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"Endoshield": A Physical Protective Box for Pediatric Endoscopy during the COVID-19 Pandemic
Busara Charoenwat1, Suphasarang Sirirattanakul2, Kangsadan Hangnak3
1Division of Gastroenterology and Hepatology, Department of Pediatrics, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Insights
A new barrier box, Endoshield, was tested for gastrointestinal endoscopy during the COVID-19 pandemic. This device is affordable, reusable, and suitable for protecting patients and healthcare providers from airborne transmission.
Area of Science:
- Gastroenterology
- Infectious Disease Control
- Medical Device Innovation
Background:
- The COVID-19 pandemic necessitates enhanced safety measures during gastrointestinal endoscopy due to airborne transmission risks.
- Aerosol-generating procedures in endoscopy pose a significant threat to patients and healthcare providers (HCPs).
- Existing guidelines from gastrointestinal societies emphasize the need for protective strategies.
Purpose of the Study:
- To describe and evaluate the
- Endoshield,
- a novel barrier box designed as an adjunctive protective device for gastrointestinal endoscopy.
- To assess the usability and suitability of the Endoshield for pediatric patients undergoing endoscopic procedures.
Main Methods:
- A transparent acrylic barrier box, the Endoshield, was developed.
- The Endoshield was tested for ease of use by endoscopists and its fit for various patient sizes and positions.
- The device was utilized during emergency or urgent endoscopies in pediatric patients.
Main Results:
- Twelve children underwent endoscopy using the Endoshield between April and June 2020.
- The Endoshield was suitable for all tested patient positions (left lateral and supine).
- No patients or HCPs reported COVID-19 related symptoms within 14 days post-procedure.
Conclusions:
- The Endoshield is an affordable and reusable protective device for gastrointestinal endoscopy.
- The barrier box is suitable for use in different patient positions.
- The Endoshield offers a viable adjunctive safety measure during the COVID-19 pandemic.
Background/Aims:
The coronavirus disease (COVID)-19 pandemic presents challenges for gastrointestinal endoscopy. Although the virus is transmitted through contact and droplets, aerosol-generating procedures produce aerosols that can spread through airborne routes. Several gastrointestinal societies have released statements to protect patients and health care providers (HCPs). This study describes a barrier box that may be used as an adjunctive device in addition to personal protective equipment during endoscopies.
Methods:
A transparent acrylic box called "Endoshield" was created to place over patient's head and shoulders and was tested for its ease of use for the endoscopist and suitability for patient size and position.
Results:
Twelve children (66.67%, male) with a median age of 9 years (range, 2-11 years) underwent emergency or urgent endoscopy between April and June 2020 during the COVID-19 outbreak. The most common presenting symptom was life-threatening gastrointestinal bleeding (8/12, 66.67%), while the rest had urgent symptoms (4/12, 33.33%). The "Endoshield" was suitable for all patient positions (left lateral position: 9/12, 75% and supine position: 3/12, 25%). The patients and HCPs were followed up for their symptoms on day 14, and none of them had any symptoms of concern.
Conclusion:
The "Endoshield" is affordable, reusable, and suitable for both positions.
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