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10.1002/anr3.12041

http://scihub22266oqcxt.onion/10.1002/anr3.12041
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32373789!7197305!32373789
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suck abstract from ncbi


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pmid32373789      Anaesth+Rep 2020 ; 8 (1): 28-31
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  • Awake tracheal intubation in a suspected COVID-19 patient with critical airway obstruction #MMPMID32373789
  • Ahmad I; Wade S; Langdon A; Chamarette H; Walsh M; Surda P
  • Anaesth Rep 2020[Jan]; 8 (1): 28-31 PMID32373789show ga
  • 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.
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