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Revista Cubana de Anestesiología y Reanimación

2021, Number 3

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Revista Cubana de Anestesiología y Reanimación 2021; 20 (3)

Rapid sequence induction and intubation in Covid 19 carrier patients

Cárdenas TYY

Language: Spanish
References: 34
Page: 1-15
PDF size: 352.62 Kb.


ABSTRACT

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.


REFERENCES

  1. Allori RDO, Isod C, Navarro G. AnestesiaR- Covid-19 Blog. "Inducción en secuencia rápida ante COVID-19" Parte I-II. Rev. Electrónica AnestesiaR. Madrid: Rubén Allori. 2020[acceso: 22/11/2020]. Disponible en: https://anestesiar.org/Blog/anestesiar-covid-19/page/1/

  2. Ojeda-González J. Consideraciones sobre la intubación de secuencia rápida como alternativa para el abordaje de la vía aérea en pacientes con COVID-19. Medisur. 2020[acceso: 17/01/2021];18(3). Disponible en: http://www.medisur.sld.cu/index.php/medisur/article/view/4693

  3. Mace SE. Challenges and advances in intubation: rapid sequence intubation. Emerg Med Clin North Am. 2008;26(4):1043-68. https://doi.org/10.1016/j.emc.2008.10.002

  4. José RA, Miguel AS, Oscar S, Daniel WR, Juan FM, Carlos A Quijano, et al. Inducción en secuencia rápida para intubación orotraqueal en urgencias. Repertorio de Medicina y Cirugía. 2016;25(4): 10-18. https://doi.org/10.1016/j.reper.2016.11.009

  5. Mendelson CL. The aspiration of stomach contents into the lungs during obstetric anaesthesia. Am J Obstet Gynecol. 1946;52:191-205. https://doi.org/10.1016/s0002-9378(16)39829-5

  6. Stept WJ, Safar P. Rapid induction/intubation for prevention of gastric-content aspiration. Anesth Analg. 1970;49(4):633-6.

  7. Pérez Perilla P, Moreno Castillo A, Gempeler Rueda FE. Guía para la secuencia de inducción e intubación de secuencia rápida en el servicio de emergencias. Univ. Méd Bogotá. 2013;54(2):175-98.

  8. Llau JV, Ferrandis R, Sierra P, Hidalgo F, Cassinello C, Gómez-Luque A, Quintana M, et al. SEDAR-SEMICYUC Consensus recommendations on the management of haemostasis disorders in severely ill patients with COVID-19 infection. Rev Esp Anestesiol Reanim. 2020;67(7):391-99. https//doi.org/10.1016/j.redar.2020.03.007

  9. García-Méndez N, Lagarda Cuevas J, Otzen T, Manterola C. Anesthesiologists and the High Risk of Exposure to COVID-19. Anesth Analg. 2020;131(2):e92-e93. https://doi.org/10.1213/ANE.0000000000004919

  10. Daithi Heffernan H, Evans L, M Huston J, Claridge JA, David P Blake, Addison K May, et al. Surgical infection society guidance for operative and peri-operative care of adult patients infested by the severeacute respiratory syndrome coronavisrus-2 (SARS-Cov-2). Surgical Infecctions. 2020;21(4):301-08. https://doi.org/10.1089/sur.2020.101

  11. Bowdle A, Jelacic S, Shishido S, Munoz-Price LS. Infection prevention precautions for routine anaesthesia care during the SARS Cov.2 Pandemic. Anesth Analg. 2020;131(5): 1345-54. https://doi.org/10.1213/ANE.0000000000005169

  12. Zamora López EI, Prez Nieto OR, Diaz Martínez MA, Sánchez Díaz JS, Soriano Orozco R, Guerrero Gutiérrez MA, Peniche Moguel K. Secuencia de inducción rápida en el paciente crítico. Acta Colombiana de Cuidado Crítico. 2020;20(1):23-32. https//doi.org/10.1016/j.acci.2019.09.002

  13. Cabo de Villa E, López González R, Márquez Ercia F, Hernández Águila CM. Intubación en secuencia rápida. Rev. Medisur. 2015[acceso: 17/01/2021];13(4):533-40. Disponible en: http://www.medisur.sld.cu/index.php/medisur/article/view/3090

  14. Mace SE. Challenges and advances in intubation: rapid sequence intubation. Emerg Med Clin North Am. 2008;26(4):1043-68. https://doi.org/10.1016/j.emc.2008.10.002

  15. Cook TM, El-Boghdadly K, McGuire B, McNarry AF, Patel A, Higgs A. Consensus guidelines for managing the airway in patients with COVID-19: Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetists. Anaesthesia. 2020;75(6):785-99. Disponible en: https://dx.doi.org/10.1111/anae-15054

  16. De JA, Molinari N, Terzi N. Early identification of patients at risk for difficult intubation in the intensive care unit: development and validation of the MACOCHA score in a multicenter cohort study. American Journal of Respiratory and Critical Care Medicine. 2013;187:832-9. https://doi.org/10.1164/rccm.201210-1851OC

