CovidStanfordV1, Main, Exploration, bibRecord, 000309

Retrospective Analysis of Peri-Intubation Hypoxemia During the Coronavirus Disease 2019 Epidemic Using a Protocol for Modified Airway Management.

Identifieur interne : 000309 ( Main/Exploration ); précédent : 000308; suivant : 000310

Retrospective Analysis of Peri-Intubation Hypoxemia During the Coronavirus Disease 2019 Epidemic Using a Protocol for Modified Airway Management.

Auteurs : Jai Madhok ; Melissa A. Vogelsong ; Tiffany C. Lee ; Jennifer G. Wilson [États-Unis] ; Frederick Mihm

Source :

A&A practice [ 2575-3126 ] ; 2020.

RBID : pubmed:33449537

Descripteurs français

English descriptors

Abstract

This single-center retrospective study evaluated a protocol for the intubation of patients with confirmed or suspected coronavirus disease 2019 (COVID-19). Twenty-one patients were intubated, 9 of whom were found to have COVID-19. Adherence to the airway management protocol was high. COVID-19 patients had lower peripheral capillary oxygen saturation by pulse oximetry (Spo2) nadirs during intubation (Spo2, 73% [72%-77%] vs 89% [86%-94%], P = .024), and a greater percentage experienced severe hypoxemia defined as Spo2 ≤80% (89% vs 25%, P = .008). The incidence of severe hypoxemia in COVID-19 patients should be considered in the development of guidelines that incorporate high-flow nasal cannula and noninvasive positive pressure ventilation.

DOI: 10.1213/XAA.0000000000001360
PubMed: 33449537
PubMed Central: PMC7771638

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000036
to stream Main, to step Curation: 000036

