[Analysis of bronchoscope-guided tracheal intubation in 12 cases with COVID-19 under the personal protective equipment with positive pressure protective hood].
Identifieur interne : 000092 ( Main/Exploration ); précédent : 000091; suivant : 000093[Analysis of bronchoscope-guided tracheal intubation in 12 cases with COVID-19 under the personal protective equipment with positive pressure protective hood].
Auteurs : S J Cai [République populaire de Chine] ; L L Wu [République populaire de Chine] ; D F Chen [République populaire de Chine] ; Y X Li [République populaire de Chine] ; Y J Liu [République populaire de Chine] ; Y Q Fan [République populaire de Chine] ; S H Du [République populaire de Chine] ; H. Huang [République populaire de Chine] ; N. Liu [République populaire de Chine] ; L L Cheng [République populaire de Chine] ; X L Deng [République populaire de Chine] ; S Y Li [République populaire de Chine]Source :
- Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases [ 1001-0939 ] ; 2020.
Abstract
Endotracheal intubation is an independent risk factor for respiratory infectious diseases. We conducted a retrospective study in 12 cases with COVID-19 who underwent endotracheal intubation at ICU of the Guangzhou eighth hospital from January 20 to February 10, 2020. The intubation procedure, anesthetic regimen, and complication were collected and analyzed. The 9 healthcare workers who involved in intubation received virus nucleic acid test and 14 days temperature monitoring. All 12 patients were successfully intubated under the guidance of bronchoscope, without any complications. Midazolam, Propofol and Morphine or fentanyl were used for sedation and analgesia, avoiding patients cough and agitated during the procedure. The 9 healthcare workers were protected under the Personal Protective Equipment(PPE) with positive pressure protective hood. The detection of oropharyngeal swab virus nucleic acid were negative in all 9 healthcare workers, none of them had fever or any respiratory symptoms. The PPE with positive pressure protective hood should be needed to perform bronchoscope-guided endotracheal intubation in patients with COVID-19, it could strengthen to protect healthcare workers from virus exposure.
DOI: 10.3760/cma.j.cn112147-20200222-00153
PubMed: 32133829
Affiliations:
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Cai</name><affiliation wicri:level="1"><nlm:affiliation>Intensive Care Unit, Guangzhou 8th People's Hospital, Guangzhou 440111, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Intensive Care Unit, Guangzhou 8th People's Hospital, Guangzhou 440111</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Wu, L L" sort="Wu, L L" uniqKey="Wu L" first="L L" last="Wu">L L Wu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pulmonary and Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, National Clinical Research Center for Respiratory, Guangzhou Institute of Respiratory Disease, Guangzhou510120, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pulmonary and Critical Care Medicine, the First Affiliated 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Guangzhou510120</wicri:regionArea><wicri:noRegion>Guangzhou510120</wicri:noRegion></affiliation></author><author><name sortKey="Li, Y X" sort="Li, Y X" uniqKey="Li Y" first="Y X" last="Li">Y X Li</name><affiliation wicri:level="1"><nlm:affiliation>Intensive Care Unit, Guangzhou 8th People's Hospital, Guangzhou 440111, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Intensive Care Unit, Guangzhou 8th People's Hospital, Guangzhou 440111</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Liu, Y J" sort="Liu, Y J" uniqKey="Liu Y" first="Y J" last="Liu">Y J Liu</name><affiliation wicri:level="1"><nlm:affiliation>Intensive Care Unit, Guangzhou 8th People's Hospital, Guangzhou 440111, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Intensive Care Unit, Guangzhou 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Huang</name><affiliation wicri:level="1"><nlm:affiliation>Intensive Care Unit, Guangzhou 8th People's Hospital, Guangzhou 440111, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Intensive Care Unit, Guangzhou 8th People's Hospital, Guangzhou 440111</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Liu, N" sort="Liu, N" uniqKey="Liu N" first="N" last="Liu">N. Liu</name><affiliation wicri:level="1"><nlm:affiliation>Intensive Care Unit, Guangzhou 8th People's Hospital, Guangzhou 440111, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Intensive Care Unit, Guangzhou 8th People's Hospital, Guangzhou 