Expert Recommendations for Tracheal Intubation in Critically ill Patients with Noval Coronavirus Disease 2019

Abstract

Coronavirus Disease 2019 (COVID-19)

Clinical features of COVID-19 in elderly patients: A comparison with young and middle-aged patients

“…In addition, the proportion of lymphocytes decreased in 9 of the elderly patients, which was much higher than that of the young and middle-aged patients. It may be due to changes in the elderly's lung anatomy and muscle atrophy leading to changes in the physiological functions of the respiratory system, reduced airway clearance, 7 reduced lung reserve, 8 and reduced defense barrier function, 9 The level of C-reactive protein in elderly patients is significantly higher than that in the young and middle-aged group, which is similar to MERS-CoV. 10 In terms of imaging, the incidence of multilobe lesions in elderly patients is significantly higher than in young and middle-aged patients.…”

Social distancing: implications for the operating room in the face of COVID-19

“…20 The CSA also recommends proceeding directly to modified rapid sequence induction and intubation for suspected COVID-19 patients in respiratory distress, rather than risk exposing healthcare workers to the aerosol formation associated with bag-mask ventilation. 21 In Singapore, specific work spaces near the ORs were designated for the donning and doffing of personal protective equipment and numbered posters were hung to guide staff through the steps. Routine pre-and postoperative patient assessments were suspended or replaced with phone conferences to limit both person-toperson contact and hospital traffic.…”

Coronavirus Disease 2019 (COVID-19) and dermatologists: Potential biological hazards of laser surgery in epidemic area

“…Respiratory droplets and contact transmission are most important routes of transmission of Coronavirus Disease (2019) (COVID-19), but do not fully account for the occurrence of all COVID-19 and there is other potential rout of transmission include aerosol transmission, body fluid routes and oral-fecal transmission (Phan et al, 2020;Li et al, 2020;Zuo et al, 2020).…”

“…Although the role of aerosol transmission of COVID-19 is not exactly clear, recent study focused on potential transmission of COVID-19 via aerosolization of particle of virus especially in closed environment in long time or in condition with high concentration of virus particle (Zuo et al, 2020). Also viral ribonucleic acid (RNA) was found in anal swabs and in blood samples of infected patients (Zhang et al, 2020).…”

“…Aerosols are liquid and solid particles suspended in the air. An aerosol with a diameter of 5 μm or less can remain airborne for a long period of time and enter the respiratory system (Zuo et al, 2020). While most of the danger of lasers surgery in dermatology comes from the beam itself include direct eye injury, there are certain non-beam hazards include flammability, electrical hazards and airborne contaminants (Ravishankar et al, 2019).…”