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{
    "pk": 14234,
    "title": "Effect of an Aerosol Box on Intubation in Simulated Emergency Department Airways: A Randomized Crossover Study",
    "subtitle": null,
    "abstract": "Introduction:\n The use of transparent plastic aerosol boxes as protective barriers during endotracheal intubation has been advocated during the severe acute respiratory syndrome coronavirus 2 pandemic. There is evidence of worldwide distribution of such devices, but some experts have warned of possible negative impacts of their use. The objective of this study was to measure the effect of an aerosol box on intubation performance across a variety of simulated difficult airway scenarios in the emergency department.\nMethods:\n This was a randomized, crossover design study. Participants were randomized to intubate one of five airway scenarios with and without an aerosol box in place, with randomization of intubation sequence. The primary outcome was time to intubation. Secondary outcomes included number of intubation attempts, Cormack-Lehane view, percent of glottic opening, and resident physician perception of intubation difficulty.\nResults:\n Forty-eight residents performed 96 intubations. Time to intubation was significantly longer with box use than without (mean 17 seconds [range 6-68 seconds] vs mean 10 seconds [range 5-40 seconds], p <0.001). Participants perceived intubation as being significantly more difficult with the aerosol box. There were no significant differences in the number of attempts or quality of view obtained.\nConclusion: \nUse of an aerosol box during difficult endotracheal intubation increases the time to intubation and perceived difficulty across a range of simulated ED patients.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Endemic Infections",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1xv081nz",
    "frozenauthors": [
        {
            "first_name": "Joseph",
            "middle_name": "S.",
            "last_name": "Turner",
            "name_suffix": "",
            "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana",
            "department": "None"
        },
        {
            "first_name": "Lauren",
            "middle_name": "E.",
            "last_name": "Falvo",
            "name_suffix": "",
            "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana",
            "department": "None"
        },
        {
            "first_name": "Rami",
            "middle_name": "A.",
            "last_name": "Ahmed",
            "name_suffix": "",
            "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana",
            "department": "None"
        },
        {
            "first_name": "Timothy",
            "middle_name": "J.",
            "last_name": "Ellender",
            "name_suffix": "",
            "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana",
            "department": "None"
        },
        {
            "first_name": "Dan",
            "middle_name": "",
            "last_name": "Corson-Knowles",
            "name_suffix": "",
            "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana",
            "department": "None"
        },
        {
            "first_name": "Anna",
            "middle_name": "M.",
            "last_name": "Bona",
            "name_suffix": "",
            "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana",
            "department": "None"
        },
        {
            "first_name": "Elisa",
            "middle_name": "J.",
            "last_name": "Sarmiento",
            "name_suffix": "",
            "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana",
            "department": "None"
        },
        {
            "first_name": "Dylan",
            "middle_name": "D.",
            "last_name": "Cooper",
            "name_suffix": "",
            "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana",
            "department": "None"
        }
    ],
    "date_submitted": "2020-06-29T06:22:17+10:00",
    "date_accepted": "2020-06-29T06:22:17+10:00",
    "date_published": "2020-11-04T19:00:00+11:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/14234/galley/7343/download/"
        }
    ]
}