Emergency tracheal intubation in 202 patients with COVID-19 in Wuhan, China: lessons learnt and international expert recommendations

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 retr...

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Veröffentlicht in:	British journal of anaesthesia : BJA 2020-07, Vol.125 (1), p.e28-e37
Hauptverfasser:	Yao, Wenlong, Wang, Tingting, Jiang, Bailin, Gao, Feng, Wang, Li, Zheng, Hongbo, Xiao, Weimin, Yao, Shanglong, Mei, Wei, Chen, Xiangdong, Luo, Ailin, Sun, Liang, Cook, Tim, Behringer, Elizabeth, Huitink, Johannes M., Wong, David T., Lane-Fall, Meghan, McNarry, Alistair F., McGuire, Barry, Higgs, Andrew, Shah, Amit, Patel, Anil, Zuo, Mingzhang, Ma, Wuhua, Xue, Zhanggang, Zhang, Li-Ming, Li, Wenxian, Wang, Yong, Hagberg, Carin, O'Sullivan, Ellen P., Fleisher, Lee A., Wei, Huafeng, Peng, Zhiyong, Liang, Hansheng, Nishikawa, Koji
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged airway management ARDS Betacoronavirus China consensus recommendations Coronavirus Infections - complications Coronavirus Infections - prevention & control Coronavirus Infections - therapy COVID-19 critical care Female Humans Hypotension - etiology Hypoxia - etiology infection prevention and control Intubation, Intratracheal - methods Male Pandemics - prevention & control Personal Protective Equipment pneumonia Pneumonia, Viral - complications Pneumonia, Viral - prevention & control Pneumonia, Viral - therapy Pneumothorax - etiology Practice Guidelines as Topic respiratory failure Retrospective Studies SARS-CoV-2 tracheal intubation
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Zusammenfassung:	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 (Sao2
ISSN:	0007-0912 1471-6771 1471-6771
DOI:	10.1016/j.bja.2020.03.026