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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| Published in: | The New England journal of medicine Vol. 384; no. 19; p. e74 |
|---|---|
| Main Authors: | , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Massachusetts Medical Society
13-05-2021
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| Abstract | 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 . . . |
|---|---|
| AbstractList | 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 . . . 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 . . . |
| Author | Janapala, Rajesh N Pourmand, Ali Herzog, Nicolas Patel, Jigar Giacardi, Christophe Sellers, William F.S Canelli, Robert Shrestha, Gentle S Ortega, Rafael Danguy des Déserts, Marc |
| Author_xml | – sequence: 1 givenname: Nicolas surname: Herzog fullname: Herzog, Nicolas email: n.herzog@laposte.net organization: Military Training Hospital Clermont–Tonnerre, Brest, France – sequence: 2 givenname: Christophe surname: Giacardi fullname: Giacardi, Christophe email: n.herzog@laposte.net organization: Military Training Hospital Clermont–Tonnerre, Brest, France – sequence: 3 givenname: Marc surname: Danguy des Déserts fullname: Danguy des Déserts, Marc email: n.herzog@laposte.net organization: Military Training Hospital Clermont–Tonnerre, Brest, France – sequence: 4 givenname: William F.S surname: Sellers fullname: Sellers, William F.S email: wfssellers@doctors.org.uk organization: University Hospital Coventry and Warwickshire, Coventry, United Kingdom – sequence: 5 givenname: Jigar surname: Patel fullname: Patel, Jigar email: jigar.r.patel@outlook.com organization: George Washington University School of Medicine and Health Sciences, Washington, DC – sequence: 6 givenname: Rajesh N surname: Janapala fullname: Janapala, Rajesh N email: jigar.r.patel@outlook.com organization: George Washington University School of Medicine and Health Sciences, Washington, DC – sequence: 7 givenname: Ali surname: Pourmand fullname: Pourmand, Ali email: jigar.r.patel@outlook.com organization: George Washington University School of Medicine and Health Sciences, Washington, DC – sequence: 8 givenname: Robert surname: Canelli fullname: Canelli, Robert organization: Boston Medical Center, Boston, MA – sequence: 9 givenname: Gentle S surname: Shrestha fullname: Shrestha, Gentle S organization: Tribhuvan University Teaching Hospital, Kathmandu, Nepal – sequence: 10 givenname: Rafael surname: Ortega fullname: Ortega, Rafael email: rafael.ortega@bmc.org organization: Boston Medical Center, Boston, MA |
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| Cites_doi | 10.1016/S2213-2600(20)30237-X 10.1213/00000539-198608000-00012 10.4103/joacp.JOACP_211_20 10.1056/NEJMvcm2007198 10.1016/j.ajic.2011.04.324 10.1111/j.1365-2044.1988.tb05779.x 10.1021/acs.est.0c03247 10.1046/j.1365-2044.2003.03207_25.x 10.1111/j.1365-2044.1988.tb06625.x 10.1016/j.ajic.2009.09.014 10.1186/s13054-020-03221-w 10.1111/j.1365-2044.1988.tb05419.x 10.1007/s12630-020-01720-6 |
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| References | 33596358 - N Engl J Med. 2021 Feb 18;384(7):e20 33882224 - N Engl J Med. 2021 May 13;384(19):e74 Shrestha GS (e_1_2_3_3_2_2) 2021; 384 Abdul Salam Z-H (e_1_2_3_3_6_2) 2010; 38 Sellers WFS (e_1_3_3_3_3_2) 2003; 58 e_1_5_3_3_3_2 e_1_5_3_3_4_2 Birmingham PK (e_1_3_3_3_5_2) 1986; 65 e_1_5_3_3_5_2 e_1_4_3_3_4_2 Ichai P (e_1_2_3_3_3_2) 2020; 24 Alanio A (e_1_2_3_3_4_2) 2020; 8 Wee MYK (e_1_3_3_3_2_2) 1988; 43 e_1_3_3_3_4_2 Kidd JF (e_1_3_3_3_6_2) 1988; 43 Mousavi ES (e_1_2_3_3_5_2) 2021; 55 Bidkar P (e_1_4_3_3_2_2) 2020; 36 Alanio A (e_1_5_3_3_2_2) 2020; 8 Casanova LM (e_1_4_3_3_5_2) 2012; 40 Hung O (e_1_4_3_3_3_2) 2020; 67 |
