding the use of safety equipment by healthcare professionals and ambulance drivers and measures to prevent the risk of infection during invasive airborne procedures in suspected or contaminated COVID-19 patients. Conclusion: the preventive measures directed to prehospital care professionals were proper use of personal protective equipment and changes in the management of suspected/contaminated patients by COVID-19 and in invasive procedures or transportation of these patients. In addition, it is essential the cleaning and disinfection of the ambulances and their equipment.

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Section: Resultsunclassified

“…II (12) , VI (14) e IV (18) um cada, e cinco para o nível VII (11,13,(15)(16)(17) . Publicações com altos níveis de evidências, como ensaio clínico randomizado controlado, ainda são incipientes.…”

Section: Prehosp Disasterunclassified

Measures for the prevention of COVID-19 transmission for prehospital care workers

Souza

Silva

et al. 2021

Rev Rene

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“…Regular ambulances, but also the recently developed mobile stroke units [ 27 ], have to be disinfected after each transport or treatment of patients. In case of unstable respiratory or circulatory conditions, extensive suggestions have been made regarding intensive care management of suspected COVID-19 patients including the use of high-efficiency particulate air filters that may simplify prehospital resuscitation situations [ 28 ].…”

Section: Methodsmentioning

confidence: 99%

Stroke Care during the COVID-19 Pandemic: International Expert Panel Review

Venketasubramanian

Anderson

et al. 2021

Cerebrovasc Dis

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Background: Coronavirus disease 2019 (COVID-19) has placed a tremendous strain on healthcare services. This study, prepared by a large international panel of stroke experts, assesses the rapidly growing research and personal experience with COVID-19 stroke and offers recommendations for stroke management in this challenging new setting: modifications needed for prehospital emergency rescue and hyperacute care; inpatient intensive or stroke units; posthospitalization rehabilitation; follow-up including at-risk family and community; and multispecialty departmental developments in the allied professions. Summary: The severe acute respiratory syndrome coronavirus 2 uses spike proteins binding to tissue angiotensin-converting enzyme (ACE)-2 receptors, most often through the respiratory system by virus inhalation and thence to other susceptible organ systems, leading to COVID-19. Clinicians facing the many etiologies for stroke have been sobered by the unusual incidence of combined etiologies and presentations, prominent among them are vasculitis, cardiomyopathy, hypercoagulable state, and endothelial dysfunction. International standards of acute stroke management remain in force, but COVID-19 adds the burdens of personal protections for the patient, rescue, and hospital staff and for some even into the postdischarge phase. For pending COVID-19 determination and also for those shown to be COVID-19 affected, strict infection control is needed at all times to reduce spread of infection and to protect healthcare staff, using the wealth of well-described methods. For COVID-19 patients with stroke, thrombolysis and thrombectomy should be continued, and the usual early management of hypertension applies, save that recent work suggests continuing ACE inhibitors and ARBs. Prothrombotic states, some acute and severe, encourage prophylactic LMWH unless bleeding risk is high. COVID-19-related cardiomyopathy adds risk of cardioembolic stroke, where heparin or warfarin may be preferable, with experience accumulating with DOACs. As ever, arteritis can prove a difficult diagnosis, especially if not obvious on the acute angiogram done for clot extraction. This field is under rapid development and may generate management recommendations which are as yet unsettled, even undiscovered. Beyond the acute management phase, COVID-19-related stroke also forces rehabilitation services to use protective precautions. As with all stroke patients, health workers should be aware of symptoms of depression, anxiety, insomnia, and/or distress developing in their patients and caregivers. Postdischarge outpatient care currently includes continued secondary prevention measures. Although hoping a COVID-19 stroke patient can be considered cured of the virus, those concerned for contact safety can take comfort in the increasing use of telemedicine, which is itself a growing source of patient-physician contacts. Many online resources are available to patients and physicians. Like prior challenges, stroke care teams will also overcome this one. Key Messages: Evidence-based stroke management should continue to be provided throughout the patient care journey, while strict infection control measures are enforced.

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“…It should be noted that outside of the operating theatre, SGA use (with modifications) remains the first line airway device for out-ofhospital cardiac arrests during the COVID-19 pandemic [7]. However, the place of SGA use in cardiac arrests in COVID-19 patients is yet to be fully determined.…”

Section: Letter To the Editormentioning

confidence: 99%

Supraglottic airways in the management of COVID-19 patients

Lim

Wong

2020

Anaesthesia Critical Care & Pain Medicine

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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Taipei Azalea – Supraglottic airways (SGA) preassembled with high-efficiency particulate air (HEPA) filters to simplify prehospital airway management for patients with out-of-hospital cardiac arrests (OHCA) during Coronavirus Disease 2019 (COVID-19) pandemic

Cited by 16 publications

References 3 publications

Measures for the prevention of COVID-19 transmission for prehospital care workers

Measures for the prevention of COVID-19 transmission for prehospital care workers

Stroke Care during the COVID-19 Pandemic: International Expert Panel Review

Supraglottic airways in the management of COVID-19 patients

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