Template:COVID-19 intubation

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
  • 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)
• Ventilate using ARDSnet protocol