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  1. Article ; Online: N-95 respirator: gain in protection, pain in the face?

    Lee, Delice Weishan / Li, Daphne Weiyi

    Occupational and environmental medicine

    2020  Volume 77, Issue 8, Page(s) 583

    MeSH term(s) Bandages ; COVID-19 ; Coronavirus Infections/prevention & control ; Face ; Health Personnel ; Humans ; Masks/adverse effects ; Occupational Exposure/prevention & control ; Occupational Health ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; Pressure Ulcer/prevention & control ; Respiratory Protective Devices/adverse effects
    Keywords covid19
    Language English
    Publishing date 2020-05-04
    Publishing country England
    Document type Letter
    ZDB-ID 1180733-7
    ISSN 1470-7926 ; 1351-0711
    ISSN (online) 1470-7926
    ISSN 1351-0711
    DOI 10.1136/oemed-2020-106621
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: N-95 respirator: gain in protection, pain in the face?

    Delice Weishan, Lee / Li, Daphne Weiyi

    Occupational and Environmental Medicine

    Abstract: Correspondence to Dr Daphne Weiyi Li, National University Health System, 119074, Singapore;daphne_li@nuhs edu sg In the midst of the global COVID-19 pandemic, the availability of well-fitting personal protective equipment (PPE) is essential to protect ... ...

    Abstract Correspondence to Dr Daphne Weiyi Li, National University Health System, 119074, Singapore;daphne_li@nuhs edu sg In the midst of the global COVID-19 pandemic, the availability of well-fitting personal protective equipment (PPE) is essential to protect healthcare workers (HCWs) from the risks of contracting droplets and/or airborne infections from patients under their care The incidence of DRPU in HCWs is high, as evidenced by the results of a survey conducted on 526 frontline HCWs, where 83 1% and 78 7% of respondents reported skin damage over the nasal bridge and cheek, respectively, with longer time spent wearing PPE a significant risk factor for skin damage 1 In our institution, HCWs working in critical care areas who applied protective dressings on their faces while using N-95 respirators they had originally been fitted with were offered a repeat qualitative fit test with denatonium benzoate aerosol spray as per hospital protocol,2 as there was a worry that these dressings might interfere in the formation of a good seal between the face and the N-95 respirator Manufacturers of N-95 respirators caution against use of the device when a good seal between the face and the sealing surface of the respirator cannot be obtained 3 The National Health Service England also advised against the use of dressings underneath the mask in a recently published guideline on prevention of facial skin damage under PPE unless the dressings used fulfil certain criteria 4 They also emphasised that a fit test should be repeated
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #646295
    Database COVID19

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  3. Article ; Online: Intubation outside of the operating room: new challenges and opportunities in COVID-19 era.

    Lee, Delice Weishan / Ma, Martin / Parotto, Matteo / Wąsowicz, Marcin

    Current opinion in anaesthesiology

    2020  Volume 33, Issue 4, Page(s) 608–611

    Abstract: Purpose of review: Airway management in patients outside the operating room is associated with increased difficulties and risks, and the setting of the COVID-19 global pandemic adds another layer of complexity. Therefore, endotracheal intubation (ETT) ... ...

    Abstract Purpose of review: Airway management in patients outside the operating room is associated with increased difficulties and risks, and the setting of the COVID-19 global pandemic adds another layer of complexity. Therefore, endotracheal intubation (ETT) of a patient who is presumptive COVID-19 or COVID-19 positive presents an additional challenge to an anesthesiologist. The aim of this review is to summarize the important principles of airway management outside of the operating room during the COVID-19 pandemic.
    Recent findings: Several professional societies have formulated guidelines on airway management COVID-19 suspect and proven patients. Additionally, anesthesiologists working in hospitals treating many infected patients have developed specialized teams responsible for airway management outside the operating room. These documents and protocols focus on the importance of wearing personal protective equipment and the skills of the providers responsible for securing the airway. Staff safety is always a priority when performing ETT outside operating room.
    Summary: The COVID-19 pandemic redefined the management of patients requiring aerosol generating procedures (droplet and airborne precautions). ETT is one of them and anesthesiologists are experts in performing airway management. Although the operating room is a highly controlled environment, airway management outside of this setting is not always the easiest task.
    MeSH term(s) Airway Management/standards ; Anesthesiologists ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/prevention & control ; Humans ; Intubation, Intratracheal/standards ; Operating Rooms ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-23
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 645203-6
    ISSN 1473-6500 ; 0952-7907
    ISSN (online) 1473-6500
    ISSN 0952-7907
    DOI 10.1097/ACO.0000000000000892
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Intubation outside of the operating room

    Lee, Delice Weishan / Ma, Martin / Parotto, Matteo / Wąsowicz, Marcin

    Current Opinion in Anaesthesiology

    new challenges and opportunities in COVID-19 era

    2020  Volume 33, Issue 4, Page(s) 608–611

    Keywords Anesthesiology and Pain Medicine ; covid19
    Language English
    Publisher Ovid Technologies (Wolters Kluwer Health)
    Publishing country us
    Document type Article ; Online
    ZDB-ID 645203-6
    ISSN 1473-6500 ; 0952-7907
    ISSN (online) 1473-6500
    ISSN 0952-7907
    DOI 10.1097/aco.0000000000000892
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2564: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article: Intubation outside of the operating room: new challenges and opportunities in COVID-19 era

    Lee, Delice Weishan / Ma, Martin / Parotto, Matteo / Wasowicz, Marcin

    Curr Opin Anaesthesiol

    Abstract: PURPOSE OF REVIEW: Airway management in patients outside the operating room is associated with increased difficulties and risks, and the setting of the COVID-19 global pandemic adds another layer of complexity. Therefore, endotracheal intubation (ETT) of ...

