Does the aerosol box accommodate the double-lumen tube intubation?

Nicholas B Cavanaugh; Zhen Deng; Aravinthasamy Sivamurugan; Sudhakar Subramani; Deepak Agarwal; Evgeny V Arshava; Satoshi Hanada

doi:10.1177/2050313x241255502

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Does the aerosol box accommodate the double-lumen tube intubation?

Journal article

Open access

Peer reviewed

Does the aerosol box accommodate the double-lumen tube intubation?

Nicholas B Cavanaugh, Zhen Deng, Aravinthasamy Sivamurugan, Sudhakar Subramani, Deepak Agarwal, Evgeny V Arshava and Satoshi Hanada

SAGE open medical case reports, Vol.12, pp.1-3

05/01/2024

DOI: 10.1177/2050313x241255502

PMCID: PMC11143868

PMID: 38828382

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https://doi.org/10.1177/2050313x241255502View

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Abstract

The aerosol box was widely used to shield healthcare providers from exposure to COVID-19 during single-lumen intubation procedures. However, it has not previously been evaluated for its use in double-lumen tube intubations. This report presents the case of a 25-year-old COVID-19-positive male with a fever who required an emergency thoracotomy for a mediastinal abscess. During the rapid-sequence induction of general anesthesia, an attempt to use the aerosol box for double-lumen tube intubation was made. The attempt faced unique challenges due to the aerosol box's restrictive dimensions and the double-lumen tube's physical characteristics, such as length and flexibility, resulting in an unsuccessful first attempt. Consequently, the aerosol box was removed, and a successful intubation was achieved without it. Postoperatively, the patient remained intubated, was transferred to the intensive care unit, and was extubated on the second postoperative day, followed by intensive care unit discharge. This experience suggests that the standard aerosol box size (50 cm wide, 40 cm deep, and 50 cm tall) may not be suitable for double-lumen tube intubations. This highlights the importance of assessing the feasibility of each aerosol box before its clinical use in such procedures.

Thoracic Surgery

COVID-19

Double-lumen tube intubation

intubation box

aerosol box

Details

Title: Subtitle: Does the aerosol box accommodate the double-lumen tube intubation?
Creators: Nicholas B Cavanaugh - University of Iowa
Zhen Deng - University of Iowa
Aravinthasamy Sivamurugan - University of Iowa
Sudhakar Subramani - University of Iowa
Deepak Agarwal - St. John's Hospital
Evgeny V Arshava - University of Iowa
Satoshi Hanada - University of Iowa
Resource Type: Journal article
Publication Details: SAGE open medical case reports, Vol.12, pp.1-3
DOI: 10.1177/2050313x241255502
PMID: 38828382
PMCID: PMC11143868
ISSN: 2050-313X
eISSN: 2050-313X
Language: English
Date published: 05/01/2024
Academic Unit: Anesthesia; Cardiothoracic Surgery
Record Identifier: 9984634259302771

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