Applying the principles of health technology assessments to intubation boxes for patients with COVID-19

Intubation boxes are a new medical device that can potentially prevent transmission of COVID-19 to HCWs. Intubation boxes should not be used as a replacement for PPE, but rather an added device to reduce harm and promote safety for HCWs.2 3 In the absence of large clinical trials or a formal HTA, we propose an evidence-based approach for evaluating intubation boxes. Through involvement of stakeholders, simulation, pilot studies and surveillance, the risk of harm from a new medical device can potentially be mitigated. The potential of a new device causing more harm with inadequate evaluation may override the benefit of introducing it. That is not to say that intubation boxes should not be used, but a methodological approach should be taken prior to mass implementation by HCWs. © 2020 Author(s) (or their employer(s)). No commercial re-use. See rights and permissions. Published by BMJ.