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  1. Article ; Online: Barrier Shields: Not Just for Intubations in Today's COVID-19 World?

    Tsai, Phil B

    Anesthesia and analgesia

    2020  Volume 131, Issue 1, Page(s) e44–e45

    MeSH term(s) Aerosols ; Betacoronavirus/pathogenicity ; COVID-19 ; Coronavirus Infections/diagnosis ; Coronavirus Infections/therapy ; Coronavirus Infections/transmission ; Coronavirus Infections/virology ; Equipment Design ; Host-Pathogen Interactions ; Humans ; Infection Control/instrumentation ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Inhalation Exposure/adverse effects ; Inhalation Exposure/prevention & control ; Intubation, Intratracheal/adverse effects ; Intubation, Intratracheal/methods ; Occupational Exposure/adverse effects ; Occupational Exposure/prevention & control ; Occupational Health ; Pandemics ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/therapy ; Pneumonia, Viral/transmission ; Pneumonia, Viral/virology ; Protective Factors ; Risk Assessment ; Risk Factors ; SARS-CoV-2 ; Viral Load ; Virus Shedding
    Chemical Substances Aerosols
    Keywords covid19
    Language English
    Publishing date 2020-04-23
    Publishing country United States
    Document type Letter
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0000000000004902
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Barrier Shields

    Tsai, Phil B.

    Anesthesia & Analgesia

    Not Just for Intubations in Today’s COVID-19 World?

    2020  Volume 131, Issue 1, Page(s) e44–e45

    Keywords Anesthesiology and Pain Medicine ; covid19
    Language English
    Publisher Ovid Technologies (Wolters Kluwer Health)
    Publishing country us
    Document type Article ; Online
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ane.0000000000004902
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Plastic Sheet and Video Intubating Stylet: A Technical Note.

    Tsai, Phil B / Luk, Hsiang-Ning

    Asian journal of anesthesiology

    2021  Volume 59, Issue 3, Page(s) 117–121

    MeSH term(s) Humans ; Intubation, Intratracheal ; Plastics
    Chemical Substances Plastics
    Language English
    Publishing date 2021-09-01
    Publishing country China (Republic : 1949- )
    Document type Journal Article
    ISSN 2468-824X
    ISSN (online) 2468-824X
    DOI 10.6859/aja.202109_59(3).0007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Unintentional Infiltration of High Dose Epinephrine in an Infant: A Case Report.

    Tsai, Phil B / Bergin, Michael W

    A&A practice

    2020  Volume 14, Issue 6, Page(s) e01179

    Abstract: Verbal orders in the operating room between the surgeon and circulating nurse are prevalent at many institutions. We present a case in which a communication breakdown involving a verbal order resulted in the patient receiving an excessively high dose of ... ...

    Abstract Verbal orders in the operating room between the surgeon and circulating nurse are prevalent at many institutions. We present a case in which a communication breakdown involving a verbal order resulted in the patient receiving an excessively high dose of epinephrine via subcuticular infiltration. The overdose was quickly identified by an increase in T-wave amplitude on electrocardiogram (ECG). The hemodynamic changes were treated, and the patient suffered no long-term sequelae. This report emphasizes the need to have strategies in place to prevent medication errors.
    MeSH term(s) Blood Pressure/drug effects ; Drug Overdose/diagnosis ; Drug Overdose/drug therapy ; Drug Overdose/physiopathology ; Epinephrine/adverse effects ; Hemodynamics/drug effects ; Humans ; Infant ; Male ; Medical Errors/adverse effects ; Perioperative Period ; Physician-Nurse Relations ; Propofol/administration & dosage ; Propofol/therapeutic use ; Sevoflurane/administration & dosage ; Sevoflurane/therapeutic use ; Treatment Outcome
    Chemical Substances Sevoflurane (38LVP0K73A) ; Propofol (YI7VU623SF) ; Epinephrine (YKH834O4BH)
    Language English
    Publishing date 2020-03-27
    Publishing country United States
    Document type Case Reports ; Journal Article
    ISSN 2575-3126
    ISSN (online) 2575-3126
    DOI 10.1213/XAA.0000000000001179
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Lung Point-of-Care Ultrasound for Unexpected Hypoxemia during Anesthesia.

    Wang, Jui-Ting / Su, I-Min / Luk, Hsiang-Ning / Tsai, Phil B

    Healthcare (Basel, Switzerland)

    2021  Volume 9, Issue 12

    Abstract: This is a case report showing acute hypoxemia during anesthesia. Immediate differentiation using lung POCUS (point-of-care ultrasound), in addition to physical examination and portable chest radiography, was made. This is the first case report of sputum ... ...

