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

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

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Emergency tracheal intubation in 202 patients with COVID-19 in Wuhan, China: lessons learnt and international expert recommendations
Creator	Zhang, Xue Chen, Xiangdong Wang, Li Gao, Feng Wang, Yong Wang, Tingting Sun, Liang Xu, Li Wong, David Yao, Shanglong Mei, Wei Luo, Ailin Patel, Anil Behringer, Elizabeth Cook, Tim Dt, Wong Fleisher, Lee Hagberg, Carin Higgs, Andrew Huitink, Johannes Jiang, Bailing Jm, Huitink Lane-Fall, Meghan Li, L-M Li, Wenxian Ma, Wuhua Mcguire, Barry Mcnarry, Alistair O'sullivan, Ellen O' Sullivan, Ellen Shah, Amit Sullivan, O Wei, Huafeng Xiao, Weimin Yao, Wenlong Zuo, Mingzhang Xue, Zhanggang Zhang, Li-Ming Zheng, Hongbo
source	Elsevier; Medline; PMC
abstract	Summary 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 (Sao 2 <90%) before intubation. Personal protective equipment was worn by all intubating healthcare workers. Rapid sequence induction (RSI) or modified RSI was used with an intubation success rate of 89.1% on the first attempt and 100% overall. Hypoxaemia (Sao 2 <90%) was common during intubation (n=148; 73.3%). Hypotension (arterial pressure <90/60 mm Hg) occurred in 36 (17.8%) patients during and 45 (22.3%) after intubation with cardiac arrest in four (2.0%). Pneumothorax occurred in 12 (5.9%) patients and death within 24 h in 21 (10.4%). Up to 14 days post-procedure, there was no evidence of cross infection in the anaesthesiologists who intubated the COVID-19 patients. Based on clinical information and expert recommendation, we propose detailed planning, strategy, and methods for tracheal intubation in COVID-19 patients.
has issue date	2020-04-10(xsd:dateTime)
bibo:doi	10.1016/j.bja.2020.03.026
bibo:pmid	32312571
has license	els-covid
sha1sum (hex)	4e55faa12b883c4aca269e74b9fb4dc9c31baa41
schema:url	https://doi.org/10.1016/j.bja.2020.03.026
resource representing a document's title	Emergency tracheal intubation in 202 patients with COVID-19 in Wuhan, China: lessons learnt and international expert recommendations
has PubMed Central identifier	PMC7151238
has PubMed identifier	32312571
schema:publication	Br J Anaesth
resource representing a document's body	covid:4e55faa12b883c4aca269e74b9fb4dc9c31baa41#body_text
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