All India difficult airway association (AIDAA) consensus guidelines for airway management in the operating room during the COVID-19 pandemic
All India difficult airway association (AIDAA) consensus guidelines for airway management in the operating room during the COVID-19 pandemic
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DOI：
10.4103/ija.ija_498_20
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发表时间：
2020-05-01
影响因子：
2.9
通讯作者：
Myatra, Sheila Nainan
中科院分区：
文献类型：
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作者：
Patwa, Apeksh;Shah, Amit;Myatra, Sheila Nainan
引起冠状病毒病（COVID-19）的严重急性呼吸综合征冠状病毒2（SARS-CoV-2）是一种高度传染性病毒。气溶胶产生气道管理程序的手术室（OR）的封闭环境增加了麻醉师和其他OR人员之间传播感染的风险。建议在进行气道相关手术时穿戴完整的、不透液体的个人防护设备（PPE）。团队准备，明确的沟通方法和适当的穿戴和脱下PPE对防止感染传播至关重要。建议采用最佳预氧合、快速诱导和电视喉镜辅助气管插管。声门上气道（SGA）和手术环甲膜切开术应首选气道救援。应避免高流量鼻氧、面罩通气、雾化、小口径插管环甲膜切开术和喷射通气。气管拔管应采取与TI相同的预防措施。全印度困难气道协会（AIDAA）旨在为手术室的安全气道管理提供共识指南，同时试图在COVID-19大流行期间防止感染传播给手术室人员。
Severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) which causes coronavirus disease (COVID-19) is a highly contagious virus. The closed environment of the operation room (OR) with aerosol generating airway management procedures increases the risk of transmission of infection among the anaesthesiologists and other OR personnel. Wearing complete, fluid impermeable personal protective equipment (PPE) for airway related procedures is recommended. Team preparation, clear methods of communication and appropriate donning and doffing of PPEs are essential to prevent spread of the infection. Optimal pre oxygenation, rapid sequence induction and video laryngoscope aided tracheal intubation (TI) are recommended. Supraglottic airways (SGA) and surgical cricothyroidotomy should be preferred for airway rescue. High flow nasal oxygen, face mask ventilation, nebulisation, small bore cannula cricothyroidotomy with jet ventilation should be avoided. Tracheal extubation should be conducted with the same levels of precaution as TI. The All India Difficult Airway Association (AIDAA) aims to provide consensus guidelines for safe airway management in the OR, while attempting to prevent transmission of infection to the OR personnel during the COVID-19 pandemic.