CovidV2, an2020, Analysis, bibRecord, 000642

Intubation and Ventilation amid the COVID-19 Outbreak: Wuhan's Experience.

Identifieur interne : 000642 ( an2020/Analysis ); précédent : 000641; suivant : 000643

Intubation and Ventilation amid the COVID-19 Outbreak: Wuhan's Experience.

Auteurs : Lingzhong Meng ; Haibo Qiu ; Li Wan ; Yuhang Ai ; Zhanggang Xue ; Qulian Guo ; Ranjit Deshpande ; Lina Zhang ; Jie Meng ; Chuanyao Tong ; Hong Liu ; Lize Xiong

Source :

Anesthesiology [ 1528-1175 ] ; 2020.

RBID : pubmed:32195705

Abstract

The COVID-19 outbreak has led to 80,409 diagnosed cases and 3,012 deaths in mainland China based on the data released on March 4, 2020. Approximately 3.2% of patients with COVID-19 required intubation and invasive ventilation at some point in the disease course. Providing best practices regarding intubation and ventilation for an overwhelming number of patients with COVID-19 amid an enhanced risk of cross-infection is a daunting undertaking. The authors presented the experience of caring for the critically ill patients with COVID-19 in Wuhan. It is extremely important to follow strict self-protection precautions. Timely, but not premature, intubation is crucial to counter a progressively enlarging oxygen debt despite high-flow oxygen therapy and bilevel positive airway pressure ventilation. Thorough preparation, satisfactory preoxygenation, modified rapid sequence induction, and rapid intubation using a video laryngoscope are widely used intubation strategies in Wuhan. Lung-protective ventilation, prone position ventilation, and adequate sedation and analgesia are essential components of ventilation management.

DOI: 10.1097/ALN.0000000000003296
PubMed: 32195705

Affiliations:

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pubmed:32195705

Le document en format XML

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<author><name sortKey="Meng, Lingzhong" sort="Meng, Lingzhong" uniqKey="Meng L" first="Lingzhong" last="Meng">Lingzhong Meng</name>
<affiliation><nlm:affiliation>From the Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut (L.M., R.D.) the Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China (H.Q.) the Department of Anesthesiology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, Hubei, China (L.W.) the Departments of Critical Care Medicine (Y.A., L.Z.) Anesthesiology (Q.G.) Respiratory Medicine (J.M.), Xiangya Hospital, Central South University, Changsha, Hunan Province, China the Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, China (Z.X.) the Department of Anesthesiology, Wake Forest University, Winston-Salem, North Carolina (C.T.) the Department of Anesthesiology and Pain Medicine, University of California Davis, Sacramento, California (H.L.) the Department of Anesthesiology, Shanghai Fourth People's Hospital, Tongji University School of Medicine, Shanghai, China (L.X.).</nlm:affiliation>
<wicri:noCountry code="subField">China (L.X.).</wicri:noCountry>
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<affiliation><nlm:affiliation>From the Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut (L.M., R.D.) the Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China (H.Q.) the Department of Anesthesiology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, Hubei, China (L.W.) the Departments of Critical Care Medicine (Y.A., L.Z.) Anesthesiology (Q.G.) Respiratory Medicine (J.M.), Xiangya Hospital, Central South University, Changsha, Hunan Province, China the Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, China (Z.X.) the Department of Anesthesiology, Wake Forest University, Winston-Salem, North Carolina (C.T.) the Department of Anesthesiology and Pain Medicine, University of California Davis, Sacramento, California (H.L.) the Department of Anesthesiology, Shanghai Fourth People's Hospital, Tongji University School of Medicine, Shanghai, China (L.X.).</nlm:affiliation>
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<front><div type="abstract" xml:lang="en">The COVID-19 outbreak has led to 80,409 diagnosed cases and 3,012 deaths in mainland China based on the data released on March 4, 2020. Approximately 3.2% of patients with COVID-19 required intubation and invasive ventilation at some point in the disease course. Providing best practices regarding intubation and ventilation for an overwhelming number of patients with COVID-19 amid an enhanced risk of cross-infection is a daunting undertaking. The authors presented the experience of caring for the critically ill patients with COVID-19 in Wuhan. It is extremely important to follow strict self-protection precautions. Timely, but not premature, intubation is crucial to counter a progressively enlarging oxygen debt despite high-flow oxygen therapy and bilevel positive airway pressure ventilation. Thorough preparation, satisfactory preoxygenation, modified rapid sequence induction, and rapid intubation using a video laryngoscope are widely used intubation strategies in Wuhan. Lung-protective ventilation, prone position ventilation, and adequate sedation and analgesia are essential components of ventilation management.</div>
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Intubation and Ventilation amid the COVID-19 Outbreak: Wuhan's Experience.

Intubation and Ventilation amid the COVID-19 Outbreak: Wuhan's Experience.

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