Preventing infectious diseases in Intensive Care Unit by medical devices remote control: Learnings from COVID-19

Garzotto, Francesco; Comoretto, Rosanna Irene; Ostermann, Marlies; Nalesso, Federico; Gregori, Dario; Bonavina, Maria Giuseppina; Zanardo, Giorgio; Meneghesso, Gaudenzio

The management of COVID-19 patients in the ICUs requires several and prolonged life-support systems (mechanical ventilation, continuous infusions of medications and nutrition, renal replacement therapy). Parameters have to be entered continuously into the device user interface by healthcare personnel according to the dynamic clinical conditions. This leads to an increased risk of cross-contamination, use of personal protective equipment and the need for stringent and demanding protocols. Cables and tubing extensions have been utilized to make certain devices usable outside the patient's room but at the cost of introducing further hazards. Remote control of these devices decreases the frequency of unnecessary interventions and reduces the risk of exposure for both patients and healthcare personnel.