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Alternative techniques of definitive airways in trauma patients in out-of-hospital settings

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ALEKSANDROWICZ D., KRZYSZKOWA I., PEDRYCZ A.
Kultura Bezpieczeństwa. Nauka – Praktyka – Refleksje
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2018
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vol. 29(29)
46-56
EN
Definitive airway is often regarded as the gold standard when dealing with trauma patients because it offers superior level of airway protection as well as the possibility of positive pressure ventilation. However, establishing definitive airway in out-of-hospital settings is often challenging as sometimes it is simply impossible to place the patients in an adequate and comfortable position for classic tracheal intubation. There are different alternative methods of intubation, albeit rather unpopular, which can be used in the above-mentioned situation and their application may increase the chances of survival of trauma patients.
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A proposal of a cheap and simple method of medical personnel protection for endotracheal intubation of patients with a suspected or confirmed COVID-19 infection

86%
Gaszyński T., Fedorczak M., Pondel J.
International Journal of Occupational Medicine and Environmental Health
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2021
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vol. 34
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issue 2
301-305
EN
ObjectivesThe COVID-19 pandemic has created additional risks to healthcare providers, especially those who perform aerosol generating procedures (AGPs) like endotracheal intubation. Endotracheal intubation is one of the procedures mostly generating aerosol and, therefore, requiring full protection of medical personnel against the infection.Material and MethodsIn this paper, basing on a literature review, the recommended intubation procedure is presented together with recommendations for personal protection during intubation. Additionally, a proposal of a simple and cheap protective barrier is described against spreading aerosol outside the intubation area. The aim was to propose a simple and cheap method to increase the safety of medical personnel performing AGPs in patients infected or suspected of being infected with COVID-19, which could be easily introduced into clinical practice.ResultsThe presented method is the authors’ own idea, based on their experience gathered from working in an operating room. Judging from their clinical experience, the presented method is effective and safe for patients.ConclusionsEndotracheal intubation is one of the most common AGPs and adequate actions must be taken in order to protect medical personnel against the infection and to prevent the spreading of aerosol around the intubation area. The proposed barrier is easy to set with disposable materials and standard equipment available in every operating room.
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