Evidence map›Paper›PMID 33957789›Full record

ArticleJournal of primary care & community health

Safe Extubation of Patients with COVID-19 for Minimizing Aerosolized Droplets.

Masayuki Akatsuka, Asami Yoshinaka, Hiroya Hagiwara, Shuji Yamamoto

Abstract readCase Reports
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Masayuki AkatsukaObihiro Kosei Hospital, Hokkaido, Japan.ORCID 0000-0003-0065-9721
Asami YoshinakaObihiro Kosei Hospital, Hokkaido, Japan.
Hiroya HagiwaraObihiro Kosei Hospital, Hokkaido, Japan.
Shuji YamamotoObihiro Kosei Hospital, Hokkaido, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare workers must be protected during extubation of patients with coronavirus disease 2019 (COVID-19) owing to the presence of aerosolized droplets. Herein, we report a technique for extubating a patient with COVID-19 while minimizing aerosol dispersion. CASE REPORT: We retrospectively identified a total of 79 patients admitted to our hospital from February 2020 to January 2021. Six of these patients were intubated for mechanical ventilation, 2 of whom had to be extubated. We prepared a clear vinyl sheet in the shape of a tent to place over the patient, and 2 staff members, both well experienced in airway management, stood outside the tent on either side of the patient. Before extubation, we confirmed that the patient's consciousness level was good and the patient had no distress by adjusting the dose of sedative drugs. After extubation, a surgical mask was placed on the patient's face.

conclusionOur experience indicates that this method of extubation in a patient with COVID-19 could be safely implemented to protect healthcare workers.

Indexed as

Airway ExtubationCOVID-19Health PersonnelHumansRetrospective StudiesSARS-CoV-2access to careCOVID-19PPEsafetytracheal extubation

Identifiers

PMID33957789
PMCPMC8114317

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.