Aerosol box for intubation of patients with suspected COVID-19: simulation study

Digital

Autores:: Alvarez-Robles, Saul
Torres-Contreras, Claudia Consuelo
Rivera Carvajal, Raquel
Lucigniani-Ariza, Víctor Manuel
Vivas-Garcia, Sonia Margarita

Tipo de recurso:: Article of journal

Fecha de publicación:: 2021

Institución:: Universidad de Santander

Repositorio:: Repositorio Universidad de Santander

Idioma:: eng

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dc.title.spa.fl_str_mv	Aerosol box for intubation of patients with suspected COVID-19: simulation study
dc.title.alternative.spa.fl_str_mv	Caja de aerosol para la intubación de pacientes con sospecha de COVID-19: Un estudio de simulación
title	Aerosol box for intubation of patients with suspected COVID-19: simulation study
spellingShingle	Aerosol box for intubation of patients with suspected COVID-19: simulation study Intra-tracheal intubation Respiratory protection devices SARS virus Anesthesiology COVID-19 Intubación intratraqueal Dispositivos de protección respiratoria Virus del SARS Anestesiología
title_short	Aerosol box for intubation of patients with suspected COVID-19: simulation study
title_full	Aerosol box for intubation of patients with suspected COVID-19: simulation study
title_fullStr	Aerosol box for intubation of patients with suspected COVID-19: simulation study
title_full_unstemmed	Aerosol box for intubation of patients with suspected COVID-19: simulation study
title_sort	Aerosol box for intubation of patients with suspected COVID-19: simulation study
dc.creator.fl_str_mv	Alvarez-Robles, Saul Torres-Contreras, Claudia Consuelo Rivera Carvajal, Raquel Lucigniani-Ariza, Víctor Manuel Vivas-Garcia, Sonia Margarita
dc.contributor.author.none.fl_str_mv	Alvarez-Robles, Saul Torres-Contreras, Claudia Consuelo Rivera Carvajal, Raquel Lucigniani-Ariza, Víctor Manuel Vivas-Garcia, Sonia Margarita
dc.contributor.researchgroup.spa.fl_str_mv	Masira
dc.subject.proposal.eng.fl_str_mv	Intra-tracheal intubation Respiratory protection devices SARS virus Anesthesiology COVID-19
topic	Intra-tracheal intubation Respiratory protection devices SARS virus Anesthesiology COVID-19 Intubación intratraqueal Dispositivos de protección respiratoria Virus del SARS Anestesiología
dc.subject.proposal.spa.fl_str_mv	Intubación intratraqueal Dispositivos de protección respiratoria Virus del SARS Anestesiología
description	Digital
publishDate	2021
dc.date.issued.none.fl_str_mv	2021-10-04
dc.date.accessioned.none.fl_str_mv	2022-08-04T21:58:51Z
dc.date.available.none.fl_str_mv	2022-08-04T21:58:51Z
dc.type.spa.fl_str_mv	Artículo de revista
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dc.identifier.doi.none.fl_str_mv	https://doi.org/10.5554/22562087.e1006
dc.identifier.eissn.spa.fl_str_mv	2256-2087 2422-0248
dc.identifier.issn.spa.fl_str_mv	0120-3347 2422-0248
dc.identifier.uri.none.fl_str_mv	https://repositorio.udes.edu.co/handle/001/7347
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dc.language.iso.spa.fl_str_mv	eng
language	eng
dc.relation.citationendpage.spa.fl_str_mv	10
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dc.relation.citationvolume.spa.fl_str_mv	50
dc.relation.cites.none.fl_str_mv	Álvarez Robles S, Torres Contreras CC, Rivera Carvajal R, Lucigniani Ariza VM, Vivas García SM. Aerosol box for intubation of patients with suspected COVID-19: simulation study. 2022;50:e1006.
dc.relation.indexed.spa.fl_str_mv	Scopus
dc.relation.ispartofjournal.spa.fl_str_mv	Colombian Journal of Anesthesiology. Revista Colombiana de Anestesiología
