Airway management guidance for the endemic phase of COVID-19.

Autor: Cook TM; Department of Anaesthesia and Intensive Care Medicine, Royal United Hospital NHS Trust, Bath, UK.; School of Medicine, University of Bristol, UK., McGuire B; Department of Anaesthesia, Ninewells Hospital Dundee, UK., Mushambi M; Department of Anaesthesia, University Hospitals of Leicester NHS Trust, Leicester, UK., Misra U; Department of Anaesthesia, South Tyneside and Sunderland NHS Foundation Trust, Sunderland, UK., Carey C; Department of Anaesthesia, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK., Lucas N; Department of Anaesthesia, Northwick Park Hospital, Harrow, UK., O'Sullivan E; Department of Anaesthesia and Intensive Care Medicine, St James's Hospital, Dublin, Ireland., Harrop-Griffiths W; Department of Anaesthesia, Imperial College Healthcare NHS Trust, London, UK.; Imperial College, London, UK.
Jazyk: angličtina
Zdroj: Anaesthesia [Anaesthesia] 2021 Feb; Vol. 76 (2), pp. 251-260. Date of Electronic Publication: 2020 Sep 13.
DOI: 10.1111/anae.15253
Abstrakt: It is now apparent that severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and coronavirus disease 2019 (COVID-19) will remain endemic for some time. Improved therapeutics and a vaccine may shorten this period, but both are far from certain. Plans must be put in place on the assumption that the virus and its disease will continue to affect the care of patients and the safety of staff. This will impact particularly on airway management due to the inherent risk to staff during such procedures. Research is needed to clarify the nature and risk of respiratory aerosol-generating procedures. Improved knowledge of the dynamics of SARS-CoV-2 infection and immunity is also required. In the meantime, we describe the current status of airway management during the endemic phase of the COVID-19 pandemic. Some controversies remain unresolved, but the safety of patients and staff remains paramount. Current evidence does not support or necessitate dramatic changes to choices for anaesthetic airway management. Theatre efficiency and training issues are a challenge that must be addressed, and new information may enable this.
(© 2020 Association of Anaesthetists.)
Databáze: MEDLINE
Externí odkaz: