Rapid-sequence induction and intubation in COVID-19 patients

Introduction: Rapid-sequence induction and intubation is an emergency anesthesiology procedure for airway control in critically ill patients and for inserting a tube into the trachea in the shortest possible time. Originally, this procedure was indicated in cases of regurgitation and/or reflux in or...

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Main Author: Yvonne Yolanda Cardenas Torres
Format: Article
Language:Spanish
Published: Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) 2022-01-01
Series:Revista Cubana de Anestesiología y Reanimación
Subjects:
Online Access:http://revanestesia.sld.cu/index.php/anestRean/article/view/740
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author Yvonne Yolanda Cardenas Torres
author_facet Yvonne Yolanda Cardenas Torres
author_sort Yvonne Yolanda Cardenas Torres
collection DOAJ
description Introduction: Rapid-sequence induction and intubation is an emergency anesthesiology procedure for airway control in critically ill patients and for inserting a tube into the trachea in the shortest possible time. Originally, this procedure was indicated in cases of regurgitation and/or reflux in order to attenuate and prevent aspiration of gastric contents. The technique, described and used for the first time in the 1970s, resumed its use in the context of the COVID-19 pandemic. However, a conventional rapid-sequence intubation technique would not be adequate as it would not prevent the virus spread from the patient's airway to the environment, with the possibility of contamination of the personnel performing it. Objective: To describe a modified rapid-sequence intubation technique in times of COVID-19. Methods: A review of the first publications with protocols of this modified technique was carried out. The search was carried out in databases such as PubMed, Google Scholar and Elsevier. Development: The most important aspect for the professional performing the technique is to achieve the maneuver successfully and preserve the life of the patient. In this respect, the physician must be the most experienced and prepared to control the time of each of the stages into which it is divided. Conclusions: In COVID-19, clinical situations are highly variable, a reason why protocols in the perioperative care of patients can be modified according to new evidence.   Keywords: airway; coronavirus; COVID-19; SARS-CoV-2.
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spelling doaj.art-e9d138ffd7e84ba5ad6a83a6704f533c2022-12-22T04:03:36ZspaCentro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)Revista Cubana de Anestesiología y Reanimación1726-67182022-01-01203634Rapid-sequence induction and intubation in COVID-19 patientsYvonne Yolanda Cardenas Torres0Instituto Nacional de Oncologia y RadiologiaIntroduction: Rapid-sequence induction and intubation is an emergency anesthesiology procedure for airway control in critically ill patients and for inserting a tube into the trachea in the shortest possible time. Originally, this procedure was indicated in cases of regurgitation and/or reflux in order to attenuate and prevent aspiration of gastric contents. The technique, described and used for the first time in the 1970s, resumed its use in the context of the COVID-19 pandemic. However, a conventional rapid-sequence intubation technique would not be adequate as it would not prevent the virus spread from the patient's airway to the environment, with the possibility of contamination of the personnel performing it. Objective: To describe a modified rapid-sequence intubation technique in times of COVID-19. Methods: A review of the first publications with protocols of this modified technique was carried out. The search was carried out in databases such as PubMed, Google Scholar and Elsevier. Development: The most important aspect for the professional performing the technique is to achieve the maneuver successfully and preserve the life of the patient. In this respect, the physician must be the most experienced and prepared to control the time of each of the stages into which it is divided. Conclusions: In COVID-19, clinical situations are highly variable, a reason why protocols in the perioperative care of patients can be modified according to new evidence.   Keywords: airway; coronavirus; COVID-19; SARS-CoV-2.http://revanestesia.sld.cu/index.php/anestRean/article/view/740palabras clave: vía aérea, covid-19, coronavirussars-cov-2salón de operaciones-pandemia, equipos de protección personal.
spellingShingle Yvonne Yolanda Cardenas Torres
Rapid-sequence induction and intubation in COVID-19 patients
Revista Cubana de Anestesiología y Reanimación
palabras clave: vía aérea, covid-19, coronavirus
sars-cov-2
salón de operaciones-pandemia, equipos de protección personal.
title Rapid-sequence induction and intubation in COVID-19 patients
title_full Rapid-sequence induction and intubation in COVID-19 patients
title_fullStr Rapid-sequence induction and intubation in COVID-19 patients
title_full_unstemmed Rapid-sequence induction and intubation in COVID-19 patients
title_short Rapid-sequence induction and intubation in COVID-19 patients
title_sort rapid sequence induction and intubation in covid 19 patients
topic palabras clave: vía aérea, covid-19, coronavirus
sars-cov-2
salón de operaciones-pandemia, equipos de protección personal.
url http://revanestesia.sld.cu/index.php/anestRean/article/view/740
work_keys_str_mv AT yvonneyolandacardenastorres rapidsequenceinductionandintubationincovid19patients