key: cord-1047234-0w0hvg0s
authors: Suzuki, Sho; Kusano, Chika; Ikehara, Hisatomo
title: Simple barrier device to minimize facial exposure of endoscopists during COVID‐19 pandemic
date: 2020-06-12
journal: Dig Endosc
DOI: 10.1111/den.13717
sha: 08d075d1d415f8d35b11fbd47805a277b42ad0d1
doc_id: 1047234
cord_uid: 0w0hvg0s

Watch a video of this article

tubing inside the mannequin, splashed droplets were blocked from spreading upward (Fig. 2b,c) . We then used the device in an emergency endoscopy. A 79-year-old man presented with massive melena. We routinely perform chest computer tomography (CT) before emergency endoscopy to screen for pneumonia due to SARS-CoV-2. The CT showed mild consolidation in the bilateral lung. As the diagnosis of SARS-CoV-2 infection was not ruled out, we used the barrier device in addition to full personal protective equipment including N95 mask, long sleeve waterproof gown, and double gloves. After the device was placed, esophagogastroduodenoscopy was performed, and it revealed gastric ulcers at a gastric angle. During the procedure, the patient's facial expression could be seen through the transparent board, and use of the device did not interfere with the procedure.

This simple barrier device could help to minimize endoscopist's facial exposure to body fluids during upper gastrointestinal endoscopy.

Authors declare no conflict of interests for this article. Figure 1 Overview image of the barrier device. Two book stands are combined with tape, and the transparent acrylic board (54 9 32 cm) is stuck to one side of the book stands.

A DDITIONAL SUPPORTING INFORMATION may be found in the online version of this article at the publisher's web site.

Video S1 Demonstration of the barrier device constructed with book stands and transparent acrylic board during a simulation of approximate a forceful cough during a case of emergency endoscopy. 

Gastrointestinal endoscopy in the era of the acute pandemic of COVID-19: Recommendations by Japan Gastroenterological Endoscopy Society (Issued on April 9th

COVID-19 and gastrointestinal endoscopies: current insights and emergent strategies

Practice of endoscopy during COVID-19 pandemic: position statements of the Asian Pacific Society for Digestive Endoscopy (APSDE-COVID statements)

Salath e M. Assessing the dynamics and control of droplet-and aerosol-transmitted influenza using an indoor positioning system