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The Difficult Airway and Aerosol-Generating Procedures in COVID-19: Timeless Principles for Uncertain Times.
- Source :
-
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2020 Nov; Vol. 163 (5), pp. 934-937. Date of Electronic Publication: 2020 Jun 23. - Publication Year :
- 2020
-
Abstract
- The impact of the COVID-19 pandemic on otolaryngology practice is nowhere more evident than in acute airway management. Considerations of preventing SARS-CoV-2 transmission, conserving personal protective equipment, and prioritizing care delivery based on acuity have dictated clinical decision making in the acute phase of the pandemic. With transition to a more chronic state of pandemic, heightened vigilance is necessary to recognize how deferral of care in patients with tenuous airways and COVID-19 infection may lead to acute airway compromise. Furthermore, it is critical to respect the continuing importance of flexible laryngoscopy in diagnosis. Safely managing airways during the pandemic requires thoughtful multidisciplinary planning. Teams should consider trade-offs among aerosol-generating procedures involving direct laryngoscopy, supraglottic airway use, fiberoptic intubation, and tracheostomy. We share clinical cases that illustrate enduring principles of acute airway management. As algorithms evolve, time-honored approaches for diagnosis and management of acute airway pathology remain essential in ensuring patient safety.
- Subjects :
- Adult
Aged
COVID-19
Coronavirus Infections epidemiology
Coronavirus Infections transmission
Female
Humans
Infant
Pandemics
Pneumonia, Viral epidemiology
Pneumonia, Viral transmission
SARS-CoV-2
Aerosols administration & dosage
Airway Management methods
Betacoronavirus
Coronavirus Infections therapy
Disease Transmission, Infectious prevention & control
Personal Protective Equipment
Pneumonia, Viral therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1097-6817
- Volume :
- 163
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 32571147
- Full Text :
- https://doi.org/10.1177/0194599820936615