| References_xml | – volume: 8 start-page: e48 issue: 6 year: 2020 ident: e_1_2_3_3_4_2 article-title: Prevalence of putative invasive pulmonary aspergillosis in critically ill patients with COVID-19. publication-title: Lancet Respir Med doi: 10.1016/S2213-2600(20)30237-X contributor: fullname: Alanio A – volume: 65 start-page: 886 year: 1986 ident: e_1_3_3_3_5_2 article-title: Esophageal intubation: a review of detection techniques. publication-title: Anesth Analg doi: 10.1213/00000539-198608000-00012 contributor: fullname: Birmingham PK – volume: 36 start-page: S157 year: 2020 ident: e_1_4_3_3_2_2 article-title: Safety tent for enhanced personal protection from aerosol-generating procedures while handling the COVID-19 patient airway. publication-title: J Anaesthesiol Clin Pharmacol doi: 10.4103/joacp.JOACP_211_20 contributor: fullname: Bidkar P – volume: 384 start-page: e20 issue: 7 year: 2021 ident: e_1_2_3_3_2_2 article-title: Emergency intubation in Covid-19. publication-title: N Engl J Med doi: 10.1056/NEJMvcm2007198 contributor: fullname: Shrestha GS – volume: 40 start-page: 369 year: 2012 ident: e_1_4_3_3_5_2 article-title: Effect of single- versus double-gloving on virus transfer to health care workers’ skin and clothing during removal of personal protective equipment. publication-title: Am J Infect Control doi: 10.1016/j.ajic.2011.04.324 contributor: fullname: Casanova LM – ident: e_1_5_3_3_5_2 – ident: e_1_3_3_3_4_2 doi: 10.1111/j.1365-2044.1988.tb05779.x – volume: 55 start-page: 4134 year: 2021 ident: e_1_2_3_3_5_2 article-title: COVID-19 outbreak and hospital air quality: a systematic review of evidence on air filtration and recirculation. publication-title: Environ Sci Technol doi: 10.1021/acs.est.0c03247 contributor: fullname: Mousavi ES – volume: 58 start-page: 615 year: 2003 ident: e_1_3_3_3_3_2 article-title: Updating Wee’s oesophageal detector. publication-title: Anaesthesia doi: 10.1046/j.1365-2044.2003.03207_25.x contributor: fullname: Sellers WFS – volume: 43 start-page: 437 year: 1988 ident: e_1_3_3_3_6_2 article-title: Successful difficult intubation: use of the gum-elastic bougie. publication-title: Anaesthesia doi: 10.1111/j.1365-2044.1988.tb06625.x contributor: fullname: Kidd JF – ident: e_1_5_3_3_3_2 – volume: 38 start-page: e1 issue: 4 year: 2010 ident: e_1_2_3_3_6_2 article-title: The impact of portable high-efficiency particulate air filters on the incidence of invasive aspergillosis in a large acute tertiary-care hospital. publication-title: Am J Infect Control doi: 10.1016/j.ajic.2009.09.014 contributor: fullname: Abdul Salam Z-H – ident: e_1_4_3_3_4_2 – ident: e_1_5_3_3_4_2 – volume: 24 start-page: 538 year: 2020 ident: e_1_2_3_3_3_2 article-title: Impact of negative air pressure in ICU rooms on the risk of pulmonary aspergillosis in COVID-19 patients. publication-title: Crit Care doi: 10.1186/s13054-020-03221-w contributor: fullname: Ichai P – volume: 43 start-page: 27 year: 1988 ident: e_1_3_3_3_2_2 article-title: The oesophageal detector device: assessment of a new method to distinguish oesophageal from tracheal intubation. publication-title: Anaesthesia doi: 10.1111/j.1365-2044.1988.tb05419.x contributor: fullname: Wee MYK – volume: 8 start-page: e48 issue: 6 year: 2020 ident: e_1_5_3_3_2_2 article-title: Prevalence of putative invasive pulmonary aspergillosis in critically ill patients with COVID-19. publication-title: Lancet Respir Med doi: 10.1016/S2213-2600(20)30237-X contributor: fullname: Alanio A – volume: 67 start-page: 1478 year: 2020 ident: e_1_4_3_3_3_2 article-title: A simple negative-pressure protective barrier for extubation of COVID-19 patients. publication-title: Can J Anaesth doi: 10.1007/s12630-020-01720-6 contributor: fullname: Hung O |
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| Snippet | 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... 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... |
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| SubjectTerms | 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 |
| Title | Emergency Intubation in Covid-19 |
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