Overview of different modified full-face snorkelling masks for intraoperative protection

Claudio Vicini; Giovanni Cammaroto; Giuseppe Meccariello; Giannicola Iannella; Marco Fragale; Tommaso Cacco; Claudio Sampieri; Luca Guastini; Eolo Castello; Giampiero Parrinello; Andrea De Vito; Giampiero Gulotta; Irene Claudia Visconti; Pietro Abita; Stefano Pelucchi; Giulia Bianchi; Michela Nicole Melegatti; Gianluca Garulli; Filippo Bosco; Alessandro Gennaiotti; Stefano Berrettini; Massimo Magnani; Marco Troncossi; Giorgio Peretti

doi:10.14639/0392-100X-N0841

Overview of different modified full-face snorkelling masks for intraoperative protection

Acta Otorhinolaryngol Ital. 2020 Oct;40(5):317-324. doi: 10.14639/0392-100X-N0841. Epub 2020 Sep 24.

Authors

Claudio Vicini¹, Giovanni Cammaroto¹, Giuseppe Meccariello¹, Giannicola Iannella¹, Marco Fragale^{2

3}, Tommaso Cacco^{2

3}, Claudio Sampieri^{2

3}, Luca Guastini^{2

3}, Eolo Castello^{2

3}, Giampiero Parrinello^{2

3}, Andrea De Vito⁴, Giampiero Gulotta⁵, Irene Claudia Visconti⁵, Pietro Abita⁶, Stefano Pelucchi⁷, Giulia Bianchi⁷, Michela Nicole Melegatti⁷, Gianluca Garulli⁸, Filippo Bosco⁹, Alessandro Gennaiotti⁹, Stefano Berrettini¹⁰, Massimo Magnani¹¹, Marco Troncossi¹², Giorgio Peretti^{2

3}

Affiliations

¹ Department of Head-Neck Surgery, AUSL Romagna, Italy - Ear Nose Throat (ENT) Unit of Forlì and Faenza, University of Ferrara and Bologna, Morgagni-Pierantoni Hospital, Forlì, Italy.
² IRCCS Ospedale Policlinico San Martino, Unit of Otorhinolaryngology Head and Neck Surgery, Genoa, Italy.
³ Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Italy.
⁴ Department of Head-Neck Surgery AUSL Romagna, Italy - Ear Nose Throat (ENT) Unit, Santa Maria delle Croci Hospital, Ravenna, Italy.
⁵ Department of Organ of Sense, University La Sapienza, Rome, Italy.
⁶ Department of Adult and Development Age Human Pathology "Gaetano Barresi", Unit of Otorhinolaryngology, University of Messina, Italy.
⁷ Otolaryngology Head and Neck Surgery, University Hospital of Ferrara, Italy.
⁸ Minimally Invasive General and Thoracic Surgery Unit, AUSL Romagna, Italy - Ceccarini Hospital, Riccione, Italy.
⁹ Department of Anesthesia and Intensive Care, Cisanello Hospital, University Hospital of Pisa, Italy.
¹⁰ Otolaryngology Head and Neck Surgery, Cisanello Hospital, University Hospital of Pisa, Italy.
¹¹ Department of Head-Neck Surgery AUSL Romagna, Italy; Ear Nose Throat (ENT) Unit, Bufalini Hospital, Cesena, Italy.
¹² Department of Industrial Engineering, University of Bologna, Italy.

Abstract
in English, Italian

Objective: The COVID-19 pandemic has caused significant impact on healthcare systems worldwide. The rate of infected healthcare workers is > 10% in Italy. Within this dramatic scenario, the development of new personal protective equipment (PPE) devices is mandatory. This study focuses on validation of modified full-face snorkel masks (MFFSM) as safe and protective equipment against SARS-CoV-2 infection during diagnostic and therapeutic procedures on the upper aerodigestive tract.

Methods: Five different MFFSM were tested during otolaryngological surgery and in anaesthesia procedures. Data were collected through an online survey to assess the feedback of operators. pO₂ and pCO₂ monitoring values during procedures were recorded in selected cases.

Results: All five MFFSM tested were easy to use and gave all operators a sound "feeling" of protection. All clinicians involved had common agreement regarding safety and the user-friendly format.

Conclusions: In the future, specific development of different type of masks for protection in the operating room, intensive care units and/or office will be possible as a joint venture between clinicians and developers. Goals for clinicians include better definition of needs and priorities, while developers can devote their expertise to produce devices that meet medical requirements.

Panoramica delle diverse maschere snorkelling modificate per la protezione intraoperatoria.

Obiettivo: La pandemia di COVID-19 ha tuttora un impatto significativo sui sistemi sanitari di tutto il mondo. Il tasso di operatori sanitari italiani che hanno contratto l’infezione è superiore al 10%. In questo drammatico scenario, la comunità scientifica si è impegnata nello sviluppo di nuovi dispositivi di protezione individuale. Il nostro studio si concentra sull’uso di maschere da snorkelling modificate (MFFSM) come dispositivi di protezione individuali contro l’infezione da virus COVID-19 durante procedure diagnostiche e terapeutiche sul tratto aerodigestivo superiore.

Metodi: Cinque diversi tipi di MFFSM sono stati testati. I dati sono stati raccolti attraverso un sondaggio online; solo per la maschera OceanReef Aria QR+ sono stati registrati i valori intraoperatori di pO₂ e pCO₂.

Risultati: Tutte le MFFSM testate si sono rivelate di facile utilizzo e tutti gli operatori hanno riferito una sensazione di comfort, mantenendo una sensazione di sicurezza durante la procedura.

Conclusione: In futuro sarà possibile lo sviluppo di specifiche maschere per la protezione in sala operatoria e in terapia intensiva sulla base di una stretta collaborazione tra clinici e ingegneri. L’obiettivo per i medici sarà definire con precisione le loro esigenze, mentre per le industrie produttrici sarà mettere a disposizione il loro expertise per fornire dispositivi che incontrino le necessità sanitarie.

Keywords: COVID-19; anesthesia; pandemic; surgery.

Publication types

Validation Study

MeSH terms

COVID-19 / epidemiology
COVID-19 / prevention & control*
Equipment Design
Humans
Infectious Disease Transmission, Patient-to-Professional / prevention & control*
Italy / epidemiology
Masks*
Operating Rooms*
Otorhinolaryngologic Surgical Procedures*
Pandemics
SARS-CoV-2
Surveys and Questionnaires

Abstract in English, Italian

Publication types

MeSH terms

Abstract
in English, Italian