KMID : 1038120210540050688
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Clinical Endoscopy 2021 Volume.54 No. 5 p.688 ~ p.693
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¡°Endoshield¡±: A Physical Protective Box for Pediatric Endoscopy during the COVID-19 Pandemic
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Charoenwat Busara
Sirirattanakul Suphasarang Hangnak Kangsadan Muikham Itsares
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Abstract
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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.
Conclusions: The ¡°Endoshield¡± is affordable, reusable, and suitable for both positions.
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KEYWORD
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Aerosol-generating procedures, COVID-19 pandemic, Endoshield, Pediatric endoscopy
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