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Airway Management (MeSH)</term>
<term>COVID-19 (therapy)</term>
<term>Cannula (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Hypoxia (prevention & control)</term>
<term>Hypoxia (therapy)</term>
<term>Infectious Disease Transmission, Patient-to-Professional (prevention & control)</term>
<term>Intubation, Intratracheal (methods)</term>
<term>Laryngoscopy (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>N95 Respirators (MeSH)</term>
<term>Noninvasive Ventilation (MeSH)</term>
<term>Oximetry (MeSH)</term>
<term>Oxygen Inhalation Therapy (MeSH)</term>
<term>Patient Isolators (MeSH)</term>
<term>Personal Protective Equipment (MeSH)</term>
<term>Positive-Pressure Respiration (MeSH)</term>
<term>Practice Guidelines as Topic (MeSH)</term>
<term>Rapid Sequence Induction and Intubation (methods)</term>
<term>Respiratory Insufficiency (therapy)</term>
<term>Retrospective Studies (MeSH)</term>
<term>SARS-CoV-2 (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Canule (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Guides de bonnes pratiques cliniques comme sujet (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Hypoxie (prévention et contrôle)</term>
<term>Hypoxie (thérapie)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Insuffisance respiratoire (thérapie)</term>
<term>Intubation trachéale (méthodes)</term>
<term>Isolateurs pour patients (MeSH)</term>
<term>Laryngoscopie (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Oxygénothérapie (MeSH)</term>
<term>Oxymétrie (MeSH)</term>
<term>Prise en charge des voies aériennes (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Transmission de maladie infectieuse du patient au professionnel de santé (prévention et contrôle)</term>
<term>Ventilation non effractive (MeSH)</term>
<term>Ventilation à pression positive (MeSH)</term>
<term>Équipement de protection individuelle (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Intubation, Intratracheal</term>
<term>Rapid Sequence Induction and Intubation</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Intubation trachéale</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Hypoxia</term>
<term>Infectious Disease Transmission, Patient-to-Professional</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Hypoxie</term>
<term>Transmission de maladie infectieuse du patient au professionnel de santé</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>COVID-19</term>
<term>Hypoxia</term>
<term>Respiratory Insufficiency</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Hypoxie</term>
<term>Insuffisance respiratoire</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Airway Management</term>
<term>Cannula</term>
<term>Female</term>
<term>Humans</term>
<term>Laryngoscopy</term>
<term>Male</term>
<term>Middle Aged</term>
<term>N95 Respirators</term>
<term>Noninvasive Ventilation</term>
<term>Oximetry</term>
<term>Oxygen Inhalation Therapy</term>
<term>Patient Isolators</term>
<term>Personal Protective Equipment</term>
<term>Positive-Pressure Respiration</term>
<term>Practice Guidelines as Topic</term>
<term>Retrospective Studies</term>
<term>SARS-CoV-2</term>
<term>Severity of Illness Index</term>
</keywords>
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<term>Adulte d'âge moyen</term>
<term>Canule</term>
<term>Femelle</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Humains</term>
<term>Indice de gravité de la maladie</term>
<term>Isolateurs pour patients</term>
<term>Laryngoscopie</term>
<term>Mâle</term>
<term>Oxygénothérapie</term>
<term>Oxymétrie</term>
<term>Prise en charge des voies aériennes</term>
<term>Sujet âgé</term>
<term>Ventilation non effractive</term>
<term>Ventilation à pression positive</term>
<term>Équipement de protection individuelle</term>
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<front><div type="abstract" xml:lang="en">This single-center retrospective study evaluated a protocol for the intubation of patients with confirmed or suspected coronavirus disease 2019 (COVID-19). Twenty-one patients were intubated, 9 of whom were found to have COVID-19. Adherence to the airway management protocol was high. COVID-19 patients had lower peripheral capillary oxygen saturation by pulse oximetry (Spo2) nadirs during intubation (Spo2, 73% [72%-77%] vs 89% [86%-94%], P = .024), and a greater percentage experienced severe hypoxemia defined as Spo2 ≤80% (89% vs 25%, P = .008). The incidence of severe hypoxemia in COVID-19 patients should be considered in the development of guidelines that incorporate high-flow nasal cannula and noninvasive positive pressure ventilation.</div>
</front>
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<Abstract><AbstractText>This single-center retrospective study evaluated a protocol for the intubation of patients with confirmed or suspected coronavirus disease 2019 (COVID-19). Twenty-one patients were intubated, 9 of whom were found to have COVID-19. Adherence to the airway management protocol was high. COVID-19 patients had lower peripheral capillary oxygen saturation by pulse oximetry (Spo2) nadirs during intubation (Spo2, 73% [72%-77%] vs 89% [86%-94%], P = .024), and a greater percentage experienced severe hypoxemia defined as Spo2 ≤80% (89% vs 25%, P = .008). The incidence of severe hypoxemia in COVID-19 patients should be considered in the development of guidelines that incorporate high-flow nasal cannula and noninvasive positive pressure ventilation.</AbstractText>
<CopyrightInformation>Copyright © 2020 International Anesthesia Research Society.</CopyrightInformation>
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<MeshHeading><DescriptorName UI="D063087" MajorTopicYN="N">Noninvasive Ventilation</DescriptorName>
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<MeshHeading><DescriptorName UI="D010092" MajorTopicYN="N">Oximetry</DescriptorName>
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<MeshHeading><DescriptorName UI="D010102" MajorTopicYN="N">Oxygen Inhalation Therapy</DescriptorName>
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       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a CovidStanfordV1

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Data generation: Tue Feb 2 21:24:25 2021. Site generation: Tue Feb 2 21:26:08 2021

	Serveur d'exploration sur le Covid à Stanford
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Serveur d'exploration sur le Covid à Stanford

Retrospective Analysis of Peri-Intubation Hypoxemia During the Coronavirus Disease 2019 Epidemic Using a Protocol for Modified Airway Management.

Retrospective Analysis of Peri-Intubation Hypoxemia During the Coronavirus Disease 2019 Epidemic Using a Protocol for Modified Airway Management.

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