Safe extubation during the COVID-19 pandemic.

Aaron W Kangas-Dick, Bruce Swearingen, Elias Wan, Kabu Chawla, Ory Wiesel
Author Information
  1. Aaron W Kangas-Dick: Department of Surgery, Maimonides Medical Center, Brooklyn, NY, USA.
  2. Bruce Swearingen: Department of Surgery, Maimonides Medical Center, Brooklyn, NY, USA.
  3. Elias Wan: Department of Surgery, Maimonides Medical Center, Brooklyn, NY, USA; Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
  4. Kabu Chawla: Department of Internal Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
  5. Ory Wiesel: Department of Surgery, Maimonides Medical Center, Brooklyn, NY, USA. Electronic address: owiesel@maimonidesmed.org.

Abstract

Extubation of patients with Coronavirus Disease 2019 (COVID-19) is a high risk procedure for both patients and staff. Shortages in personal protective equipment (PPE) and the high volume of contact staff have with COVID-19 patients has generated an interest in ways to reduce exposure that might be feasible especially during pandemic times and in resource limited healthcare settings. The development of portable barrier hood devices (or intubation/extubation boxes) is an area of interest for many clinicians due to the theoretical reduction in aerosolization of SARS-CoV-2, the causative virus for COVID-19. We present a review of the current literature along with recommendations concerning safe extubation during the COVID-19 pandemic. In addition, a focused summary on the use of portable barrier hood devices, during the recent surge of COVID-19 is highlighted.

Keywords

References

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MeSH Term

Airway Extubation
Betacoronavirus
COVID-19
Coronavirus Infections
Humans
Occupational Exposure
Occupational Health
Pandemics
Personal Protective Equipment
Pneumonia, Viral
Risk Management
SARS-CoV-2

Word Cloud

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