scholarly journals Cost-effective innovative personal protective equipment for the management of COVID-19 patients

2020 ◽  
Vol 12 (2) ◽  
pp. 113
Author(s):  
SManu Ayyan ◽  
KN. J Prakash Raju ◽  
Naman Jain ◽  
M Vivekanandan
Keyword(s):  
Personal Protective Equipment ◽  
Cost Effective ◽  
Protective Equipment

scholarly journals Portable negative pressure environment to protect staff during aerosol-generating procedures in patients with COVID-19

2020 ◽  
Vol 7 (1) ◽  
pp. e000653
Author(s):  
James Nilson ◽  
Nikolay Bugaev ◽  
Pavan Sekhar ◽  
Haracio Hojman ◽  
Luis Gonzalez-Ciccarelli ◽  
...  
Keyword(s):  
Viral Load ◽  
Personal Protective Equipment ◽  
Negative Pressure ◽  
Healthcare Providers ◽  
Cost Effective ◽  
Therapeutic Interventions ◽  
Protective Equipment ◽  
Cost Effective Method

Patients with COVID-19 often need therapeutic interventions that are considered high aerosol-generating procedures. These are either being performed by healthcare providers with potentially inadequate personal protective equipment or the procedures are being delayed until patients clear their viral load. Both scenarios are suboptimal. We present a simple, cost-effective method of creating a portable negative pressure environment using equipment that is found in most hospitals to better protect healthcare providers and to facilitate more timely care for patients with COVID-19.

THE EFFICACY OF RADPAD AS A RADIATION PROTECTION TOOL IN CT FLUOROSCOPY GUIDED LUNG BIOPSIES

2020 ◽  
Vol 191 (3) ◽  
pp. 328-334 ◽  
Author(s):  
Michael Lawson ◽  
Ahilan Kuganesan ◽  
Georgia Parry ◽  
Mohamed Khaldoun Badawy
Keyword(s):  
Radiation Dose ◽  
Dose Reduction ◽  
Personal Protective Equipment ◽  
Cost Effective ◽  
Whole Body ◽  
Protective Equipment ◽  
Computed Tomography Fluoroscopy ◽  
Effective Option ◽  
Single Use ◽  
Lung Biopsies

Abstract Computed tomography fluoroscopy is now the preferred technique for percutaneous lung biopsies. However, concern regarding operator and patient radiation dose remains, which warrants further exploration into dose optimisation tools. This phantom-study aims to assess the dose reduction capabilities of RADPAD, a single-use patient drape designed to decrease staff exposure to scattered radiation. Dosemeters at the waist and eye levels were used to determine the whole-body and lens exposure during simulated lung biopsy procedures while using RADPAD and other combinations of personal protective equipment. RADPAD resulted in a 36% and 38% dose reduction for whole-body and eye exposure, respectively. However, when used in combination with radioprotective eyewear and aprons, RADPAD did not reduce the radiation dose further. Consequently, the use of standard personal protective equipment is a more cost-effective option for staff dose reduction. RADPAD is useful in the reduction of radiation dose to unprotected regions.

scholarly journals Lessons learnt from the rapid implementation of reusable personal protective equipment for COVID-19 in Malawi

2021 ◽  
Vol 6 (9) ◽  
pp. e006498
Author(s):  
Fumbani Limani ◽  
David Garley ◽  
Derek Cocker ◽  
Priyanka Patel ◽  
Pratiksha Patel ◽  
...  
Keyword(s):  
Low Income ◽  
Personal Protective Equipment ◽  
Scale Up ◽  
Healthcare Providers ◽  
Cost Effective ◽  
Protective Equipment ◽  
Ongoing Training ◽  
Early Implementation ◽  
Worker Perceptions ◽  
The Cost

The SARS-CoV-2 pandemic has challenged health systems and healthcare workers worldwide. Access to personal protective equipment (PPE) is essential to mitigate the risk of excess mortality in healthcare providers. In Malawi, the cost of PPE represents an additional drain on available resources. In the event of repeated waves of disease over several years, the development of sustainable systems of PPE is essential. We describe the development, early implementation and rapid scale up of a reusable gown service at a tertiary-level hospital in Blantyre, Malawi. Challenges included healthcare worker perceptions around the potential of reduced efficacy of cotton gowns, the need to plan for surge capacity and the need for ongoing training of laundry staff in safety and hygiene procedures. Benefits of the system included increased coverage, decreased cost and reduced waste disposal. The implementation of a reusable cotton gown service is feasible, acceptable and cost-effective in tertiary centres providing specialist COVID-19 care at the height of the pandemic. This innovation could be expanded beyond low-income settings.

scholarly journals Reusable respirators as personal protective equipment during ENT surgery

2020 ◽  
Vol 134 (8) ◽  
pp. 732-734 ◽  
Author(s):  
B Patel ◽  
J C Hardman ◽  
W Yang ◽  
A Robson ◽  
G Putnam ◽  
...  
Keyword(s):  
Cost Analysis ◽  
Head And Neck ◽  
Personal Protective Equipment ◽  
Cost Effective ◽  
Neck Surgery ◽  
Protective Equipment ◽  
Staff Members ◽  
Collective Experience ◽  
Cost Effective Alternative ◽  
Single Use

