MIST (Modified Intubating Sequence for Transmissibility) bundle for infectious diseases with aerosol hazard

Jayaraj M. Balakrishnan, Sanjan Asanaru Kunju, William Wilson, Sachin Nayak Sujir, Rachana Bhat, K. E. Vandana

Research output: Contribution to journalArticlepeer-review

Abstract

The current global severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has magnified the risk to healthcare providers when inititiating airway management, and safe tracheal intubation has become of paramount importance. Mitigation of risk to frontline providers requires airway management to be an orchestrated exercise based on training and purposeful simulation. Role allocation and closed-loop communication form the foundation of this exercise. We describe a methodical, 10-step approach from decision-making and meticulous drug and equipment choices to donning of personal protective equipment, and procedural concerns. This bundled approach will help reduce unplanned actions, which in turn may reduce the risk of aerosol transmission during airway management in resource-limited settings.

Original languageEnglish
Pages (from-to)1076-1079
Number of pages4
JournalWestern Journal of Emergency Medicine
Volume21
Issue number5
DOIs
Publication statusPublished - 2020

All Science Journal Classification (ASJC) codes

  • Emergency Medicine

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