Template:COVID-19 intubation: Difference between revisions
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''For PPE use and other precautions during see [[Prevention_of_COVID-19_transmission_in_the_healthcare_setting#Aerosol-Generating_Procedures]]'' | ''For PPE use and other precautions during see [[Prevention_of_COVID-19_transmission_in_the_healthcare_setting#Aerosol-Generating_Procedures]]'' | ||
* High risk procedure for aeresolization | * High risk procedure for aeresolization | ||
*Use checklist if available (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 | ||
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* Most experienced provider should perform intubation. | * Most experienced provider should perform intubation. | ||
*Use video laryngoscopy so you’re face is further away. (clean with grey wipes, observe 3 min wet time) | *Use video laryngoscopy so you’re face is further away. (clean with grey wipes, observe 3 min wet time) | ||
Revision as of 19:37, 21 March 2020
Specific Considerations during Intubation of COVID-19 Patients
For PPE use and other precautions during see Prevention_of_COVID-19_transmission_in_the_healthcare_setting#Aerosol-Generating_Procedures
- High risk procedure for aeresolization
- Use checklist if available (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 so you’re face is further away. (clean with grey wipes, observe 3 min wet time)