Template:COVID-19 intubation: Difference between revisions

Revision as of 20:57, 23 March 2020

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 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)
- - 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.

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 '''[[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]])
-** 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 [[RSI|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)
+***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.