Aerosol Box 2.0: Adjustments and Improvements Made in Mexico for Intubating Patients During the Coronavirus Disease 2019 Pandemic

Hernández, Mercedes Nicté López; Reséndiz, Gerardo Esteban Álvarez; Talamantes, Yazmin Galván; Cuevas, Juan Lagarda; Wilson-Manríquez, Eduardo A; Ruiz, Diana Stephanie Calva; Armenta, Cristian Irvin Ham

doi:10.1213/xaa.0000000000001273

Cited by 4 publications

(2 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, because of the inevitable cramped nature of the aerosol box, participants had difficulty grasping materials on the opposite side of their hands. Some authors have presented a larger box or tent-like devices that may solve these difficulties [ 4 , 9 , 14 ]. However, the Carrycure Isolator was purposefully designed with specific dimensions so that the practitioner can approach the patient while performing intubation, and it can be used inside the computed tomography scanner while maintaining negative pressure.…”

Section: Discussionmentioning

confidence: 99%

Efficiency, limitations, and familiarization of a novel negative pressure aerosol box for intubation: a simulation-based randomized crossover study

Park¹,

Sung²,

Kim³

et al. 2023

Clin Exp Emerg Med

View full text Add to dashboard Cite

Objective: This study aimed to introduce a novel negative pressure aerosol box (Carrycure Isolator) and to test its efficiency and limitations, with the hope of suggesting improvements and further directions. Methods: A novel aerosol box (Carrycure Isolator) was invented. A single-center, randomized, crossover simulation study of 28 emergency medicine physicians was designed. Three trials of each participant using an intubation manikin were conducted, including intubation without the aerosol box (trial A), intubation with the aerosol box (trial B), and intubation with the aerosol box after familiarization (trial C). The primary endpoint was the time to intubation. The secondary endpoints were first-attempt success, number of attempts, percentage of glottic opening score, and Cormack-Lehane view. Collected data were statistically analyzed for their significance. Results:The median times to intubation of trials A, B, and C were 30.5 (interquartile range [IQR],28.0-40.0 seconds), 59.0 (IQR, 50.0-75.5 seconds), and 34.0 seconds (IQR, 30.5-47.0 seconds), respectively. Post hoc analysis showed that the time to intubation in trial B was significantly longer than that in trial A (P<0.05), while that the time to intubation in trial C was significantly shorter than that in trial B (P<0.05). Results concerning secondary endpoints showed similar patterns. Participants reported performing intubation with Carrycure Isolator to be relatively difficult, necessitating significant arm movement and view restrictions while increasing their time to intubation. Conclusion:Physicians took a longer time to intubate a manikin using Carrycure Isolator, a novel negative pressure aerosol box. However, the time was improved after a period of familiarization.

show abstract

Section: Discussionmentioning

confidence: 99%

Efficiency, limitations, and familiarization of a novel negative pressure aerosol box for intubation: a simulation-based randomized crossover study

Park¹,

Sung²,

Kim³

et al. 2023

Clin Exp Emerg Med

View full text Add to dashboard Cite

show abstract

“…Aerosol box 2.0 is a lightweight crystalline box with four circular access ports, two for the clinician and two lateral access ports for the assistant. [ 11 ] Clips are added to hold the suction device and video laryngoscope. The design is angulated to allow easy accessibility.…”

Section: Introductionmentioning

confidence: 99%

The barrier techniques for airway management in covid-19 patients - review of literature

Yadav

Garg

2021

Journal of Anaesthesiology Clinical Pharmacology

View full text Add to dashboard Cite

The coronavirus disease 2019 (COVID-19) has emerged as a pandemic and shall prevail for some time around the globe. The disease can manifest from asymptomatic to severe respiratory compromise requiring airway intervention. Transmission of COVID-19 has been reported to be by droplets, fomites, and aerosols, and airway management is an aerosol-generating procedure. The high viral load in the patient's airway puts the clinician performing intubation at a very high risk of viral load exposure. So, the need for barrier devices was considered and led to reporting of various such devices. All these devices have been reported individually and have not been compared. We present a review of all the information on these devices based on the reported literature.

show abstract

An overview of COVID-19 aerosol box for preventing droplet and aerosol contaminations in healthcare providers performing airway intubation

Zhang

et al. 2021

Drug Development and Industrial Pharmacy

View full text Add to dashboard Cite

Aerosol Box 2.0: Adjustments and Improvements Made in Mexico for Intubating Patients During the Coronavirus Disease 2019 Pandemic

Cited by 4 publications

References 1 publication

Efficiency, limitations, and familiarization of a novel negative pressure aerosol box for intubation: a simulation-based randomized crossover study

Efficiency, limitations, and familiarization of a novel negative pressure aerosol box for intubation: a simulation-based randomized crossover study

The barrier techniques for airway management in covid-19 patients - review of literature

An overview of COVID-19 aerosol box for preventing droplet and aerosol contaminations in healthcare providers performing airway intubation

Contact Info

Product

Resources

About