Expert Recommendations for Tracheal Intubation in Critically ill Patients with Noval Coronavirus Disease 2019.
Identifieur interne : 000A09 ( PubMed/Corpus ); précédent : 000A08; suivant : 000A10Expert Recommendations for Tracheal Intubation in Critically ill Patients with Noval Coronavirus Disease 2019.
Auteurs : Ming-Zhang Zuo ; Yu-Guang Huang ; Wu-Hua Ma ; Zhang-Gang Xue ; Jia-Qiang Zhang ; Ya-Hong Gong ; Lu CheSource :
- Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih [ 1001-9294 ] ; 2020.
Abstract
Coronavirus Disease 2019 (COVID-19), caused by a novel coronavirus (SARS-CoV-2), is a highly contagious disease. It firstly appeared in Wuhan, Hubei province of China in December 2019. During the next two months, it moved rapidly throughout China and spread to multiple countries through infected persons travelling by air. Most of the infected patients have mild symptoms including fever, fatigue and cough. But in severe cases, patients can progress rapidly and develop to the acute respiratory distress syndrome, septic shock, metabolic acidosis and coagulopathy. The new coronavirus was reported to spread via droplets, contact and natural aerosols from human-to-human. Therefore, high-risk aerosol-producing procedures such as endotracheal intubation may put the anesthesiologists at high risk of nosocomial infections. In fact, SARS-CoV-2 infection of anesthesiologists after endotracheal intubation for confirmed COVID-19 patients have been reported in hospitals in Wuhan. The expert panel of airway management in Chinese Society of Anaesthesiology has deliberated and drafted this recommendation, by which we hope to guide the performance of endotracheal intubation by frontline anesthesiologists and critical care physicians. During the airway management, enhanced droplet/airborne PPE should be applied to the health care providers. A good airway assessment before airway intervention is of vital importance. For patients with normal airway, awake intubation should be avoided and modified rapid sequence induction is strongly recommended. Sufficient muscle relaxant should be assured before intubation. For patients with difficult airway, good preparation of airway devices and detailed intubation plans should be made.
DOI: 10.24920/003724
PubMed: 32102726
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Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730 China.</nlm:affiliation></affiliation></author><author><name sortKey="Huang, Yu Guang" sort="Huang, Yu Guang" uniqKey="Huang Y" first="Yu-Guang" last="Huang">Yu-Guang Huang</name><affiliation><nlm:affiliation>Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730 China.</nlm:affiliation></affiliation></author><author><name sortKey="Ma, Wu Hua" sort="Ma, Wu Hua" uniqKey="Ma W" first="Wu-Hua" last="Ma">Wu-Hua Ma</name><affiliation><nlm:affiliation>Department of Anesthesiology, First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, 510405 China.</nlm:affiliation></affiliation></author><author><name sortKey="Xue, Zhang Gang" sort="Xue, Zhang Gang" uniqKey="Xue Z" first="Zhang-Gang" last="Xue">Zhang-Gang Xue</name><affiliation><nlm:affiliation>Department of Anesthesiology, Zhongshan Hospital Fudan University, Shanghai, 200032 China.</nlm:affiliation></affiliation></author><author><name sortKey="Zhang, Jia Qiang" sort="Zhang, Jia Qiang" uniqKey="Zhang J" first="Jia-Qiang" last="Zhang">Jia-Qiang Zhang</name><affiliation><nlm:affiliation>Department of Anesthesiology, Henan Provincial People's Hospital, Zhengzhou, 450003 China.</nlm:affiliation></affiliation></author><author><name sortKey="Gong, Ya Hong" sort="Gong, Ya Hong" uniqKey="Gong Y" first="Ya-Hong" last="Gong">Ya-Hong Gong</name><affiliation><nlm:affiliation>Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730 China.</nlm:affiliation></affiliation></author><author><name sortKey="Che, Lu" sort="Che, Lu" uniqKey="Che L" first="Lu" last="Che">Lu Che</name><affiliation><nlm:affiliation>Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730 China.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih</title><idno type="ISSN">1001-9294</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">Coronavirus Disease 2019 (COVID-19), caused by a novel coronavirus (SARS-CoV-2), is a highly contagious disease. It firstly appeared in Wuhan, Hubei province of China in December 2019. During the next two months, it moved rapidly throughout China and spread to multiple countries through infected persons travelling by air. Most of the infected patients have mild symptoms including fever, fatigue and cough. But in severe cases, patients can progress rapidly and develop to the acute respiratory distress syndrome, septic shock, metabolic acidosis and coagulopathy. The new coronavirus was reported to spread via droplets, contact and natural aerosols from human-to-human. Therefore, high-risk aerosol-producing procedures such as endotracheal intubation may put the anesthesiologists at high risk of nosocomial infections. In fact, SARS-CoV-2 infection of anesthesiologists after endotracheal intubation for confirmed COVID-19 patients have been reported in hospitals in Wuhan. The expert panel of airway management in Chinese Society of Anaesthesiology has deliberated and drafted this recommendation, by which we hope to guide the performance of endotracheal intubation by frontline anesthesiologists and critical care physicians. During the airway management, enhanced droplet/airborne PPE should be applied to the health care providers. A good airway assessment before airway intervention is of vital importance. For patients with normal airway, awake intubation should be avoided and modified rapid sequence induction is strongly recommended. Sufficient muscle relaxant should be assured before intubation. For patients with difficult airway, good preparation of airway devices and detailed intubation plans should be made.