I saw a recent comment that for anaesthesia this is our first true 'pilot goes down with the plane' safety issue...🛩 we should stop and think on that...
1. Non-clinical laboratory and simulation studies.
2. SARS experience studies.
3. Systematic reviews.
(Although there ARE two interesting influenza-N95 RCTs... ⇣😉)
Guidelines are written in the context of globally limited N95/PPE supply.
We need to accept that while in a perfect world an N95 mask 😷 would be used for all contact with #COVID risk pt, this is not possible.
Perfect vs pragmatic. Wishful vs reality.
But, potato pot-ah-oto...
📄 → metajournal.com/articles/97982…
- PPE is not enough, must be part of a bigger safety system.
- Gotta get training in donning & doffing; practice; simulation; fit test.
- Time management: don't rush!
This also extends to the intubating boxes 📦 and other inventions that seem to be more of a target for latent anaesth anxiety than practical solutions.
Don't do this stuff!