Lidocaine during intubation and extubation in patients with coronavirus disease (COVID-19)

Aminnejad, Reza; Salimi, Alireza; Saeidi, Mozhgan

doi:10.1007/s12630-020-01627-2

Cited by 40 publications

(33 citation statements)

References 7 publications

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“…Ideally trans-oral endotracheal intubation (EI) with video laryngoscope should be used. Once the correct positioning of the tracheal tube is established, it must be sealed immediately by cuff inflation [41,43,45,51,53,54,66,69,70,[72][73][74][75][76][77].…”

Section: General Anesthesiamentioning

confidence: 99%

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Elective, Non-urgent Procedures and Aesthetic Surgery in the Wake of SARS–COVID-19: Considerations Regarding Safety, Feasibility and Impact on Clinical Management

Kaye¹,

Paprottka²,

Escudero³

et al. 2020

Aesth Plast Surg

145

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Background The worldwide spread of a novel coronavirus disease has led to a near total stop of nonurgent, elective surgeries across all specialties in most affected countries. In the field of aesthetic surgery, the selfimposed moratorium for all aesthetic surgery procedures recommended by most international scientific societies has been adopted by many surgeons worldwide and resulted in a huge socioeconomic impact for most private practices and clinics. An important question still unanswered in most countries is when and how should elective/aesthetic procedures be scheduled again and what kind of organizational changes are necessary to protect patients and healthcare workers when clinics and practices reopen. Defining manageable, evidence-based protocols for testing, surgical/ procedural risk mitigation and clinical flow management/contamination management will be paramount for the safety of non-urgent surgical procedures. Methods We conducted a MEDLINE/PubMed research for all available publications on COVID-19 and surgery and COVID-19 and anesthesia. Articles and referenced literature describing possible procedural impact factors leading to exacerbation of the clinical evolution of COVID-19positive patients were identified to perform risk stratification for elective surgery. Based on these impact factors, considerations for patient selection, choice of procedural complexity, duration of procedure, type of anesthesia, etc., are discussed in this article and translated into algorithms for surgical/anesthesia risk management and clinical management. Current recommendations and published protocols on contamination control, avoidance of crosscontamination and procedural patient flow are reviewed. A COVID-19 testing guideline protocol for patients planning to undergo elective aesthetic surgery is presented and recommendations are made regarding adaptation of current patient information/informed consent forms and patient health questionnaires. Conclusion The COVID-19 crisis has led to unprecedented challenges in the acute management of the crisis, and the wave only recently seems to flatten out in some countries. The adaptation of surgical and procedural steps for a riskminimizing management of potential COVID-19-positive patients seeking to undergo elective aesthetic procedures in the wake of that wave will present the next big challenge for the aesthetic surgery community. We propose a clinical algorithm to enhance patient safety in elective surgery in the context of COVID-19 and to minimize cross-contamination between healthcare workers and patients. New evidence-based guidelines regarding surgical risk stratification, testing, and clinical flow management/contamination management are proposed. We believe that only the continuous development and broad implementation of guidelines like the ones proposed in this paper will allow an early reintegration of all aesthetic procedures into the scope of surgical care currently performed and to prepare

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Section: General Anesthesiamentioning

confidence: 99%

“…Furthermore, the reversal of neuromuscular blocks using pharmacological antagonists as sugammadex is recommended. The use of neostigmine must be avoided due to the risk of increasing the secretion [45,60,69,72,75,77].…”

Section: Extubating and Recoverymentioning

confidence: 99%

Elective, Non-urgent Procedures and Aesthetic Surgery in the Wake of SARS–COVID-19: Considerations Regarding Safety, Feasibility and Impact on Clinical Management

Kaye¹,

Paprottka²,

Escudero³

et al. 2020

Aesth Plast Surg

145

View full text Add to dashboard Cite

show abstract

“…The airway team must be ready to intervene immediately for hypoxemia or cardiovascular collapse associated with the use of facilitating agents (e.g., propofol, depolarizing agents). Rapid-sequence intubation with the use of a topical local anesthetic [25] will minimize airway irritation and minimize coughing and secretions. Video laryngoscopy is beneficial to facilitate smooth intubation and takes the airway manager's face out of direct alignment with the opened patient airway.…”

Section: Endotracheal Intubationmentioning

confidence: 99%

Surgical Infection Society Guidance for Operative and Peri-Operative Care of Adult Patients Infected by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2)

Heffernan

Evans

Huston

et al. 2020

Surgical Infections

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Background: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-associated viral infection (coronavirus disease 2019, COVID-19) is a virulent, contagious viral pandemic that is affecting populations worldwide. As with any airborne viral respiratory infection, surgical and non-surgical patients may be affected. Methods: Review and synthesis of pertinent English-language literature pertaining to COVID-19 infection among adult patients. Results: COVID-19 disease that requires hospitalization results in critical illness approximately 25% of the time and requires mechanical ventilation with positive airway pressure. Acute kidney injury, a marked hypercoagulable state, and sometimes myocarditis can be features of COVID-19 in addition to the characteristic severe acute lung injury. Even if not among the most seriously afflicted, older patients with medical comorbidities are both predisposed to infection and risk increased morbidity and mortality, however, all persons presenting for surgical intervention should be suspected of infection (and thus transmissibility) even if asymptomatic. Although most elective surgery has been curtailed by administrative or governmental fiat, patients will still need urgent or emergency operative intervention for time-sensitive disease processes such as malignant neoplasia or for true emergencies such as perforated viscus or traumatic injury. It is possible to provide safe surgical care for SARS-CoV-2-positive patients and minimize nosocomial transmission to healthcare workers. Conclusions: This guidance will facilitate appropriate protection of patients and staff, and maintenance of infection control measures to assist surgical personnel and facilities to prepare for COVID-19-infected adult patients requiring urgent or emergent operative intervention and to provide optimal patient care.

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“…Local protocols that include palliation without extubation, or extubation with protection to manage AGMP (PPE, use of negative airflow rooms, physical barriers, antitussives) have been published. [42][43][44][45] The opportunity for organ and tissue donation is part of quality end-of-life care in Canada. 28 Currently, patients with COVID19 are being deemed medically unsuitable as potential donors.…”

Section: Establishing Goals Of Carementioning

confidence: 99%

Soins de fin de vie pour les patients atteints d’un virus respiratoire extrêmement transmissible : implications pour la COVID-19

Mottiar

Hendin

Fischer

et al. 2020

Can J Anesth/J Can Anesth

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Symptom management and end-of-life care are core skills for all physicians, although in ordinary times many anesthesiologists have fewer occasions to use these skills. The current coronavirus disease (COVID-19) pandemic has caused significant mortality over a short time and has necessitated an increase in provision of both critical care and palliative care. For anesthesiologists deployed to units caring for patients with COVID-19, this narrative review provides guidance on conducting goals of care discussions, withdrawing life-sustaining measures, and managing distressing symptoms.

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Lidocaine during intubation and extubation in patients with coronavirus disease (COVID-19)

Cited by 40 publications

References 7 publications

Elective, Non-urgent Procedures and Aesthetic Surgery in the Wake of SARS–COVID-19: Considerations Regarding Safety, Feasibility and Impact on Clinical Management

Elective, Non-urgent Procedures and Aesthetic Surgery in the Wake of SARS–COVID-19: Considerations Regarding Safety, Feasibility and Impact on Clinical Management

Surgical Infection Society Guidance for Operative and Peri-Operative Care of Adult Patients Infected by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2)

Soins de fin de vie pour les patients atteints d’un virus respiratoire extrêmement transmissible : implications pour la COVID-19

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