Template:COVID-19 intubation: Difference between revisions

 
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===[[Intubation]] of Potential [[COVID-19]] Patients===
===[[Intubation]] of Potential [[COVID-19#Management|COVID-19]] Patients===
''[[Prevention_of_COVID-19_transmission_in_the_healthcare_setting#Aerosol-Generating_Procedures|Aerosol-generating procedure: see this link for PPE use and related precautions]]''
'''[[Prevention_of_COVID-19_transmission_in_the_healthcare_setting#Aerosol-Generating_Procedures|Aerosol-generating procedure: see this link for PPE recommendations and related precautions]]'''
*Use checklist if available (example: [[File:Harbor COVID Airway Management v3-16-20.pdf]])
*Use checklist if available (see example: [[File:Harbor COVID Airway Management v3-16-20.pdf]])
** Patient ideally in negative pressure room. Limit individuals in room to essential staff only.     
* Use [[BVM]] with viral filter or avoid BVM altogether, if possible
** PPE for all in room: N95, gown, gloves, eye shield
* Use [[RSI]] to prevent coughing gagging; consider higher dosing of paralytics.
** Minimum PPE for provider intubating: same as above (N95, gown, gloves, eye shield)
** Optional PPE for provider intubating: PAPR, double glove, double gown, shoe covers, buddy system for donning/doffing
* Use BVM with viral filter or avoid altogether, if possible
* Use sufficient paralytics to prevent coughing gagging
* Most experienced provider should perform intubation.  
*Use video laryngoscopy to keep provider face further away from patient (afterwards, clean with grey wipes, observe 3 min wet time)
*Use video laryngoscopy to keep provider face further away from patient (afterwards, clean with grey wipes, observe 3 min wet time)

Latest revision as of 12:35, 16 January 2021

Intubation of Potential COVID-19 Patients

Aerosol-generating procedure: see this link for PPE recommendations and related precautions

  • Use checklist if available (see example: File:Harbor COVID Airway Management v3-16-20.pdf)
  • Use BVM with viral filter or avoid BVM altogether, if possible
  • Use RSI to prevent coughing gagging; consider higher dosing of paralytics.
  • Use video laryngoscopy to keep provider face further away from patient (afterwards, clean with grey wipes, observe 3 min wet time)