Expert Recommendations for Tracheal Intubation in Critically Ill Patients with Noval Coronavirus Disease 2019

Zuo Mingzhang; Huang Yuguang; Ma Wuhua; Xue Zhanggang; Zhang Jiaqiang; Gong Yahong; Che Lu; Chinese Society of Anesthesiology Task Force on Airway Management

doi:10.24920/003724

Your Location：

Home >

Browse articles >

Expert Recommendations for Tracheal Intubation in Critically Ill Patients with Noval Coronavirus Disease 2019

中国医学科学杂志（英文版） 2020年35卷第2期页码：105-109

Guideline & Consensus | Updated：2024-04-10

- Expert Recommendations for Tracheal Intubation in Critically Ill Patients with Noval Coronavirus Disease 2019
- Affiliations：
  
  1. Department of Anesthesiology, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  2. Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  3. Department of Anesthesiology, First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510405, China
  4. Department of Anesthesiology, Zhongshan Hospital Fudan University, Shanghai 200032, China
  5. Department of Anesthesiology, Henan Provincial People’s Hospital, Zhengzhou 450003, China
- Author bio：
  
  *, Mingzhang Zou, zuomz@163.com;
  Yuguang Huang, garybeijing@163.com. The non-author contributors are listed at the end of article.
- Funds：
- DOI：10.24920/003724
  中图分类号：
- 收稿日期：2020-02-21，
  
  录用日期：2020-2-26，
  
  网络出版日期：2020-02-21，
  
  纸质出版日期：2020-02-27
- Accepted：
Scan QR Code
Expert Recommendations for Tracheal Intubation in Critically Ill Patients with Noval Coronavirus Disease 2019[J]. 中国医学科学杂志（英文版）, 2020,35(2):105-109.

Zuo Mingzhang, Huang Yuguang, Ma Wuhua, et al. Expert Recommendations for Tracheal Intubation in Critically Ill Patients with Noval Coronavirus Disease 2019[J]. Chinese medical sciences journal, 2020, 35(2): 105-109.
Expert Recommendations for Tracheal Intubation in Critically Ill Patients with Noval Coronavirus Disease 2019[J]. 中国医学科学杂志（英文版）, 2020,35(2):105-109. DOI： 10.24920/003724.

Zuo Mingzhang, Huang Yuguang, Ma Wuhua, et al. Expert Recommendations for Tracheal Intubation in Critically Ill Patients with Noval Coronavirus Disease 2019[J]. Chinese medical sciences journal, 2020, 35(2): 105-109. DOI： 10.24920/003724.

摘要

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. Most of the infected patients have mild symptoms including fever

fatigue and cough

but in severe cases

patients can progress rapidly and develop into 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

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 personal protective equitment (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.

关键词

Keywords

references

National Health and Health Commission of the people’s Republic of China . Announcement of the state health and Health Commission of the people’s Republic of China[2010]01 . http://www.nhc.gov.cn/jkj/s7916/202001/44a3b8245e8049d2837a4f27529cd386.shtml . Published January 20, 2020; accessed February 16, 2020. http://www.nhc.gov.cn/jkj/s7916/202001/44a3b8245e8049d2837a4f27529cd386.shtml http://www.nhc.gov.cn/jkj/s7916/202001/44a3b8245e8049d2837a4f27529cd386.shtml

General Office of National Health Committee, Office of State Administration of Traditional Chinese Medicine . Diagnosis and Treatment Regimen of Novel Coronavirus Pneumonia (trial 6th edition). NHC Issue [2020]145 . http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329df351d7da8aefc2.shtml http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329df351d7da8aefc2.shtml http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329df351d7da8aefc2.shtml . Published February 18, 2020; accessed February 18, 2020.

General Office of National Health Committee . Guideline of Prevention and Control of Novel Coronavirus Infection within Medical Facilities (first edition). NHC Issue [2020]65 . http://www.nhc.gov.cn/yzygj/s7659/202001/b91fdab7c304431eb082d67847d27e14.shtml http://www.nhc.gov.cn/yzygj/s7659/202001/b91fdab7c304431eb082d67847d27e14.shtml http://www.nhc.gov.cn/yzygj/s7659/202001/b91fdab7c304431eb082d67847d27e14.shtml . Published January 23, 2020; accessed February 16, 2020.

General Office of National Health Committee. Guideline of the Application Range of Common Medical Protective Products in Prevention and control of Novel Coronavirus Pneumonia (trial edition). NHC Issue [2020]75. http://www.nhc.gov.cn/yzygj/s7659/202001/e71c5de925a64eafbe1ce790debab5c6.shtml http://www.nhc.gov.cn/yzygj/s7659/202001/e71c5de925a64eafbe1ce790debab5c6.shtml http://www.nhc.gov.cn/yzygj/s7659/202001/e71c5de925a64eafbe1ce790debab5c6.shtml . Published January 27, 2020; accessed February 17, 2020.

World Health Organization. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected: interim guidance. https://apps.who.int/iris/handle/10665/330674 https://apps.who.int/iris/handle/10665/330674 https://apps.who.int/iris/handle/10665/330674 . Published Januray 25, 2020; accessed February 17, 2020.

Perioperative Infection Control Society of Chinese Society of Cardiothoracic and Vascular Anesthesia, PLA Society of Anesthesiology and Resuscitation. Guidelines and recommendations for perioperative infection control in patients with 2019 novel coronavirus . Perioperat Safety Quality Assur 2020 ; 4 ( 2 ): 63 - 6 . doi: 10.3969/j.issn.2096-2681.2020.02.001 https://dx.doi.org/j.issn.2096-2681.2020.02.001 .

Apfelbaum JL , Hagberg CA , Caplan RA , et al . Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway . Anesthesiology 2013 ; 118 ( 2 ): 251 - 70 . doi: 10.1097/ALN.0b013e31827773b2 https://dx.doi.org/ALN.0b013e31827773b2 .

Frerk C , Mitchell VS , McNarry AF , et al . Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults . Br J Anaesth 2015 ; 115 ( 6 ): 827 - 48 . doi: 10.1093/bja/aev371 https://dx.doi.org/bja/aev371 .

Ma WH , Deng XM , Zuo MZ , et al . Guideline for management of difficult airway (CSA 2017 edition) . http://www.csahq.cn/guide/detail_384.html http://www.csahq.cn/guide/detail_384.html http://www.csahq.cn/guide/detail_384.html . Published August 1, 2017; accessed February 17, 2020.

Malpas G , Hung O , Gilchrist A , et al . The use of extracorporeal membrane oxygenation in the anticipated difficult airway: a case report and systematic review . Can J Anesth 2018 ; 65 ( 6 ): 685 - 97 . doi: 10.1007/s12630-018-1099-x https://dx.doi.org/s12630-018-1099-x .

Kamming D , Gardam M , Chuang F . Anesthesia and SARS . Br J Anaesth 2003 ; 90 ( 6 ): 715 - 8 . doi: 10.1093/bja/aeg173 https://dx.doi.org/bja/aeg173 .

浏览量

12661

Downloads

CSCD

文章被引用时，请邮件提醒。

Submit

关联资源

暂无数据