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32102726</PMID><DateRevised><Year>2020</Year><Month>02</Month><Day>27</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1001-9294</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Feb</Month><Day>27</Day></PubDate></JournalIssue><Title>Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih</Title><ISOAbbreviation>Chin. Med. Sci. J.</ISOAbbreviation></Journal><ArticleTitle>Expert Recommendations for Tracheal Intubation in Critically ill Patients with Noval Coronavirus Disease 2019.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.24920/003724</ELocationID><Abstract><AbstractText>Coronavirus Disease 2019 (COVID-19), caused by a novel coronavirus (SARS-CoV-2), is a highly contagious disease. It firstly appeared in Wuhan, Hubei province of China in December 2019. During the next two months, it moved rapidly throughout China and spread to multiple countries through infected persons travelling by air. Most of the infected patients have mild symptoms including fever, fatigue and cough. But in severe cases, patients can progress rapidly and develop to the acute respiratory distress syndrome, septic shock, metabolic acidosis and coagulopathy. The new coronavirus was reported to spread via droplets, contact and natural aerosols from human-to-human. Therefore, high-risk aerosol-producing procedures such as endotracheal intubation may put the anesthesiologists at high risk of nosocomial infections. In fact, SARS-CoV-2 infection of anesthesiologists after endotracheal intubation for confirmed COVID-19 patients have been reported in hospitals in Wuhan. The expert panel of airway management in Chinese Society of Anaesthesiology has deliberated and drafted this recommendation, by which we hope to guide the performance of endotracheal intubation by frontline anesthesiologists and critical care physicians. During the airway management, enhanced droplet/airborne PPE should be applied to the health care providers. A good airway assessment before airway intervention is of vital importance. For patients with normal airway, awake intubation should be avoided and modified rapid sequence induction is strongly recommended. Sufficient muscle relaxant should be assured before intubation. For patients with difficult airway, good preparation of airway devices and detailed intubation plans should be made.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zuo</LastName><ForeName>Ming-Zhang</ForeName><Initials>MZ</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730 China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huang</LastName><ForeName>Yu-Guang</ForeName><Initials>YG</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730 China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ma</LastName><ForeName>Wu-Hua</ForeName><Initials>WH</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, 510405 China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Xue</LastName><ForeName>Zhang-Gang</ForeName><Initials>ZG</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Zhongshan Hospital Fudan University, Shanghai, 200032 China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Jia-Qiang</ForeName><Initials>JQ</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Henan Provincial People's Hospital, Zhengzhou, 450003 China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gong</LastName><ForeName>Ya-Hong</ForeName><Initials>YH</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730 China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Che</LastName><ForeName>Lu</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730 China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>Chinese Society of Anesthesiology Task Force on Airway Management</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>02</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>China</Country><MedlineTA>Chin Med Sci J</MedlineTA><NlmUniqueID>9112559</NlmUniqueID><ISSNLinking>1001-9294</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>2</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>2</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>2</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32102726</ArticleId><ArticleId IdType="pii">3724</ArticleId><ArticleId IdType="doi">10.24920/003724</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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