Dead in the air- The need to adapt to CoVID adaptations.

Autor: Kuehnel NA; Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA. Electronic address: nkuehnel@medicine.wisc.edu., Yngsdal-Krenz RTR; American Family Children's Hospital, Madison, WI, USA., Glazer JM; Department of Emergency Medicine, Internal Medicine, Anesthesia, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Jazyk: angličtina
Zdroj: The American journal of emergency medicine [Am J Emerg Med] 2021 Feb; Vol. 40, pp. 225.e3-225.e5. Date of Electronic Publication: 2020 Jul 23.
DOI: 10.1016/j.ajem.2020.07.047
Abstrakt: During the recent CoVID-19 pandemic, airway management recommendations have been provided to decrease aerosolization and risk of viral spread to healthcare providers. High efficiency particulate air (HEPA) viral filters and adaptors are one way to decrease the risk of aerosolization during intubation. When placed proximal to the ventilator circuit, these viral filters and adaptors can create a significant amount of dead space, which in our smallest patients can significantly impact effective ventilation. We report a case of hypoventilation in a pediatric patient due to lack of provider team appreciation or ventilator sensing of additional dead space due to HEPA viral filter and adaptor.
Competing Interests: Declaration of Competing Interest The authors have no conflicts of interest relevant to this article to disclose.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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