Question |
Summary of Responses and Identified Themes |
Q1. What are your initial thoughts or impressions on the use of a barrier such as an acrylic box during intubation? |
Cumbersome / restrictive (8 respondents) |
Potentially / conditionally useful (6 respondents) |
Increased difficulty for intubation (3 respondents) |
Concerns of concentrated / lingering aerosol after removal (2 respondents) |
Concern of false sense of reassurance with use of box (1 respondent) |
Q2. Do you think you would use this in actual clinical practice? Why or why not? |
Yes (1 respondent - if clinically indicated for a patient with airborne infection) |
No (10 respondents) Reasons: |
- Increased intubation difficulty (4 respondents) |
- Aerosolization is a non-issue with proper paralysis (3 respondents) |
- Cumbersome design (3 respondents) |
- Low confidence in conferred protective benefits (2 respondents) |
Conditionally (4 respondents) |
- With more practice using the box (1 respondent) |
- If modified (1 respondent) |
- If more information supported efficacy (1 respondent) |
- For extubation when coughing is more prominent (1 respondent) |
Q3a. Do you think there are clinical scenarios in which these boxes or sheet barriers would be especially useful? |
Yes - 10 respondents. Reasons: |
- Extubation (5 respondents) |
- Active coughing (3 respondents) |
- Routine cases (2 respondents) |
- Cases with aerosol/droplet precautions (1 respondent) |
- Emergency with others in proximity (1 respondent) |
Did not comment (5 respondents) |
Q3b. Situations in which it would get in the way? |
Yes (9 respondents) - Scenarios: |
- Difficult/emergent airways (4 respondents) |
- Obese patients (2 respondents) |
- Remote cases (1 respondent) |
Did not comment (6 respondents) |
Q4. Did you feel use of the box hindered intubation performance? If so, how? |
Yes (14 respondents) |
- Restricted movement (7 respondents) |
- Difficulty pulling stylet due to box height (4 respondents) |
- Visibility hindered (2 respondents) |
- Distracting (1 respondent) |
- Unable to suction (1 respondent) |
- Concern for obese patients (1 respondent) |
No (1 respondent, who only noted "Easy to use in routine intubations.") |
Q5. What are improvements or changes you would suggest to the design or implementation of these barriers? |
Provided suggestions - 12 respondents |
- Modify box's size (8 respondents) |
- Modify accessibility (8 respondents) |
- Modify visibility (4 respondents) |
- Modify weight (3 respondents) |
- Alternate methodology: "Keep it simple. Use ppe for intubation, sheet or towel for extubation." (1 respondent) |
No suggestions (2 respondents) |