· The Intubation box was originally invented by Dr. Lai Hsien-yung, an anesthesiologist in Taiwan.
· The main function of the intubation box is intended to prevent exposure of care providers to COVID-19 from aerosol droplets during intubation.
· The intubation box concept emerged during the pandemic to address the challenge of adequate supply of PPEs in resource limited settings in particular but presents limitations and poses significant safety risk to the patient.
· limitations include increased incubation time, discomfort from restricted hand movements for the intubation procedure, reduced first-pass intubation rates, limitation for certain body habitus and possible injury to patient
· With regards to aerosol exposure, intubation boxes have been reported to increase rather than decrease airborne particle exposure.
Asamoah, G; Groot, G; Badea, A; Ellsworth, C; Fox, L. What are the safety risks or disinfection concerns with the use of intubation boxes? 2020 Sep 8; Document no.: EOC090202 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 13 p. (CEST rapid review report)