Emergency Intubation in Covid-19

Emergency Intubation in Covid-19

To the Editor: The video by Shrestha et al. (Feb. 18 issue) 1 shows a method for emergency intubation in a patient with Covid-19 that includes the use of a negative-pressure isolation room. This measure was initially recommended to prevent hospital-acquired infections. However, negative air pressure...

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Bibliographic Details
Published in:The New England journal of medicine Vol. 384; no. 19; p. e74
Main Authors: Herzog, Nicolas, Giacardi, Christophe, Danguy des Déserts, Marc, Sellers, William F.S, Patel, Jigar, Janapala, Rajesh N, Pourmand, Ali, Canelli, Robert, Shrestha, Gentle S, Ortega, Rafael
Format: Journal Article
Language:English
Published: United States Massachusetts Medical Society 13-05-2021
Subjects:
Aspergillosis
Coronaviruses
COVID-19
Disease transmission
Emergencies
Emergency Service, Hospital
Humans
Immunocompromised hosts
Intensive care
Intubation
Intubation, Intratracheal
Pressure
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
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Summary:To the Editor: The video by Shrestha et al. (Feb. 18 issue) 1 shows a method for emergency intubation in a patient with Covid-19 that includes the use of a negative-pressure isolation room. This measure was initially recommended to prevent hospital-acquired infections. However, negative air pressure in rooms in the intensive care unit could increase the risk of invasive pulmonary aspergillosis, 2 which has been reported in 10 to 30% of patients with Covid-19 in the intensive care unit. 3 Positive-pressure isolation rooms are used to reduce the risk of invasive pulmonary aspergillosis in immunocompromised patients, but their use is not suitable for . . .
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ObjectType-Commentary-2
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMc2104670