- 期刊
- OpenAccess
Use of Plastic Bag to Reduce Risks in Operators During Endotracheal Intubation of Patients With Coronavirus Disease 2019
摘要
The rapid spread of coronavirus disease 2019 (COVID-19) has led to a large number of patients being admitted to hospitals, resulting in a near collapse of the medical system. The shortage of negative pressure isolation rooms and personal protective equipment is a potential problem. It is a pressing challenge to prevent the risk of infection in emergency physicians (EPs) during the endotracheal intubation of patients with COVID-19. We used a large clear plastic bag, cut an opening that covered the patient's head, and created a negative pressure environment inside the plastic bag using the hospital’s medical gas pipeline system; thus reducing the amount of virus-containing aerosols leaked out and the risk of infection in the operators performing intubation. The video (http://www.caregiver.com.tw/Article.asp?ID=1258#article) about the detailed preparation of the plastic bag intubation kit (PBIK) has been posted on the website. This technique for safe endotracheal intubation in patients with COVID-19 is being used not only by EPs in Taiwan, but also by physicians and paramedics from other countries. Regarding designing the PBIK, our original intention was to use readily available materials to make tools that can improve the safety of the operators performing the intubations in situations where medical resources are exhausted. However, due to limited time and patients, further research is needed for validation.
延伸閱讀
- Cheng, B. S., Yen, Y. H., Chi, K. P., & Young, W. L. (2005). The Use of Endotracheal General Anesthesia with One-minute Pauses in Ventilation to Increase the Effectiveness of Extracorporeal Shock Wave Lithotripsy. 臺灣泌尿科醫學會雜誌, 16(2), 60-64. https://www.airitilibrary.com/Article/Detail?DocID=10163220-200506-16-2-60-64-a
- Harris, E. A., Arheart, K. L., & Fischler, K. E. (2013). Does the Site of Anterior Tracheal Puncture Affect the Success Rate of Retrograde Intubation? A Prospective, Manikin-Based Study. Anesthesiology Research and Practice, 2013(), 43-48. https://doi.org/10.1155/2013/354317
- 黃美秀、黃紫青、許夏珍、俞明珠、張靖翎、吳庚欽（2012）。Clinical Experience of Respiratory Care for Resuscitation Using Extra Corporeal Membrane Oxygenation for Fat Embolism Syndrome。呼吸治療，11(2)，64-64。https://doi.org/10.6269/JRT.2012.11.2.16
- Hsu, H. W., Li, C. H., Chen, M. C., Chien, H. T., Wang, C. H., Wu, S. H., Horng, M. H., Hsiao, Y. C., Chen, W. C., & Lin, K. H. (2012). The Effectiveness of Immediate Non-invasive Positive Pressure Ventilation on Decreasing the Re-intubation Rate of Unplanned Extubation. 內科學誌, 23(5), 351-359. https://doi.org/10.6314/JIMT.2012.23(5).06
- 吳國湘（2014）。The Effects on Oral and Pharyngeal Structures, Articulation and Phonation Functions following Prolonged Endotracheal Intubation〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2014.02436