AbstractBackgroundRobust personal protective equipment is essential in preventing the transmission of coronavirus disease 2019 to head and neck surgeons who are routinely involved in aerosol generating procedures.ObjectiveThis paper describes the collective experience, across 3 institutes, of using a reusable half-face respirator in 72 head and neck surgery cases.MethodCost analysis was performed to demonstrate the financial implications of using a reusable respirator compared to single-use filtering facepiece code 3 masks.ConclusionThe reusable respirator is a cost-effective alternative to disposable filtering facepiece code 3 respirators. Supplying reusable respirators to individual staff members may increase the likelihood of them having appropriate personal protective equipment during their clinical duties.

scholarly journals Powered Respirators Are Effective, Sustainable, and Cost-Effective Personal Protective Equipment for SARS-CoV-2

2021 ◽  
Vol 3 ◽  
Author(s):  
Alasdair Munro ◽  
Jacqui Prieto ◽  
Emmanouil Mentzakis ◽  
Mohammed Dibas ◽  
Nitin Mahobia ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Cost Savings ◽  
Cost Effective ◽  
University Hospital ◽  
Protective Equipment ◽  
Subjective Feeling ◽  
Patient Response ◽  
Viral Illness ◽  
Prospective User ◽  
Simulation Exercises

Objectives: The provision of high-quality personal protective equipment (PPE) has been a critical challenge during the COVID-19 pandemic. We evaluated an alternative strategy, mass deployment of a powered air-purifying respirator (PeRSo), in a large university hospital.Methods: We performed prospective user feedback via questionnaires sent to healthcare workers (HCWs) issued PeRSos, economic analysis, and evaluated the real-world impact.Results: Where paired responses were available, PeRSo was preferred over droplet precautions for comfort, patient response, overall experience, and subjective feeling of safety. For all responses, more participants reported the overall experience being rated “Very good” more frequently for PeRSo. The primary limitation identified was impairment of hearing. Economic simulation exercises revealed that the adoption of PeRSo within ICU is associated with net cost savings in the majority of scenarios and savings increased progressively with greater ITU occupancy. In evaluation during the second UK wave, over 3,600 respirators were deployed, all requested by staff, which were associated with a low staff absence relative to most comparator hospitals.Conclusions: Health services should consider a widespread implementation of powered reusable respirators as a safe and sustainable solution for the protection of HCWs as SARS-CoV-2 becomes an endemic viral illness.

Impact of COVID-19 on Nuclear Medicine in Germany, Austria and Switzerland: An International Survey in April 2020

2020 ◽  
Vol 59 (04) ◽  
pp. 294-299 ◽  
Author(s):  
Lutz S. Freudenberg ◽  
Ulf Dittmer ◽  
Ken Herrmann
Keyword(s):  
Nuclear Medicine ◽  
Health Systems ◽  
Personal Protective Equipment ◽  
Large Scale ◽  
Diagnostic Procedures ◽  
Protective Equipment ◽  
Current Crisis ◽  
Web Based ◽  
Public Versus Private ◽  
The Impact

Abstract Introduction Preparations of health systems to accommodate large number of severely ill COVID-19 patients in March/April 2020 has a significant impact on nuclear medicine departments. Materials and Methods A web-based questionnaire was designed to differentiate the impact of the pandemic on inpatient and outpatient nuclear medicine operations and on public versus private health systems, respectively. Questions were addressing the following issues: impact on nuclear medicine diagnostics and therapy, use of recommendations, personal protective equipment, and organizational adaptations. The survey was available for 6 days and closed on April 20, 2020. Results 113 complete responses were recorded. Nearly all participants (97 %) report a decline of nuclear medicine diagnostic procedures. The mean reduction in the last three weeks for PET/CT, scintigraphies of bone, myocardium, lung thyroid, sentinel lymph-node are –14.4 %, –47.2 %, –47.5 %, –40.7 %, –58.4 %, and –25.2 % respectively. Furthermore, 76 % of the participants report a reduction in therapies especially for benign thyroid disease (-41.8 %) and radiosynoviorthesis (–53.8 %) while tumor therapies remained mainly stable. 48 % of the participants report a shortage of personal protective equipment. Conclusions Nuclear medicine services are notably reduced 3 weeks after the SARS-CoV-2 pandemic reached Germany, Austria and Switzerland on a large scale. We must be aware that the current crisis will also have a significant economic impact on the healthcare system. As the survey cannot adapt to daily dynamic changes in priorities, it serves as a first snapshot requiring follow-up studies and comparisons with other countries and regions.

Infectious safety of nursing staff in departments (offices) functional diagnostics in the context of the COVID-19 pandemic

2020 ◽  
pp. 30-33
Author(s):  
E. V. Panina ◽  
M. V. Pugachev ◽  
A. G. Shchesiu
Keyword(s):  
Medical Care ◽  
Nursing Staff ◽  
Personal Protective Equipment ◽  
Medical Personnel ◽  
Medical Waste ◽  
Daily Activities ◽  
Protective Equipment ◽  
Functional Diagnostics ◽  
Prevention Of Infections ◽  
Epidemiological Situation

The article shows that in the daily activities of nursing staff of functional diagnostics departments (offices), it is necessary to strictly observe the requirements and rules for the prevention of infections associated with medical care, especially during the COVID-19 pandemic. The types of personal protective equipment (PPE) of medical personnel (MP), as well as current effective methods of disinfection, rules for collecting medical waste in a complex epidemiological situation are presented.

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