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References (9)
-
S. Adhikari, S. Meng, Yuju Wu, Yu-Ping Mao, R. Ye, Qingzhi Wang, Chang Sun, S. Sylvia, S. Rozelle, H. Raat, Huan Zhou (2020)
Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping reviewInfectious Diseases of Poverty, 9
-
R. Wax, M. Christian (2020)
Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patientsCanadian Journal of Anaesthesia, 67
-
(2020)
COVID-19 Guidance for infection prevention and control in healthcare settings -
T. Cook, K. El-Boghdadly, B. Mcguire, A. McNarry, A. Patel, A. Higgs (2020)
Consensus guidelines for managing the airway in patients with COVID‐19Anaesthesia, 75
-
I. Ahmad, I. Ahmad, K. El-Boghdadly, K. El-Boghdadly, R. Bhagrath, I. Hodžović, I. Hodžović, A. McNarry, F. Mir, E. O'sullivan, A. Patel, M. Stacey, D. Vaughan (2019)
Difficult Airway Society guidelines for awake tracheal intubation (ATI) in adultsAnaesthesia, 75
-
S. Eubank, I. Eckstrand, B. Lewis, S. Venkatramanan, M. Marathe, C. Barrett (2020)
Commentary on Ferguson, et al., “Impact of Non-pharmaceutical Interventions (NPIs) to Reduce COVID-19 Mortality and Healthcare Demand”Bulletin of Mathematical Biology, 82
-
Mingzhang Zuo, Yuguang Huang, Wuhua Ma, Zhanggang Xue, Jiaqiang Zhang, Yahong Gong, Lu Che (2020)
Expert Recommendations for Tracheal Intubation in Critically Ill Patients with Noval Coronavirus Disease 2019Chinese Medical Sciences Journal, 35
-
Qun Li, X. Guan, P. Wu, Xiaoye Wang, Lei Zhou, Y. Tong, R. Ren, K. Leung, E. Lau, J. Wong, X. Xing, N. Xiang, Yang Wu, Chao Li, Qi Chen, Dan Li, Tian Liu, Jing Zhao, Man Li, Wenxiao Tu, Chu-Tzu Chen, Lianmei Jin, Rui Yang, Qi Wang, Suhua Zhou, Rui Wang, H. Liu, Yingbo Luo, Yuan Liu, G. Shao, Huan Li, Z. Tao, Yang Yang, Z. Deng, Boxi Liu, Zhitao Ma, Yanping Zhang, G. Shi, T. Lam, J. Wu, G. Gao, B. Cowling, Bo Yang, G. Leung, Zijian Feng (2020)
Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus–Infected PneumoniaThe New England Journal of Medicine, 382
-
K. El-Boghdadly, D. Onwochei, J. Cuddihy, I. Ahmad (2017)
A prospective cohort study of awake fibreoptic intubation practice at a tertiary centreAnaesthesia, 72
- Publisher
- Wiley
- Copyright
- 2020 © Association of Anaesthetists
- eISSN
- 2637-3726
- DOI
- 10.1002/anr3.12041
- Publisher site
- See Article on Publisher Site
Abstract
We report the airway management of a patient with suspected COVID‐19 with impending airway obstruction requiring urgent surgical tracheostomy. To our knowledge, this is the first reported case of an awake tracheal intubation in a suspected COVID‐19–positive patient. Various modifications were put in place during the awake tracheal intubation and surgical tracheostomy procedures to minimise aerosol generation from the patient, such as avoiding high‐flow nasal oxygen, establishing conscious sedation with remifentanil before commencing airway topicalisation and avoiding transtracheal local anaesthetic infiltration. A multidisciplinary team discussion before performing the case highlighted aspects of both the airway management and the surgical procedure where particular care and modifications are required. There is a lack of national and international guidance for awake tracheal intubation and tracheostomy in COVID‐19 cases. This report nevertheless addresses the key procedural modifications required.
Journal
Anaesthesia Reports – Wiley
Published: Jan 1, 2020
Keywords: aerosolisation; airway obstruction; awake tracheal intubation; COVID ‐19