    Abstract PURPOSE OF REVIEW: Airway management in patients outside the operating room is associated with increased difficulties and risks, and the setting of the COVID-19 global pandemic adds another layer of complexity. Therefore, endotracheal intubation (ETT) of a patient who is presumptive COVID-19 or COVID-19 positive presents an additional challenge to an anesthesiologist. The aim of this review is to summarize the important principles of airway management outside of the operating room during the COVID-19 pandemic. RECENT FINDINGS: Several professional societies have formulated guidelines on airway management COVID-19 suspect and proven patients. Additionally, anesthesiologists working in hospitals treating many infected patients have developed specialized teams responsible for airway management outside the operating room. These documents and protocols focus on the importance of wearing personal protective equipment and the skills of the providers responsible for securing the airway. Staff safety is always a priority when performing ETT outside operating room. SUMMARY: The COVID-19 pandemic redefined the management of patients requiring aerosol generating procedures (droplet and airborne precautions). ETT is one of them and anesthesiologists are experts in performing airway management. Although the operating room is a highly controlled environment, airway management outside of this setting is not always the easiest task.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #619908
    Database COVID19

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  6. Article ; Online: Evaluation of a smartphone camera system to enable visualization and image transmission to aid tracheal intubation with the Airtraq(®) laryngoscope.

    Lee, Delice Weishan / Thampi, Swapna / Yap, Eric Peng Huat / Liu, Eugene Hern Choon

    Journal of anesthesia

    2016  Volume 30, Issue 3, Page(s) 514–517

    Abstract: Using three-dimensional printing, we produced adaptors to attach a smartphone with camera to the eyepiece of the Airtraq(®) laryngoscope. This low-cost system enabled a team to simultaneously view the laryngoscopy process on the smartphone screen, and ... ...

    Abstract Using three-dimensional printing, we produced adaptors to attach a smartphone with camera to the eyepiece of the Airtraq(®) laryngoscope. This low-cost system enabled a team to simultaneously view the laryngoscopy process on the smartphone screen, and also enabled image transmission. We compared the Airtraq(®) with the smartphone Airtraq(®) system in a crossover study of trainee anesthesiologists performing tracheal intubation in a manikin. We also evaluated the smartphone Airtraq(®) system for laryngoscopy and tracheal intubation in 30 patients, including image transmission to and communication with a remote instructor. In the manikin study, the smartphone Airtraq(®) system enabled instruction where both trainee and instructor could view the larynx simultaneously, and did not substantially increase the time required for intubation. In the patient study, we were able to view the larynx in all 30 patients, and the remote instructor was able to receive the images and to respond on correctness of laryngoscopy and tracheal tube placement. Tracheal intubation was successful within 90s in 19 (63 %) patients. In conclusion, use of a smartphone with the Airtraq(®) may facilitate instruction and communication of laryngoscopy with the Airtraq(®), overcoming some of its limitations.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Cross-Over Studies ; Equipment Design ; Humans ; Intubation, Intratracheal/methods ; Laryngoscopes ; Laryngoscopy/methods ; Larynx ; Manikins ; Middle Aged ; Smartphone ; Trachea ; Young Adult
    Language English
    Publishing date 2016
    Publishing country Japan
    Document type Comparative Study ; Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 1107821-2
    ISSN 1438-8359 ; 0913-8668
    ISSN (online) 1438-8359
    ISSN 0913-8668
    DOI 10.1007/s00540-016-2141-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 3408: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  7. Article: Cancer patients' preferences for communication of unfavourable news: an Asian perspective.

    Chiu, Li-Qi / Lee, Wei-Shan Delice / Gao, Fei / Parker, Patricia A / Ng, Gim-Yew / Toh, Chee-Keong

    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

    2006  Volume 14, Issue 8, Page(s) 818–824

    Abstract: It is important to understand cancer patients' preferences for communication as it impacts on how unfavourable news should be delivered in such a way as not to demoralize the patients while at the same time maintain good doctor-patient relationships. ... ...

    Abstract It is important to understand cancer patients' preferences for communication as it impacts on how unfavourable news should be delivered in such a way as not to demoralize the patients while at the same time maintain good doctor-patient relationships. However, few studies have been undertaken in the Asian countries. This study aims to determine the preferences of cancer patients regarding the disclosure of unfavourable news in an Asian population in Singapore. Two hundred cancer patients at the National Cancer Centre, Singapore, completed a Measure of Patients' Preferences (MPP) questionnaire on how they would like their physicians to tell them unfavourable news about their condition. The patients rated the content and context of the communication as well as the physicians' characteristics on a five-point Likert scale. Items that scored the highest mostly related to physicians' expertise and content of the interaction, while those relating to the supportive aspects scored the lowest. Gender was significantly associated with scores on the support subscale of the MPP such that women reported that the supportive elements were more important than the men did. No other demographic and medical characteristics were associated with patients' preferences. Exploratory factor analysis yielded two main factors, which accounted for 79.38% of the common variance. Patients' preferences in our local Asian population are fairly similar to those obtained from other studies conducted in the West, despite possible socio-cultural differences such as the use of euphemisms.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Clinical Competence/standards ; Factor Analysis, Statistical ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Middle Aged ; Neoplasms/diagnosis ; Neoplasms/psychology ; Patient Satisfaction/ethnology ; Physician-Patient Relations ; Regression Analysis ; Singapore ; Social Support ; Surveys and Questionnaires ; Truth Disclosure
    Language English
    Publishing date 2006-08
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1134446-5
    ISSN 1433-7339 ; 0941-4355
    ISSN (online) 1433-7339
    ISSN 0941-4355
    DOI 10.1007/s00520-005-0911-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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