Innovation Corner for Intubation

Anesthesiologists in Tiwain making a rigid acrylic box (looks they cut some holes out of an aquarium. Those arm holes are sharp; and this design does nothing to contain particles; it in essence is a face shield for everyone standing behind the box. Great for the person doing the intubation; everyone at the feet of the bed gets extra particles sent their way. 

You need vacuum or a tighter seal for this to be effective. Plus acrylic edges if not smoothed down or covered with rubber are very sharp; you are likely to cut your arms if you move rapidly (I have done this on an aquarium; the fish were not amused) 

 

https://focustaiwan.tw/society/202003220009

 

Another image I saw was a central line sheet tossed over a patient; with the clear section facing the intubator -- cheap fast and easy; but hard to get access to the patient -- and multiple assistants are going to increase the odds that particles go preferentially towards the intubator. 

 

https://sites.google.com/view/aerosolbox/home

 

People have started building their own (citing cost of $67 https://sites.google.com/view/aerosolbox/design); and other are selling them (for $200 https://intubationbox.com/). To be clear acrylic is a few bucks a square foot and acrylic cement is 20 bucks for a large tube.

 

https://www.eplastics.com/plexiglass/acrylic-sheets/clear

 

(this company will also cut and shape holes for you too)

 

https://www.usplastic.com/catalog/item.aspx?sku=45738&gclid=EAIaIQobChMI9KOb05y96AIVGGKGCh1H5QK5EAQYAyABEgIBCPD_BwE

 

This will become popular I suspect because it looks pretty -- but to be frank I think it's a problem for everyone in the room if you are launching aerosolized particles out and up towards the feet. They can stay suspended in the air for hours in theory (and anyone NOT intubating gets those particles shot into their face).

https://www.livescience.com/coronavirus-can-spread-as-an-aerosol.html


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