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10.1016/j.bja.2020.03.026

http://scihub22266oqcxt.onion/10.1016/j.bja.2020.03.026
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32312571!7151238!32312571
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suck abstract from ncbi


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pmid32312571      Br+J+Anaesth 2020 ; 125 (1): e28-e37
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  • Emergency tracheal intubation in 202 patients with COVID-19 in Wuhan, China: lessons learnt and international expert recommendations #MMPMID32312571
  • Yao W; Wang T; Jiang B; Gao F; Wang L; Zheng H; Xiao W; Yao S; Mei W; Chen X; Luo A; Sun L; Cook T; Behringer E; Huitink JM; Wong DT; Lane-Fall M; McNarry AF; McGuire B; Higgs A; Shah A; Patel A; Zuo M; Ma W; Xue Z; Zhang LM; Li W; Wang Y; Hagberg C; O'Sullivan EP; Fleisher LA; Wei H
  • Br J Anaesth 2020[Jul]; 125 (1): e28-e37 PMID32312571show ga
  • Tracheal intubation in coronavirus disease 2019 (COVID-19) patients creates a risk to physiologically compromised patients and to attending healthcare providers. Clinical information on airway management and expert recommendations in these patients are urgently needed. By analysing a two-centre retrospective observational case series from Wuhan, China, a panel of international airway management experts discussed the results and formulated consensus recommendations for the management of tracheal intubation in COVID-19 patients. Of 202 COVID-19 patients undergoing emergency tracheal intubation, most were males (n=136; 67.3%) and aged 65 yr or more (n=128; 63.4%). Most patients (n=152; 75.2%) were hypoxaemic (Sao(2) <90%) before intubation. Personal protective equipment was worn by all intubating healthcare workers. Rapid sequence induction (RSI) or modified RSI was used with an intubation success rate of 89.1% on the first attempt and 100% overall. Hypoxaemia (Sao(2) <90%) was common during intubation (n=148; 73.3%). Hypotension (arterial pressure <90/60 mm Hg) occurred in 36 (17.8%) patients during and 45 (22.3%) after intubation with cardiac arrest in four (2.0%). Pneumothorax occurred in 12 (5.9%) patients and death within 24 h in 21 (10.4%). Up to 14 days post-procedure, there was no evidence of cross infection in the anaesthesiologists who intubated the COVID-19 patients. Based on clinical information and expert recommendation, we propose detailed planning, strategy, and methods for tracheal intubation in COVID-19 patients.
  • |*Betacoronavirus[MESH]
  • |*Personal Protective Equipment[MESH]
  • |Aged[MESH]
  • |COVID-19[MESH]
  • |China[MESH]
  • |Coronavirus Infections/complications/prevention & control/*therapy[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Hypotension/etiology[MESH]
  • |Hypoxia/etiology[MESH]
  • |Intubation, Intratracheal/*methods[MESH]
  • |Male[MESH]
  • |Pandemics/prevention & control[MESH]
  • |Pneumonia, Viral/complications/prevention & control/*therapy[MESH]
  • |Pneumothorax/etiology[MESH]
  • |Practice Guidelines as Topic[MESH]
  • |Retrospective Studies[MESH]


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