key: cord-0732002-y7n896rg authors: Kojima, Yuki; Aoyama, Kanae; Yamagata, Kazuaki; Sugimura, Mitsutaka title: A modified barrier enclosure to prevent viral aerosol transmission during endotracheal intubation and extubation of patients with coronavirus disease date: 2020-05-19 journal: J Clin Anesth DOI: 10.1016/j.jclinane.2020.109876 sha: 0314626fe581b019d5b11bddec35b0b6e2fd526d doc_id: 732002 cord_uid: y7n896rg nan J o u r n a l P r e -p r o o f 3 To the editor: The spread of the new severe acute respiratory syndrome coronavirus 2 has not only affected the global social and economic status but has also challenged the entire healthcare system. In this state of crisis, clinicians and other medical professionals are the frontline workers managing the coronavirus disease (COVID-19) pandemic. To prevent viral exposure and its further spread, clinicians are required to use standard personal protective equipment (PPE). However, several healthcare workers are experiencing a lack of PPE. Certain procedures such as intubation and extubation operations are particularly susceptible to generate potentially infectious aerosols that could infect medical personnel [1] . Therefore, to prevent aerosol-mediated viral infection during intubation/extubation procedures, Robert Canelli et al recently invented an "aerosol box" [2] . It is a barrier that can be easily fabricated and could help to protect clinicians from aerosol infection during intubation/extubation procedure. It consists of a transparent plastic cube that covers a patient's head and two circular ports through which a clinician could pass their hands to perform airway procedures. Chinese Association of Anesthesiologists: Perioperative Management of Patients Infected with the Novel Coronavirus: Recommendation from the Joint Task Force of the Chinese Society of Anesthesiology and the Chinese Association of Anesthesiologists Barrier Enclosure during Endotracheal Intubation COVID-19 infection among asymptomatic and symptomatic pregnant women: Two weeks of confirmed presentations to an affiliated pair of New York City hospitals