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eu_rights_str_mv	openAccess
rights_invalid_str_mv	Atribución 4.0 Internacional (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/ http://purl.org/coar/access_right/c_abf2
dc.format.extent.spa.fl_str_mv	10 p
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dc.publisher.place.spa.fl_str_mv	Colombia
dc.source.spa.fl_str_mv	https://www.revcolanest.com.co/index.php/rca/article/view/1006/1981
institution	Universidad de Santander
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spelling	Alvarez-Robles, Saul59464ad1-943f-48aa-943d-bcabf5686c99-1Torres-Contreras, Claudia Consuelo9843d4d3-e28b-466a-b9bb-b00f7a4100b9-1Rivera Carvajal, Raquel3fcd19c6-4adc-458a-8c35-957b2005d366-1Lucigniani-Ariza, Víctor Manuelc5710a0d-1f31-498c-b1df-104d906dd16a-1Vivas-Garcia, Sonia Margarita733457aa-29b8-482b-98e0-1a297cec9139-1Masira2022-08-04T21:58:51Z2022-08-04T21:58:51Z2021-10-04DigitalIntroduction Endotracheal intubation is a procedure associated with a high level of exposure to the COVID-19 virus. This has led to the search of alternatives to reduce the risk of contamination, including the so-called aerosol box. ObjectiveTo compare time and difficulty of orotracheal intubation when using the aerosol box in a simulated setting. Methodology Observational study conducted with the participation of 33 anesthetist physicians and anesthesia residents; groups were compared in terms of time and intubation difficulty using a conventional Macintosh laryngoscope and the McGRATH™ MAC (Medtronic) videolaryngoscope with or without aerosol box. In order to determine performance with the intubation maneuver, crude hazard ratios were estimated, and a Cox multivariate regression model was built, adjusted by anesthetist years of experience and difficulties during the procedure. Results On average, the aerosol box increased intubation time by 7.57 seconds (SD 8.33) when the videolaryngoscope was used, and by 6.62 (SD 5.74) with the Macintosh. Overall, 132 intubations were performed, with 121 successful and 6 failed first-time attempts (4 with the use of the aerosol box); 16 participants (48.48%) reported difficulty handling the box. With the use of the Macintosh, intubation was found to be faster than with the videolaryngoscope (cHR: 1.36 [95% CI 0.64-2.88]; adjusted HR: 2.20 [95% CI 0.73-6.62]). Conclusions The use of the aerosol box and personal protective equipment in a simulation setting hinders the intubation maneuver and may result in protracted execution time.Introducción: La intubación endotraqueal es un procedimiento que se relaciona con alto nivel de exposición al virus de COVID-19, llevando a la búsqueda de alternativas para disminuir el riesgo de contaminación, entre ellas la llamada Caja de aerosoles. Objetivo: Comparar el tiempo y dificultad en la intubación orotraqueal usando la caja de aerosoles en escenarios simulados. Metodología: Estudio observacional, con participación de 33 médicos anestesiólogos y residentes de anestesia; se compararon los grupos en tiempo y dificultad de intubación con uso de laringoscopio convencional Macintosh y videolaringoscopio McGRATH™ MAC (Medtronic) utilizando la caja de aerosoles y sin ella. Para determinar el rendimiento en la maniobra de intubación se calcularon Hazard ratios crudos, se construyó modelo multivariado de Regresion de Cox ajustado por años de experiencia como anestesiólogo y dificultades durante el procedimiento. Resultados: La caja de aerosoles aumentó en promedio el tiempo en segundos para la intubación con videolaringoscopio en 7,57 (DE: 8,33) y con Macintosh 6,62 (DE: 5,74). Se llevaron a cabo 132 intubaciones, 121 exitosas en el primer intento y 6 fallidas (4 con el uso de la caja de aerosoles). 