Template:COVID-19 intubation: Difference between revisions
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*Use checklist if available (see 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]])
* Use [[BVM]] with viral filter or avoid BVM altogether, if possible
* Use [[BVM]] with viral filter or avoid BVM altogether, if possible
* Use sufficient [[RSI|paralytics]] to prevent coughing gagging
* Use [[RSI]] to prevent coughing gagging; consider higher dosing of paralytics.
* Most experienced provider should perform intubation
* 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)
***Pre-oxygenate with NRB and use apneic nasal cannula during intubation.
***Avoid using bag-valve-mask if possible
****Only bag patient after cuff on ETT is inflated
***RSI to ensure paralysis. Consider higher range of dosing of paralytic to avoid patient coughing.

Revision as of 21:00, 23 March 2020

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.
  • 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)
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