Details
Category: Volume 08 Issue 07 July 2020
Hits: 1081

Title: Personal Protection Methods and management of Biomedical Waste Generated during COVID 19

Authors: Dr Kanika Sharma, Dr Virender Sharma

 DOI: https://dx.doi.org/10.18535/jmscr/v8i7.54

Abstract

Introduction

In face of the need for airway management and endotracheal intubation in COVID-19 infected patients with respiratory failure, before approaching patients with coronavirus infection, remember that “personal protection” is priority along with management of biomedical waste generated during COVID-19 management. Check relevant equipment and use contact isolation precautions. In particular, plan ahead and allow sufficient time to remove all obstacles before contacting the patient.

References

  1. Kamming D, Gardam M, Chung F. Anaesthesia and SARS. Br J Anaesth. 2003;90(6):715-718. doi:10.1093 bja/aeg173.
  2. Orser B, Salvatore S. Best practice recommendations for anesthesiologists during intubation of patients with coronavirus. Department of Anesthesiology and Pain Medicine, University of Toronto. Updated January 25, 2020. Accessed January 27, 2020. http://www. anesthesia.utoronto.ca/clinical-guidelines.
  3. Cabrini L, Pallanch O, Pieri M, Zangrillo A. Preoxygenation for tracheal intubation in critically ill patients: one technique does not fit all. J Thorac Dis. 2019;11(Suppl 9):S1299-S1303. doi:10.21037/ jtd.2019.04.67.
  4. Simon M, Wachs C, Braune S, de Heer G, Frings D, Kluge S. High-flow nasal cannula versus bag-valvemask for preoxygenation before intubation in subjects with hypoxemic respiratory failure. Respir Care. 2016;61(9):1160-1167. doi:10.4187/respcare.04413.
  5. Hui DS, Chow BK, Lo T, et al. Exhaled air dispersion during high-flow nasal cannula therapy versus CPAP via different masks. Eur Respir J. 2019;53(4):1802339. doi:10.1183/13993003.02339-2018 .
  6. Leung CCH, Joynt GM, Gomersall CD, et al. Comparison of high-flow nasal cannula versus oxygen face mask for environmental bacterial contamination in critically ill pneumonia patients: a randomized controlled crossover trial. J Hosp Infect. 2019;101(1):84-87. doi:10.1016/j.jhin.2018.10.007.
  7. Asai. Airway management inside and outside operating rooms—circumstances are quite different Br J Anaesth. 2018; 120(2):207-209. doi:10.1016/ j.bja.2017.10.010.
  8. Personal protective equipment standards recommended. Centers for Disease Control, Ministry of Health and Welfare, Taiwan. Updated July 23, 2013. Accessed February 25, 2020. https://www.cdc.gov.tw/Category/ List Content/NO6oWHDwvVfwb2sbWzvHWQ?uaid=2_ LQNoINv66A3OHJxbuK1w.
  9. Order of National Green Tribunal government of India in O.A. no 72 of2020 which can be accessesd at link https://greentribunal.gov.in/judgementOrder/zonalBenchData?zone_type=1&from_date=23%2F04%2F2020&to_date=23%2F04%2F2020&order_by=2

Corresponding Author

Dr Kanika Sharma