Intubation and Ventilation amid the COVID-19 Outbreak: Wuhan's Experience
Intubation and Ventilation amid the COVID-19 Outbreak: Wuhan's Experience
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DOI：
10.1097/aln.0000000000003296
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发表时间：
2020-06-01
期刊：
影响因子：
8.8
通讯作者：
Xiong, Lize
中科院分区：
文献类型：
--
作者：
Meng, Lingzhong;Qiu, Haibo;Xiong, Lize
根据2020年3月4日发布的数据，COVID-19疫情已导致中国大陆80，409例确诊病例和3，012例死亡。大约3.2%的COVID-19患者在病程的某个时间点需要插管和有创通气。在交叉感染风险增加的情况下，为绝大多数COVID-19患者提供插管和通气方面的最佳实践是一项艰巨的任务。作者介绍了在武汉照顾COVID-19重症患者的经验。严格的自我保护措施是非常重要的。及时但不过早的插管是至关重要的，以对抗逐步扩大的氧债，尽管高流量氧疗和双水平气道正压通气。充分的准备、良好的预氧合、改良的快速序列诱导和使用视频喉镜的快速插管是武汉市广泛使用的插管策略。肺保护性通气、俯卧位通气、充分的镇静和镇痛是通气管理的重要组成部分。
The COVID-19 outbreak has led to 80,409 diagnosed cases and 3,012 deaths in mainland China based on the data released on March 4, 2020. Approximately 3.2% of patients with COVID-19 required intubation and invasive ventilation at some point in the disease course. Providing best practices regarding intubation and ventilation for an overwhelming number of patients with COVID-19 amid an enhanced risk of cross-infection is a daunting undertaking. The authors presented the experience of caring for the critically ill patients with COVID-19 in Wuhan. It is extremely important to follow strict self-protection precautions. Timely, but not premature, intubation is crucial to counter a progressively enlarging oxygen debt despite high-flow oxygen therapy and bilevel positive airway pressure ventilation. Thorough preparation, satisfactory preoxygenation, modified rapid sequence induction, and rapid intubation using a video laryngoscope are widely used intubation strategies in Wuhan. Lung-protective ventilation, prone position ventilation, and adequate sedation and analgesia are essential components of ventilation management.