    Abstract This is a case report showing acute hypoxemia during anesthesia. Immediate differentiation using lung POCUS (point-of-care ultrasound), in addition to physical examination and portable chest radiography, was made. This is the first case report of sputum impaction due to pneumonia causing hypoxemia that has been detected by lung POCUS during anesthesia.
    Language English
    Publishing date 2021-12-13
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare9121727
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Ultimate Airway Device: To Be Determined.

    Rivera-Calonje, Franchesca M / Tsai, Phil B

    Anesthesia and analgesia

    2019  Volume 128, Issue 6, Page(s) e122–e123

    MeSH term(s) Anesthesia, Dental ; Anesthesiology ; Child ; Humans ; Intubation, Intratracheal ; Laryngeal Masks ; Respiratory System
    Language English
    Publishing date 2019-05-15
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0000000000004124
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Adaptation to the Plastic Barrier Sheet to Facilitate Intubation During the COVID-19 Pandemic.

    Yang, Yao-Lin / Huang, Ching-Hsuan / Luk, Hsiang-Ning / Tsai, Phil B

    Anesthesia and analgesia

    2020  Volume 131, Issue 2, Page(s) e97–e99

    MeSH term(s) Airway Management ; Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Humans ; Intubation, Intratracheal ; Pandemics ; Plastics ; Pneumonia, Viral ; SARS-CoV-2
    Chemical Substances Plastics
    Keywords covid19
    Language English
    Publishing date 2020-04-28
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0000000000004923
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Application of Plastic Sheet Barrier and Video Intubating Stylet to Protect Tracheal Intubators During Coronavirus Disease 2019 Pandemic: A Taiwan Experience.

    Luk, Hsiang-Ning / Yang, Yao-Lin / Huang, Ching-Hsuan / Su, I-Min / Tsai, Phil B

    Cell transplantation

    2021  Volume 30, Page(s) 963689720987527

    Abstract: Since its outbreak in China, the Coronavirus disease 2019 (COVID-19) pandemic has caused worldwide disaster. Globally, there have been 71,581,532 confirmed cases of COVID-19, including 1,618,374 deaths, reported to World Health Organization (data ... ...

    Abstract Since its outbreak in China, the Coronavirus disease 2019 (COVID-19) pandemic has caused worldwide disaster. Globally, there have been 71,581,532 confirmed cases of COVID-19, including 1,618,374 deaths, reported to World Health Organization (data retrieved on December 16, 2020). Currently, no treatment modalities for COVID-19 (e.g., vaccines or antiviral drugs) with confirmed efficacy and safety are available. Although the possibilities and relevant challenges of some alternatives (e.g., use of stem cells as immunomodulators) have been proposed, the personal protective equipment is still the only way to protect and lower infection rates of COVID-19 among healthcare workers and airway managers (intubators). In this article, we described the combined use of a plastic sheet as a barrier with the intubating stylet for tracheal intubation in patients needing mechanical ventilation. Although conventional or video-assisted laryngoscopy is more popular and familiar to other groups around the world, we believe that the video-assisted intubating stylet technique is much easier to learn and master. Advantages of the video stylet include the creation of greater working distance between intubator and patient, less airway stimulation, and less pharyngeal space needed for endotracheal tube advancement. All the above features make this technique reliable and superior to other devices, especially when a difficult airway is encountered in COVID scenario. Meanwhile, we proposed the use of a flexible and transparent plastic sheet to serve as a barrier against aerosol and droplet spread during airway management. We demonstrated that the use of a plastic sheet would not interfere or hinder the intubator's maneuvers during endotracheal intubation. Moreover, we demonstrated that the plastic sheet was effective in preventing the spread of mist and water spray in simulation models with a mannequin. In our experience, we found that this technique most effectively protected the intubator and other operating room personnel from infection during the COVID-19 pandemic.
    MeSH term(s) COVID-19/epidemiology ; COVID-19/therapy ; COVID-19/transmission ; Humans ; Infectious Disease Transmission, Professional-to-Patient/prevention & control ; Intubation, Intratracheal/instrumentation ; Intubation, Intratracheal/methods ; Personal Protective Equipment ; Physical Distancing ; Plastics/chemistry ; Taiwan/epidemiology ; Video Recording/instrumentation
    Chemical Substances Plastics
    Language English
    Publishing date 2021-01-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1135816-6
    ISSN 1555-3892 ; 0963-6897
    ISSN (online) 1555-3892
    ISSN 0963-6897
    DOI 10.1177/0963689720987527
    Database MEDical Literature Analysis and Retrieval System OnLINE

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