  17. Peter Luedike, Matthias Totzeck, Christos Rammos, Detlef Kindgen-Milles, Malte Kelm, Tienush Rassaf. The MACOCHA score is feasible to predict intubation failure of nonanesthesiologist in intensive care trainees. J Crit Care. 2015;30(5):876-80. https://doi.org/10.1016/j.jcrc.2015.04.118

  18. Lyons C, Callaghan M. Uses and mechanisms of apnoeic oxygenation: a narrative review. Anaesthesia. 2019;74(4):497-507. https://doi.org/10.1111/anae.14565

  19. Salem MR, Khorasani A, Zeidan A, Crystal GJ. Cricoid pressure controversies: Narrative Review. Anesthesiology. 2017;126(4):738-52. https://doi.org/10.1097/ALN.0000000000001489

  20. Zdravkovic M, Berger-Estilita J, Sorbello M, Hagberg CA. An international survey about rapid sequence intubation of 10,003 anaesthetists and 16 airway experts. Anaesthesia. 2020;75(3):313-22. https://doi.org/10.1111/anae.14867

  21. Sajayan A, Wicker J, Ungureanu N, Mendonca C, Kimani PK. Current practice of rapid sequence induction of anaesthesia in the UK - a national survey. Br J Anaesth. 2016;117 (Suppl 1): i69-i74. https://doi.org/10.1093/bja/aew017

  22. Yang YL, Huang CH, Luk HN, Tsai PB. Adaptation to the plastic barrier sheet to facilitate intubation during the COVID-19 Pandemic. Anesth Analg. 2020;131(2):e97-e99. https://doi.org/10.1213/ANE.0000000000004923

  23. Canelli R, W Connor C; González M, Nozari A, Ortega R. Barrier enclosure during endotracheal intubation. N Engl J Med. 2020;382:1957-58. https://doi.org/10.1056/NEJMc2007589

  24. Groth CM, Acquisto NM, Khadem T. Current practices and safety of medication use during rapid sequence intubation. J Crit Care. 2018;4:65-70. https://doi.org/10.1016/j.jcrc.2018.01.017

  25. Tran DTT, Newton EK, Mount VAH, Lee JS, Wells GA, Perry JJ. Rocuronium versus succinylcholine for rapid sequence induction intubation. Cochrane Database of Systematic Reviews. 2017;72(6):765-777. https://doi.org/10.1111/anae.13903

  26. Swati Sethi RS. Emergency tracheal intubation in patient with Covid-19: is it any different? Comment on Br J Anesth. 2020;125:e28-e37. https://doi.org/10.1016/j.bja.2020.05.045

  27. Jiang B, Yao W, Wang T, Cook TM, Behringer E, Wei H. Tracheal intubation in Covid-19 patients: update on recommendations. Br J Anaesth. 2020;125(5):e424-e26. https://doi.org/10.1016/j.bja.2020.08.019

  28. R Coloma, Álvarez JP. Manejo avanzado de la vía aérea. Rev. Med Clin Condes. 2011;22 (3):270-79. https://doi.org/10.1016/S0716-8640(11)70426-6

  29. Lockhart SL, Duggan LV, Wax RS, Saad S, Grocott HP. Personal protective equipment (PPE) for both Anesthesiologists and other airway managers: Principles and practice during the COVID-19 pandemic. Can J Anesth. 2020;67(8):1005-15. https://doi.org/101007/s12630-02 0-01673-w

  30. Apeksh Patwa, Amith Shah, Rakesh Garg, Jigesshu Vasishtha Divatia, Pankaj Kundra, Jeson Rayan, et al. All India airway association (AIDDA) consensus guidelines for airway management in the operating room during the COVID-19 pandemic. Indian J Anaesth. 2020;64(Suppl 2):S107-S115. https://doi.org/10.4103/ija.IJA_498_20

  31. Ti LK, Ang LS, Foong TW, Ng BSW. What we do when a COVID-19 patient needs an operation: operating room preparation and guidance. Can J Anaesth. 2020;67(6):756-58. https://doi.org/10.1007/s12630-020-01617-4

  32. Aminnejad R, Salimi A, Saeidi M. Lidocaine during intubation and extubation in patients with coronavirus disease (COVID-19) Can J Anaesth. 2020;67:759. https://doi.org/10.1007/s12630-020-01627-2

  33. Jiang J, Ma DX, Li B, Wu AS, Xue FS. Videolaryngoscopy versus fiberoptic bronchoscope for awake intubation-a systematic review and meta-analysis of randomized controlled trials. Ther Clin Risk Manag. 2018;14:1955-63. https://doi.org/10.2147/TCRM.S172783

  34. Moore A, Schricker T. Awake videolaryngoscopy versus fiberoptic bronchoscopy. Curr Opin Anaesthesiol. 2019;32(6):764-768. https://doi.org/10.1097/ACO.0000000000000771




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