16 participantes reconocieron alguna dificultad al manipular la caja (48,48 %). Con el uso de Macintosh se identificó tendencia a la intubación más rápido que con el videolaringoscopio (HRc: 1,36 [IC 95 %: 0,64-2,88]; HR ajustado: 2,20 [IC 95 %: 0,73-6,62]). Conclusiones: Utilizar la caja de aerosoles y equipo de protección personal en un escenario simulado dificulta la maniobra de intubación y puede prolongar el tiempo de ejecución.Ciencias Médicas y de la Salud10 papplication/pdfhttps://doi.org/10.5554/22562087.e10062256-20872422-02480120-33472422-0248https://repositorio.udes.edu.co/handle/001/7347engColombia101150Álvarez Robles S, Torres Contreras CC, Rivera Carvajal R, Lucigniani Ariza VM, Vivas García SM. Aerosol box for intubation of patients with suspected COVID-19: simulation study. 2022;50:e1006.ScopusColombian Journal of Anesthesiology.Revista Colombiana de AnestesiologíaThe publisher (Sociedad Colombiana de Anestesiología y Reanimación S.C.A.R.E.) retains copyright for the published articles.info:eu-repo/semantics/openAccessAtribución 4.0 Internacional (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2https://www.revcolanest.com.co/index.php/rca/article/view/1006/1981Intra-tracheal intubationRespiratory protection devicesSARS virusAnesthesiologyCOVID-19Intubación intratraquealDispositivos de protección respiratoriaVirus del SARSAnestesiologíaAerosol box for intubation of patients with suspected COVID-19: simulation studyCaja de aerosol para la intubación de pacientes con sospecha de COVID-19: Un estudio de simulaciónArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Todas las AudienciasPublicationLICENSElicense.txtlicense.txttext/plain; charset=utf-859https://repositorio.udes.edu.co/bitstreams/0819fa32-e10a-49cf-89a0-c1ce123c559c/download38d94cf55aa1bf2dac1a736ac45c881cMD52ORIGINALAerosol box for intubation of patients with suspected COVID-19. Simulation study.pdfAerosol box for intubation of patients with suspected COVID-19. Simulation study.pdfapplication/pdf217636https://repositorio.udes.edu.co/bitstreams/9f0f6ded-26fb-41d0-a357-45179dc93dac/downloadc8d177288786fa51b4ba5c6016a6ec98MD51TEXTAerosol box for intubation of patients with suspected COVID-19. Simulation study.pdf.txtAerosol box for intubation of patients with suspected COVID-19. Simulation study.pdf.txtExtracted texttext/plain5https://repositorio.udes.edu.co/bitstreams/2838b947-1282-4346-9ac8-2b18a6bd50be/download5dbe86c1111d64f45ba435df98fdc825MD53THUMBNAILAerosol box for intubation of patients with suspected COVID-19. Simulation study.pdf.jpgAerosol box for intubation of patients with suspected COVID-19. Simulation study.pdf.jpgGenerated Thumbnailimage/jpeg11554https://repositorio.udes.edu.co/bitstreams/3bdac283-48cd-43ea-ac28-de10c1469f3f/download8b7c8a13be0aee321c9ca7e08f5536d0MD54001/7347oai:repositorio.udes.edu.co:001/73472023-10-09 16:40:06.676https://creativecommons.org/licenses/by/4.0/The publisher (Sociedad Colombiana de Anestesiología y Reanimación S.C.A.R.E.) retains copyright for the published articles.https://repositorio.udes.edu.coRepositorio Universidad de Santandersoporte@metabiblioteca.comTGljZW5jaWEgZGUgUHVibGljYWNpw7NuIFVERVMKRGlyZWN0cmljZXMgZGUgVVNPIHkgQUNDRVNPCgo=

Aerosol box for intubation of patients with suspected COVID-19: simulation study

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