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LETTERS TO EDITOR
Year : 2020  |  Volume : 14  |  Issue : 4  |  Page : 574-575

A novel transparent box for intubation in a suspect/confirmed coronavirus disease (COVID-19) patient


1 Department of Anaesthesia, King Abdullah Medical City, Makkah, Kingdom of Saudi Arabia
2 King Abdullah Medical Complex-Jeddah and King Saud bin Abdulaziz University for Health Sciences, Kingdom of Saudi Arabia

Correspondence Address:
Dr. Tariq L Jilani
King Abdullah Medical City Makkah 21955, PO Box 57657
Kingdom of Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.SJA_307_20

Rights and Permissions
Date of Submission12-Apr-2020
Date of Decision12-Apr-2020
Date of Acceptance16-Apr-2020
Date of Web Publication24-Sep-2020
 


How to cite this article:
Jilani TL, Simbawa MA, Aljohani SM, Barnawi KT, Balubaid SA, Felimban MM, Bin Samman HM. A novel transparent box for intubation in a suspect/confirmed coronavirus disease (COVID-19) patient. Saudi J Anaesth 2020;14:574-5

How to cite this URL:
Jilani TL, Simbawa MA, Aljohani SM, Barnawi KT, Balubaid SA, Felimban MM, Bin Samman HM. A novel transparent box for intubation in a suspect/confirmed coronavirus disease (COVID-19) patient. Saudi J Anaesth [serial online] 2020 [cited 2020 Nov 24];14:574-5. Available from: https://www.saudija.org/text.asp?2020/14/4/574/296009



Dear Editor,

As part of the world during the coronavirus disease-2019 (COVID-19) pandemic, we are in Makkah, Kingdom of Saudi Arabia, one of the most important areas as it is crowded area during Hajj and most of the year for religious reasons. At King Abdullah Medical City, Department of Anesthesia, we decided to establish personal protection equipment (PPE) for our staff especially during aerosol-generating procedures (AGP) such as intubation and airway management for suspected/confirmed COVID-19 patient.

Once the Saudi government issued several preventive measures to stop coronavirus disease (COVID-19). We started searching in the literature and websites; we found a transparent box made up from acrylic material created and used by medical staff to protect health-care workers (HCW) from the risk of getting infected in some of hospitals in Thailand.

We got the dimensions and the design of that acrylic transparent box from Google and other social media and we created similar one through local shop around the area. It was a great experience started by training the staff (junior and senior) on manikin in the best way using GlideScope and intubating the patient in the shortest time without any contamination coming to HCW [Figure 1] and [Figure 2].
Figure 1: Acrylic Box

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Figure 2: Simbawa's model

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This was used in addition to all other precautions for any patient suspected of COVID-19 including N95 mask, negative pressure room, high-efficiency particulate air (HEPA) filter, PPE, covering surroundings with sterile gown, decreasing the time for airway management and decreasing staff in the room.

We trained all of our department staff who might need to intubate a COVID-19 suspected patient such as anesthesia, intensive care unit (ICU), and emergency room (ER) staff. There is another model called Simbawa's model that has many advantages over the acrylic transparent model as it is easy to sterilize, does not need an expert to create it, and can be done by anyone; its materials are simple and available. This model was time and cost-effective.

So, we continued our training by applying the two models; at the same time, we started to get feedback from the trainees. From these feedbacks we decided to make a full study by creating a questioner for the trainee and to be distributed after the COVID-19 situation resolves, to get more information regarding which model is the best.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




    Figures

  [Figure 1], [Figure 2]



 

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