Tracheal intubation in patients with COVID-19

Duggan, Laura V.; Mastoras, George; Bryson, Gregory L.

doi:10.1503/cmaj.200650

Cited by 6 publications

(7 citation statements)

References 5 publications

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“…Some protective measures and protocols are recommended for the intubation of patients diagnosed with COVID-19 (11)(12)(13). Using intubation boxes to prevent droplet spread, performing procedures in isolation rooms suitable for airborne infections, performing intubation practices with a separate special team, and only necessary personnel enter the operation room, cleaning and disinfection of the room after the procedure and the use of personal protective equipment (PPE) are some of these (11,12). In particular, the use of WCE and the participation of a limited number of personnel in the procedure are important, and it was observed that these precautions were explained in all videos that talked about intubation in a patient with COVID-19.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of YouTube videos related to intubation in the pandemic process in terms of quality and content in Turkish and English

Babayiğit¹,

Babayiğit²

2021

Anatolian Current Medical Journal

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Aim: YouTube videos, which are used as sources of information, can also be an essential resource in intubation training. For this reason, we aimed to investigate the content, adequacy, and reliability of the training videos on intubation in our searches in Turkish and English. Material and Method:This study was carried out between8 May to 9 May 2021by searching Youtube in Turkish and English with 'entübasyon' and 'intubation. ' Forty four videos that met the inclusion criteria were included. Intubation indication, explanation of complications, number of views, number of likes, video power index (likes ratio*view rate/100) were recorded in the video content. Ten items were scored over ten total points after the subject content was evaluated.Results: Although the number of views, the number of likes, and the power index values were higher in English videos, the difference was not statistically significant (p>0.05). No significant difference was found between Turkish and English videos in the quality evaluation (p>0.05). Although it was seen that the approach to the patient diagnosed with Covid-19 (30.4% vs. 9.5%) and the pediatric approach (8.7% vs. 0.0%) were mentioned at higher rates in the English videos, no significant difference was detected (p>0.05). Conclusions:Video sharing on endotracheal intubation in Turkish and English has similar features. Educational videos are shared in Turkish, especially by academic institutions.

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Section: Discussionmentioning

confidence: 99%

Evaluation of YouTube videos related to intubation in the pandemic process in terms of quality and content in Turkish and English

Babayiğit¹,

Babayiğit²

2021

Anatolian Current Medical Journal

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“…Complete the procedure with the placement of a nasogastric probe. 7 Only if extremely necessary and with difficulty after three intubation attempts, declare the INTUBATION FAILURE and follow the DAS 2018 guidelines.…”

Section: Anesthesiamentioning

confidence: 99%

“…Research 5H/5T (hypovolemia, hypoxia, hydrogen ions, hypoglycemia, hypothermia; buffering, pneumothorax, pulmonary thromboembolism, coronary thrombosis, toxic/ trauma). 7,8 In children:…”

Section: If In Rhythm Not Shockable (Pea/asystole)mentioning

confidence: 99%

Operating Room Setup: How to Improve Health Care Professionals Safety During Pandemic COVID-19—A Quality Improvement Study

Perrone

Giuffrida

Coco

et al. 2021

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Background: COVID-19 is a terrific pandemic and a potential risk for every health care professional (HCP), especially during emergency conditions where the right timing is essential for the correct treatment. During surgery the correct setting of operative room (OR) is mandatory to reduce the risk of contamination. Personal protection equipment (PPE), specific devices, and planned OR setting are essential during surgery in pandemic COVID-19. Methods: Medline, PubMed, Scientific societies recommendations, and guidelines were consulted to identify articles reporting the setup of OR during pandemic COVID-19. Results: OR must have a high-efficiency particulate air (HEPA) filter with negative pressure and a high air exchange cycle rate. Every supply kit should be packed and placed in the OR before patient arrival. A detailed checklist of equipment and devices is necessary. Personal PPE at the highest level should be provided to every HCP (Association of the Advancement of Medical Instrumentation [AAMI]-Level-III surgical gowns; double latex-free gloves with Acceptable Quality Level <1.0; FFP3 or powered air-purifying respirator masks with face shield). Anesthesia should be performed with a rapid sequence intubation. During surgery energy devices should be settled to the lower level in combination with a smoke evacuation switch pen with disposable smoke evacuation HEPA filter to minimize surgical smoke spread. During laparoscopy low pneumoperitoneum pressures and aspiration systems must be provided. Conclusions: Emergency surgery during pandemic COVID-19 increases the risk for every HCP in the OR. A theoretical risk of transmission from the surgical field exists. It is mandatory the adoption of strong strategies to reduce the risk of contamination in the OR.

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“…The diagnosis of COVID-19 was dependent on a positive reverse transcription-polymerase chain reaction test from nasal swab, pharyngeal swab, or sputum samples con rming the presence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) [7]. If an intubator had a con rmed COVID-19 infection up to 30 days after intubation, it was considered "intubator infection.…”

Section: De Nitionsmentioning

confidence: 99%

“…Patients with coronavirus disease 2019 (COVID-19) sometimes require emergency intubation for mechanical ventilation [1][2][3]. Given the risks of infection transmission, several protocols and safety devices are recommended for use in this context [4][5][6][7]. To date, there have only been two observational studies regarding emergency tracheal intubation by anesthesiologists in China [8,9], one prospective study from the UK [10], and one international cohort study among emergency physicians [11], though only 1.6% of patients with COVID-19 underwent tracheal intubation in the latter study.…”

Section: Introductionmentioning

confidence: 99%

Endotracheal Intubation in Patients With COVID-19 By Emergency Physicians in The Tokyo Metropolitan Area

Soh

Hifumi

Otani

et al. 2021

Preprint

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Background: Patients with COVID-19 may require emergency tracheal intubation for mechanical ventilation by emergency physicians. However, the success rate, complications, operator safety, and issues around personal protective equipment (PPE) and barrier enclosure use are not known in this context.Methods: This was a retrospective study of data for adult patients with COVID-19 who underwent endotracheal intubation performed by emergency physicians at four hospitals in the Tokyo Metropolitan Area between January 2020 and September 2020. Patient characteristics, intubation-related factors, and intubation success and complications rates were obtained. Two analyses were then performed. In analysis 1, the intubation success rate in patients was compared among four groups using different types of PPE. In analysis 2, patients were compared by those intubated with or without barrier enclosure.Results: In total, 46 patients met the inclusion criteria, of whom 85% were successfully intubated at the first attempt, 27% experienced hypotension, and 27% experienced hypoxia. No muscle relaxants were used in 8.7% and the Macintosh blade was used in 37%. The four PPE types and the intubation confirmation methods varied considerably, but all met the WHO recommendations. A barrier enclosure device was used in 26%, with a success rate of approximately 80% irrespective of its use.Conclusions: The success rate at the first attempt of intubation was relatively high, albeit with a moderately high complication rate. All PPE types were safe, including when barrier enclosures were used. Success was not affected by using barrier enclosures.

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Tracheal intubation in patients with COVID-19

Cited by 6 publications

References 5 publications

Evaluation of YouTube videos related to intubation in the pandemic process in terms of quality and content in Turkish and English

Evaluation of YouTube videos related to intubation in the pandemic process in terms of quality and content in Turkish and English

Operating Room Setup: How to Improve Health Care Professionals Safety During Pandemic COVID-19—A Quality Improvement Study

Endotracheal Intubation in Patients With COVID-19 By Emergency Physicians in The Tokyo Metropolitan Area

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