Template:COVID-19 intubation: Difference between revisions

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===[[Intubation]] of Potential [[COVID-19]] Patients===
===[[Intubation]] of Potential [[COVID-19]] Patients===
''[[Prevention_of_COVID-19_transmission_in_the_healthcare_setting#Aerosol-Generating_Procedures|Aerosol-generating procedure: see this link for PPE recommendations 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 (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]])
** Patient ideally in negative pressure room. Limit individuals in room to essential staff only.       
** Patient ideally in negative pressure room. Limit individuals in room to essential staff only.       
** PPE for all in room: N95, gown, gloves, eye shield
** PPE for all in room: N95, gown, gloves, eye shield

Revision as of 20:26, 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)
    • Patient ideally in negative pressure room. Limit individuals in room to essential staff only.
    • PPE for all in room: N95, gown, gloves, eye shield
    • 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)