Template:COVID-19 intubation

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 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.