key: cord-0753032-tt7xoqgz
authors: Kikuchi, Daisuke; Suzuki, Yugo; Hoteya, Shu
title: Shielding method for the endoscopic procedures during the COVID‐19 pandemic
date: 2020-10-05
journal: Dig Endosc
DOI: 10.1111/den.13821
sha: e5addb3a99588048956be5a1575a851b1914726f
doc_id: 753032
cord_uid: tt7xoqgz

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Bakelite Co., Ltd.), 18G needle and packaging tape (Fig. 2) . The Valsamouth is a dedicated mouthpiece for performing the Valsalva maneuver during gastrointestinal endoscopy, and has a detachable membrane-like valve structure. 4 Before the endoscopic procedure, cut off the edges of plastic bag and attach a plastic bag to the monitor. The patient places their head inside a hanging plastic bag. Tape the plastic bag to the examination bed. After biting the mouthpiece, attach the membrane-like valve structure to the mouthpiece through the plastic bag. Create an insertion port using 18G needle. The endoscope is inserted through the insertion port and endoscopic procedure is performed as usual. During the procedure, oxygen saturation should be monitored. By this safety measure, droplet and aerosol infection can be protected by membrane-like valve structure and plastic bag. Since the shielded plastic bag is fixed to the mouthpiece, it does not interfere with the maneuverability of the endoscope. In the next step, we will measure the aerosols during the various endoscopic procedures and evaluate the utility of this safety measure. 5 All authors declare that they have no conflict of interest.

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A DDITIONAL SUPPORTING INFORMATION may be found in the online version of this article at the publisher's web site.Video S1 This video shows the actual status of the endoscopic examination in our hospital.