Acta Scientific Medical Sciences (ISSN: 2582-0931)

Review Article Volume 4 Issue 10

Optimal Preparation for Safe Airway Management During Covid-19

Hassan Shaaib1* and Muhammad Ali Abbas2

1Lecturer of Anesthesia Technology in Prince Sultan Military College of Health Sciences, Dhahran, Saudi Arabia
2Consultant Anaesthetist in Prince sultan military college of health sciences Dharan, Saudi Arabia

*Corresponding Author: Hassan Shaaib, Lecturer of Anesthesia Technology in Prince Sultan Military College of Health Sciences, Dhahran, Saudi Arabia.

Received: August 17, 2020; Published: September 30, 2020

×

Abstract

Airway management is the core skill of anesthesiologists, intensive care units, and emergency care providers. Clinicians assured that oxygenation is not possible without an open and safe airway. The Severe Acute Respiratory Syndrome-Corona-2 Virus (SARSCoV- 2), which causes COVID-19, is encapsulated with single-stranded ribonucleic acid and is highly contagious. Authors believed that the transfer of the virus occurs primarily through direct contact with the patient or contaminated surfaces or through the spread of droplets (i.e., relatively large particles deposited in the air) and smaller particles staying longer in the air. Any airway management or procedures in emergency, operation theatre, and intensive care departments can produce aerosols to increase the risk of contamination. For the above reason, healthcare professionals who are treating patients with COVID-19 are at risk of developing the disease. The purpose of the current study is to review the methods that reduce the risk of an airborne viral spread, maximize the early attempt success, and encourage the use of indirect glottic visualization with video laryngoscopy (VL). The mentioned measures are approved to reduce personnel exposure in all adult COVID 19 patients who are requiring airway management in all emergency departments, hospital wards, and ICUs. The author highlights the needed measures that require to be taken for the safety of the health care workers associated with the airway procedure while providing high-quality patient care to the COVID-19, suspected, or confirmed patients.

Keywords: Airway; COVID-19; Management; Optimal; Safe; Preparation; Health Care Workers

×

References

  1. Matioc AA. An Anesthesiologist’s Perspective on the History of Basic Airway Management: The “modern” Era, 1960 to Present. Vol. 130, Anesthesiology. Lippincott Williams and Wilkins (2019): 686-711.
  2. Zhang X., et al. “Safe and effective management of tracheostomy in COVID-19 patients”. In: Head and Neck. John Wiley and Sons Inc. (2020).
  3. Ahmad I., et al. “Awake tracheal intubation in a suspected COVID ‐19 patient with critical airway obstruction”. Anesthesia Reports1 (2020): 28-31.
  4. Liverman CT., et al. “The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary” (2015).
  5. COVID-19: American Society of Anesthesiologists Recommendations for Anesthesia Management - Ambulatory Surgery Center Association (ASCA).
  6. Brewster DJ., et al. “Consensus statement: Safe Airway Society principles of airway management and tracheal intubation specific to the COVID-19 adult patient group”. Medical Journal of Australia 10 (2020): 472-481.
  7. Cheung JCH., et al. “Staff safety during emergency airway management for COVID-19 in Hong Kong”. The Lancet Respiratory Medicine. Lancet Publishing Group 8 (2020): e19.
  8. Cook TM., et al. “Consensus guidelines for managing the airway in patients with COVID-19: Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetist”. Anaesthesia 6 (2020): 785-799.
  9. Wang W., et al. “Detection of SARS-CoV-2 in Different Types of Clinical Specimens”. JAMA - Journal of the American Medical Association 323 (2020): 1843-1844.
  10. Wu Z and McGoogan JM. “Characteristics of and Important Lessons from the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72314 Cases from the Chinese Center for Disease Control and Prevention”. JAMA - Journal of the American Medical Association 323 (2020): 1239-1242.
  11. Gould CL., et al. “Protecting staff and patients during airway management in the COVID-19 pandemic: are intubation boxes safe?” British Journal of Anaesthesia (2020).
  12. Gould CL., et al. “Protecting staff and patients during airway management in the COVID-19 pandemic: are intubation boxes safe?”. British Journal of Anaesthesia. Elsevier Ltd (2020).
  13. Coronavirus disease 2019 (COVID-19): Anesthetic concerns, including airway management and infection control - UpToDate.
  14. News KE-T, 2020 undefined. Taiwanese doctor invents device to protect US doctors against coronavirus.
  15. Begley JL., et al. “The aerosol box for intubation in coronavirus disease 2019 patients: an in‐situ simulation crossover study”. Anaesthesia8 (2020): 1014-1021.
  16. Smith G and Conway CM. “Anaesthetic equipment”. British Journal of Anaesthesia 57 (1985): 639.
  17. Liao CC., et al. “Video laryngoscopy-assisted tracheal intubation in airway management”. Expert Review of Medical Devices. Taylor and Francis Ltd 15 (2018): 265-275.
  18. Singh N., et al. “Video laryngoscopy in COVID-19 patients: a word of caution”. Canadian Journal of Anesthesia Springer (2020): 1-1.
  19. Black JJM and Skinner D V. “Confirmation of correct endotracheal tube placement (multiple letters)”. British Association for Accident and Emergency Medicine 17 (2000): 74-75.
  20. Arya R., et al. “Real-time Tracheal Ultrasound for the Confirmation of Endotracheal Intubations in the Intensive Care Unit: An Observational Study”. Journal of Ultrasound in Medicine 2 (2019): 491-497.
  21. Dîrzu DS. “Replacing the stethoscope with ultrasound identification of lung sliding to confirm correct endotracheal tube placement for COVID19 patients - time for a paradigm shift?” International Journal of Clinical Practice (2020).
  22. ACEP // American College of Emergency Physicians.
  23. Men XQ and Yan XX. “Tracheal Ultrasound for the Accurate Confirmation of the Endotracheal Tube Position in Obese Patients”. Journal of Ultrasound in Medicine 3 (2020): 509-513.
  24. D’Silva DF., et al. “Extubation of patients with COVID-19”. British Journal of Anaesthesia. Elsevier Ltd 125 (2020): e192-195.
  25. Kangas-Dick AW., et al. “Safe extubation during the COVID-19 pandemic”. Respiratory Medicine. W.B. Saunders Ltd 170 (2020): 106038.
  26. Weaning and Extubation Guideline.
×

Citation

Citation: Hassan Shaaib and Muhammad Ali Abbas. “Optimal Preparation for Safe Airway Management During Covid-19".Acta Scientific Medical Sciences 4.10 (2020): 176-181.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor0.851

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 20, 2021.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US