key: cord-0760556-w3uivgt6
authors: Isser, Markus; Salchner, Hannah; Lederer, Wolfgang
title: Double-C hold for bag-mask ventilation during resuscitation
date: 2021-04-24
journal: J Anesth
DOI: 10.1007/s00540-021-02935-7
sha: b354f4fc374e9df9700934cb027574d5bc90a2eb
doc_id: 760556
cord_uid: w3uivgt6

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"Aerosol extractor for airway management of COVID-19 patients" by Tomoyuki Saito, Asuka Fujishiro and Takashi Asai deals with an important topic [1] . Continuous orotracheal suctioning can minimize exhaled air dispersion during coughing bouts [2] . We liked to highlight two additional protective measures, in particular, the double-C hold in bag-mask ventilation [3] and blanketing the patient with a thin plastic barrier [4] . A good seal for bag-mask ventilation increases efficacy and reduces the risk of contamination with aerosols.

Blanketing the patient with a thin plastic barrier can diminish the risk of contamination from aerosols, vomitus, blood, and body secretions [4] . The foil conforms to the face with a central perforation to ensure air-tight installation of the mask below the shield with filter, valve and bag above. Aerosols from air leakage are removed by adhesion and drainage below the barrier.

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Aerosol extractor for airway management of COVID-19 patients

Exhaled air dispersion during bag-mask ventilation and sputum suctioning-implications for infection control

European Resuscitation Council COVID-Guideline Writing Groups. European resuscitation council COVID-19 guidelines executive summary. Resuscitation

Clear plastic drapes may be effective at limiting aerosolization and droplet spray during extubation: implications for COVID-19

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