scholarly journals Challenges of personal protective equipment use among ophthalmologists during the COVID-19 pandemic: A multicenter international study

2021 ◽  
pp. 112067212110280
Author(s):  
Doaa Maamoun Ashour ◽  
Rania Serag Elkitkat ◽  
Hesham Gabr ◽  
Mostafa Yosef ◽  
Dilraj Singh Grewal ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Personal Protective Equipment ◽  
International Study ◽  
Protective Equipment ◽  
International Survey ◽  
Ophthalmic Examination ◽  
Examination Time ◽  
Unique Nature ◽  
The Usa

Purpose: To explore the possible challenges and difficulties of using Personal Protective Equipment (PPE) in ophthalmic practice during the Coronavirus disease 2019 (COVID-19) pandemic. Methods: This is a multicenter, international survey among practicing ophthalmologists across different countries. The survey was conducted from September 9th to October 24th, 2020. It included a total of 23 questions that navigated through the currently adopted recommendations in different clinical situations. The survey also assessed the convenience of using various PPE in ophthalmic practice and addressed the clarity of the examination field while using various PPE during clinical or surgical procedures. Results: One hundred and seventy-two ophthalmologists completed the survey (101 from Egypt, 50 from the USA, and 21 from four other countries). The analysis of the responses showed that most ophthalmologists use face masks without significant problems during their examinations, while face shields followed by protective goggles were the most inconvenient PPE in the current ophthalmic practice. Moreover, most of the participants (133, 77.3%) noticed an increase in their examination time when using PPE. Furthermore, a considerable percentage of the respondents (70, 40.7%) stopped using one or more of the PPE due to inconvenience or discomfort. Conclusions: Due to the unique nature of the ophthalmic examination, certain PPE are not ophthalmologist-friendly. Innovative PPE should be tailored for prompt, more convenient, and clearer ophthalmological practice.

scholarly journals Rapid implementation of Inpatient eConsult Programme addresses new challenges for patient care during COVID-19 pandemic

2021 ◽  
pp. bmjinnov-2020-000557
Author(s):  
Sharon Rikin ◽  
Eric J Epstein ◽  
Inessa Gendlina
Keyword(s):  
Palliative Care ◽  
Infectious Diseases ◽  
Patient Care ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Qualitative Feedback ◽  
The Usa ◽  
New Challenges ◽  
Science Framework ◽  
Context Specific

IntroductionAt the early epicentre of the COVID-19 crisis in the USA, our institution saw a surge in the demand for inpatient consultations for areas impacted by COVID-19 (eg, infectious diseases, nephrology, palliative care) and shortages in personal protective equipment (PPE). We aimed to provide timely specialist input for consult requests during the COVID-19 pandemic by implementing an Inpatient eConsult Programme.MethodsWe used the reach, effectiveness, adoption, implementation and maintenance implementation science framework and run chart analysis to evaluate the reach, adoption and maintenance of the Inpatient eConsult Programme compared with traditional in-person consults. We solicited qualitative feedback from frontline physicians and specialists for programme improvements.ResultsDuring the study period, there were 46 available in-person consult orders and 21 new eConsult orders. At the peak of utilisation, 42% of all consult requests were eConsults, and by the end of the study period, utilisation fell to 20%. Qualitative feedback revealed subspecialties best suited for eConsults (infectious diseases, nephrology, haematology, endocrinology) and influenced improvements to the ordering workflow, documentation, billing and education regarding use.DiscussionWhen offered inpatient eConsult requests as an alternative to in-person consults in the context of a surge in patients with COVID-19, frontline physicians used eConsult requests and decreased use of in-person consults. As the demand for consults decreased and PPE shortages were no longer a major concern, eConsult utilisation decreased, revealing a preference for in-person consultations when possible.ConclusionsLessons learnt can be used to develop and implement inpatient eConsults to meet context-specific challenges at other institutions.

scholarly journals Trends in personal protective equipment use by clinicians performing airway procedures for patients with coronavirus disease 2019 in the USA from the intubateCOVID registry

2021 ◽  
Vol 126 (5) ◽  
pp. e184-e186
Author(s):  
Timothy G. Gaulton ◽  
Mark D. Neuman ◽  
Timothy Gaulton ◽  
Mark Neuman ◽  
Meghan Lane-Fall ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Protective Equipment ◽  
The Usa

scholarly journals What do firefighters desire from the next generation of personal protective equipment? Outcomes from an international survey

2015 ◽  
Vol 53 (5) ◽  
pp. 434-444 ◽  
Author(s):  
Joo-Young LEE ◽  
Joonhee PARK ◽  
Huiju PARK ◽  
Aitor COCA ◽  
Jung-Hyun KIM ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Protective Equipment ◽  
International Survey ◽  
Next Generation

scholarly journals Protection for Otolaryngologic Surgery in the COVID-19 Pandemic

OTO Open ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 2473974X2093473
Author(s):  
Antonia E. Lagos ◽  
Phoebe H. Ramos ◽  
Tomás Andrade
Keyword(s):  
High Risk ◽  
Surgical Procedures ◽  
Personal Protective Equipment ◽  
Occupational Safety ◽  
Upper Airway ◽  
High Viral Load ◽  
Oral Route ◽  
Medical Community ◽  
Protective Equipment ◽  
Asymptomatic Patients

Objective The coronavirus disease 2019 (COVID-19) has placed unprecedented challenges on the world and the medical community. It is transmitted through droplets, contact, the fecal-oral route, and airborne transmission under certain conditions that allow droplets to combine with air particles to form an aerosol. Viral loads are higher in the nasal area and similar in symptomatic and asymptomatic patients. Medical situations have been classified into high and low risk of generating aerosols. Most procedures and surgery in otolaryngology correspond to high-risk medical situations. This review aims to gather the vast amount of available information and generate recommendations for different surgical procedures according to aerosolization risk and COVID-19 status, with use of specific personal protective equipment in each case. Data Sources PubMed, MEDLINE, and Embase. Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, and Food and Drug Administration. Review Methods We conducted a review on the literature on personal protective equipment for otolaryngologic surgery and surgical indication restrictions during the COVID-19 pandemic. Conclusions SARS-CoV-2 is an easily transmitted virus. Asymptomatic and symptomatic patients with COVID-19 present an upper airway high viral load, conferring otolaryngologic procedures a high risk of aerosolization. Surgical procedures must be categorized according to aerosolization risk and the possibility of COVID-19 diagnosis, according to use of personal protective equipment. Implications for Practice This review contributes to scientific knowledge regarding the detailed description of protective personal equipment and, most important, surgical recommendations to reduce the risk of infection in the otolaryngology community during the COVID-19 pandemic.

scholarly journals Personal protective equipment needs in the USA during the COVID-19 pandemic

The Lancet ◽  
2020 ◽  
Vol 395 (10237) ◽  
pp. e90-e91 ◽  
Author(s):  
Suhas Gondi ◽  
Adam L Beckman ◽  
Nicholas Deveau ◽  
Ali S Raja ◽  
Megan L Ranney ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Protective Equipment ◽  
The Usa
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