Expert Recommendations for Tracheal Intubation in Critically Ill Patients with Noval Coronavirus Disease 2019

作     者：Mingzhang Zuo Yuguang Huang Wuhua Ma Zhanggang Xue Jiaqiang Zhang Yahong Gong Lu Che 无 Mingzhang Zuo;Yuguang Huang;Wuhua Ma;Zhanggang Xue;Jiaqiang Zhang;Yahong Gong;Lu Che

作者机构：Department of AnesthesiologyBeijing HospitalNational Center of GerontologyInstitute of Geriatric MedicineChinese Academy of Medical Sciences&Peking Union Medical CollegeBeijing 100730China Department of AnesthesiologyPeking Union Medical College HospitalChinese Academy of Medical Sciences&Peking Union Medical CollegeBeijing 100730China Department of AnesthesiologyFirst Affiliated HospitalGuangzhou University of Chinese MedicineGuangzhou 510405China Department of AnesthesiologyZhongshan Hospital Fudan UniversityShanghai 200032China Department of AnesthesiologyHenan Provincial People's HospitalZhengzhou 450003China Chinese Society of Anesthesiology Task Force on Airway Management 

出 版 物：《Chinese Medical Sciences Journal》 (中国医学科学杂志（英文版）)

年 卷 期：2020年第35卷第2期

页      面：105-109页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：COVID-19 SARS-CoV-2 endotracheal intubation difficult airway infection control precaution 

摘      要：Coronavirus Disease 2019(COVID-19),caused by a novel coronavirus(SARS-Co V-2),is a highly contagious *** firstly appeared in Wuhan,Hubei province of China in December *** the next two months,it moved rapidly throughout *** of the infected patients have mild symptoms including fever,fatigue and cough,but in severe cases,patients can progress rapidly and develop into acute respiratory distress syndrome,septic shock,metabolic acidosis and *** new coronavirus was reported to spread via droplets,contact and natural aerosols from human to ***,aerosol-producing procedures such as endotracheal intubation may put the anesthesiologists at high risk of nosocomial *** fact,SARSCo V-2 infection of anesthesiologists after endotracheal intubation for confirmed COVID-19 patients have been reported in hospitals in *** expert panel of airway management in Chinese Society of Anaesthesiology has deliberated and drafted this recommendation,by which we hope to guide the performance of endotracheal intubation by frontline anesthesiologists and critical care *** the airway management,enhanced droplet/airborne personal protective equitment(PPE)should be applied to the health care providers.A good airway assessment before airway intervention is of vital *** patients with normal airway,awake intubation should be avoided,and modified rapid sequence induction is strongly *** muscle relaxant should be assured before *** patients with difficult airway,good preparation of airway devices and detailed intubation plans should be made.