Intubation and Ventilation amid the COVID-19 Outbreak

  • Lingzhong Meng
    From the Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut (L.M., R.D.); the Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China (H.Q.); the Department of Anesthesiology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, Hubei, China (L.W.); the
  • Haibo Qiu
    From the Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut (L.M., R.D.); the Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China (H.Q.); the Department of Anesthesiology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, Hubei, China (L.W.); the
  • Li Wan
    From the Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut (L.M., R.D.); the Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China (H.Q.); the Department of Anesthesiology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, Hubei, China (L.W.); the
  • Yuhang Ai
    From the Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut (L.M., R.D.); the Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China (H.Q.); the Department of Anesthesiology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, Hubei, China (L.W.); the
  • Zhanggang Xue
    From the Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut (L.M., R.D.); the Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China (H.Q.); the Department of Anesthesiology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, Hubei, China (L.W.); the
  • Qulian Guo
    From the Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut (L.M., R.D.); the Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China (H.Q.); the Department of Anesthesiology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, Hubei, China (L.W.); the
  • Ranjit Deshpande
    From the Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut (L.M., R.D.); the Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China (H.Q.); the Department of Anesthesiology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, Hubei, China (L.W.); the
  • Lina Zhang
    From the Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut (L.M., R.D.); the Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China (H.Q.); the Department of Anesthesiology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, Hubei, China (L.W.); the
  • Jie Meng
    From the Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut (L.M., R.D.); the Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China (H.Q.); the Department of Anesthesiology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, Hubei, China (L.W.); the
  • Chuanyao Tong
    From the Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut (L.M., R.D.); the Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China (H.Q.); the Department of Anesthesiology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, Hubei, China (L.W.); the
  • Hong Liu
    From the Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut (L.M., R.D.); the Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China (H.Q.); the Department of Anesthesiology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, Hubei, China (L.W.); the
  • Lize Xiong
    From the Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut (L.M., R.D.); the Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China (H.Q.); the Department of Anesthesiology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, Hubei, China (L.W.); the

説明

<jats:title>Abstract</jats:title> <jats:p>The COVID-19 outbreak has led to 80,409 diagnosed cases and 3,012 deaths in mainland China based on the data released on March 4, 2020. Approximately 3.2% of patients with COVID-19 required intubation and invasive ventilation at some point in the disease course. Providing best practices regarding intubation and ventilation for an overwhelming number of patients with COVID-19 amid an enhanced risk of cross-infection is a daunting undertaking. The authors presented the experience of caring for the critically ill patients with COVID-19 in Wuhan. It is extremely important to follow strict self-protection precautions. Timely, but not premature, intubation is crucial to counter a progressively enlarging oxygen debt despite high-flow oxygen therapy and bilevel positive airway pressure ventilation. Thorough preparation, satisfactory preoxygenation, modified rapid sequence induction, and rapid intubation using a video laryngoscope are widely used intubation strategies in Wuhan. Lung-protective ventilation, prone position ventilation, and adequate sedation and analgesia are essential components of ventilation management.</jats:p>

収録刊行物

  • Anesthesiology

    Anesthesiology 132 (6), 1317-1332, 2020-06-01

    Ovid Technologies (Wolters Kluwer Health)

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