Consensus guidelines for managing the airway in patients with COVID-19 Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetists
Consensus guidelines for managing the airway in patients with COVID-19 Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetists
复制标题
DOI：
10.1111/anae.15054
复制
发表时间：
2020-04-01
期刊：
影响因子：
10.7
通讯作者：
Higgs, A.
中科院分区：
文献类型：
--
作者：
Cook, T. M.;El-Boghdadly, K.;Higgs, A.
引起2019冠状病毒病（COVID-19）的严重急性呼吸道综合征-冠状病毒-2具有高度传染性。COVID-19患者的气道管理对工作人员和患者来说都是高风险的。我们旨在制定COVID-19患者气道管理的原则，以鼓励安全、准确和快速的表现。这份共识声明是在短时间内汇集在一起的，旨在根据已发表的文献以及临床医生和专家立即提供的信息，为COVID-19患者的气道管理提供建议。建议预防污染的医护人员，参与气道管理的工作人员的选择，所需的培训和设备的选择进行了讨论。在这些情况下的气道管理的基本原则描述：紧急气管插管;预测或意外困难气管插管;心脏骤停;麻醉护理;和气管拔管。我们提供数据支持临床医生对COVID-19患者进行安全气道管理。本文件中的建议旨在根据当地工作场所政策进行调整。
Severe acute respiratory syndrome-corona virus-2, which causes coronavirus disease 2019 (COVID-19), is highly contagious. Airway management of patients with COVID-19 is high risk to staff and patients. We aimed to develop principles for airway management of patients with COVID-19 to encourage safe, accurate and swift performance. This consensus statement has been brought together at short notice to advise on airway management for patients with COVID-19, drawing on published literature and immediately available information from clinicians and experts. Recommendations on the prevention of contamination of healthcare workers, the choice of staff involved in airway management, the training required and the selection of equipment are discussed. The fundamental principles of airway management in these settings are described for: emergency tracheal intubation; predicted or unexpected difficult tracheal intubation; cardiac arrest; anaesthetic care; and tracheal extubation. We provide figures to support clinicians in safe airway management of patients with COVID-19. The advice in this document is designed to be adapted in line with local workplace policies.