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. | ||
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** Minimum PPE for provider intubating: same as above (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 | ** 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 [[BVM]] with viral filter or avoid BVM altogether, if possible | ||
* Use sufficient paralytics to prevent coughing gagging | * Use sufficient paralytics to prevent coughing gagging | ||
* 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) | ||
Revision as of 20:27, 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 BVM 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)