440111</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Cheng, L L" sort="Cheng, L L" uniqKey="Cheng L" first="L L" last="Cheng">L L Cheng</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pulmonary and Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, National Clinical Research Center for Respiratory, Guangzhou Institute of Respiratory Disease, Guangzhou510120, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pulmonary and Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, National Clinical Research Center for Respiratory, Guangzhou Institute of Respiratory Disease, Guangzhou510120</wicri:regionArea><wicri:noRegion>Guangzhou510120</wicri:noRegion></affiliation></author><author><name sortKey="Deng, X L" sort="Deng, X L" uniqKey="Deng X" first="X L" last="Deng">X L Deng</name><affiliation wicri:level="1"><nlm:affiliation>Intensive Care Unit, Guangzhou 8th People's Hospital, Guangzhou 440111, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Intensive Care Unit, Guangzhou 8th People's Hospital, Guangzhou 440111</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Li, S Y" sort="Li, S Y" uniqKey="Li S" first="S Y" last="Li">S Y Li</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pulmonary and Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, National Clinical Research Center for Respiratory, Guangzhou Institute of Respiratory Disease, Guangzhou510120, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pulmonary and Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, National Clinical Research Center for Respiratory, Guangzhou Institute of Respiratory Disease, Guangzhou510120</wicri:regionArea><wicri:noRegion>Guangzhou510120</wicri:noRegion></affiliation></author></analytic><series><title level="j">Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases</title><idno type="ISSN">1001-0939</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Endotracheal intubation is an independent risk factor for respiratory infectious diseases. We conducted a retrospective study in 12 cases with COVID-19 who underwent endotracheal intubation at ICU of the Guangzhou eighth hospital from January 20 to February 10, 2020. The intubation procedure, anesthetic regimen, and complication were collected and analyzed. The 9 healthcare workers who involved in intubation received virus nucleic acid test and 14 days temperature monitoring. All 12 patients were successfully intubated under the guidance of bronchoscope, without any complications. Midazolam, Propofol and Morphine or fentanyl were used for sedation and analgesia, avoiding patients cough and agitated during the procedure. The 9 healthcare workers were protected under the Personal Protective Equipment(PPE) with positive pressure protective hood. The detection of oropharyngeal swab virus nucleic acid were negative in all 9 healthcare workers, none of them had fever or any respiratory symptoms. The PPE with positive pressure protective hood should be needed to perform bronchoscope-guided endotracheal intubation in patients with COVID-19, it could strengthen to protect healthcare workers from virus exposure.</div></front></TEI><affiliations><list><country><li>République populaire de Chine</li></country><region><li>Guangdong</li></region><settlement><li>Jiangmen</li></settlement></list><tree><country name="République populaire de Chine"><region name="Guangdong"><name sortKey="Cai, S J" sort="Cai, S J" uniqKey="Cai S" first="S J" last="Cai">S J Cai</name></region><name sortKey="Chen, D F" sort="Chen, D F" uniqKey="Chen D" first="D F" last="Chen">D F Chen</name><name sortKey="Cheng, L L" sort="Cheng, L L" uniqKey="Cheng L" first="L L" last="Cheng">L L Cheng</name><name sortKey="Deng, X L" sort="Deng, X L" uniqKey="Deng X" first="X L" last="Deng">X L Deng</name><name sortKey="Du, S H" sort="Du, S H" uniqKey="Du S" first="S H" last="Du">S H Du</name><name sortKey="Fan, Y Q" sort="Fan, Y Q" uniqKey="Fan Y" first="Y Q" last="Fan">Y Q Fan</name><name sortKey="Huang, H" sort="Huang, H" uniqKey="Huang H" first="H" last="Huang">H. Huang</name><name sortKey="Li, S Y" sort="Li, S Y" uniqKey="Li S" first="S Y" last="Li">S Y Li</name><name sortKey="Li, Y X" sort="Li, Y X" uniqKey="Li Y" first="Y X" last="Li">Y X Li</name><name sortKey="Liu, N" sort="Liu, N" uniqKey="Liu N" first="N" last="Liu">N. Liu</name><name sortKey="Liu, Y J" sort="Liu, Y J" uniqKey="Liu Y" first="Y J" last="Liu">Y J Liu</name><name sortKey="Wu, L L" sort="Wu, L L" uniqKey="Wu L" first="L L" last="Wu">L L Wu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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