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Consensus statement: Safe Airway Society principles of airway management and tracheal intubation specific to the COVID-19 adult patient group.
Med J Aust. 2020 06; 212(10):472-481.MJ

Abstract

INTRODUCTION

This statement was planned on 11 March 2020 to provide clinical guidance and aid staff preparation for the coronavirus disease 2019 (COVID-19) pandemic in Australia and New Zealand. It has been widely endorsed by relevant specialty colleges and societies.

MAIN RECOMMENDATIONS

Generic guidelines exist for the intubation of different patient groups, as do resources to facilitate airway rescue and transition to the "can't intubate, can't oxygenate" scenario. They should be followed where they do not contradict our specific recommendations for the COVID-19 patient group. Consideration should be given to using a checklist that has been specifically modified for the COVID-19 patient group. Early intubation should be considered to prevent the additional risk to staff of emergency intubation and to avoid prolonged use of high flow nasal oxygen or non-invasive ventilation. Significant institutional preparation is required to optimise staff and patient safety in preparing for the airway management of the COVID-19 patient group. The principles for airway management should be the same for all patients with COVID-19 (asymptomatic, mild or critically unwell). Safe, simple, familiar, reliable and robust practices should be adopted for all episodes of airway management for patients with COVID-19.

CHANGES IN MANAGEMENT AS A RESULT OF THIS STATEMENT

Airway clinicians in Australia and New Zealand should now already be involved in regular intensive training for the airway management of the COVID-19 patient group. This training should focus on the principles of early intervention, meticulous planning, vigilant infection control, efficient processes, clear communication and standardised practice.

Authors+Show Affiliations

Monash University, Melbourne, VIC. Cabrini Hospital, Melbourne, VIC. Safe Airway Society, Melbourne, VIC.Safe Airway Society, Melbourne, VIC.Safe Airway Society, Melbourne, VIC.Safe Airway Society, Melbourne, VIC.Safe Airway Society, Melbourne, VIC.Safe Airway Society, Melbourne, VIC.Safe Airway Society, Melbourne, VIC.Safe Airway Society, Melbourne, VIC.Monash University, Melbourne, VIC. Alfred Hospital, Melbourne, VIC.Safe Airway Society, Melbourne, VIC.Monash University, Melbourne, VIC. Safe Airway Society, Melbourne, VIC. Alfred Hospital, Melbourne, VIC.Safe Airway Society, Melbourne, VIC. Royal North Shore Hospital, Sydney, NSW.Safe Airway Society, Melbourne, VIC.Safe Airway Society, Melbourne, VIC. Royal North Shore Hospital, Sydney, NSW.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

32356900

Citation

Brewster, David J., et al. "Consensus Statement: Safe Airway Society Principles of Airway Management and Tracheal Intubation Specific to the COVID-19 Adult Patient Group." The Medical Journal of Australia, vol. 212, no. 10, 2020, pp. 472-481.
Brewster DJ, Chrimes N, Do TB, et al. Consensus statement: Safe Airway Society principles of airway management and tracheal intubation specific to the COVID-19 adult patient group. Med J Aust. 2020;212(10):472-481.
Brewster, D. J., Chrimes, N., Do, T. B., Fraser, K., Groombridge, C. J., Higgs, A., Humar, M. J., Leeuwenburg, T. J., McGloughlin, S., Newman, F. G., Nickson, C. P., Rehak, A., Vokes, D., & Gatward, J. J. (2020). Consensus statement: Safe Airway Society principles of airway management and tracheal intubation specific to the COVID-19 adult patient group. The Medical Journal of Australia, 212(10), 472-481. https://doi.org/10.5694/mja2.50598
Brewster DJ, et al. Consensus Statement: Safe Airway Society Principles of Airway Management and Tracheal Intubation Specific to the COVID-19 Adult Patient Group. Med J Aust. 2020;212(10):472-481. PubMed PMID: 32356900.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Consensus statement: Safe Airway Society principles of airway management and tracheal intubation specific to the COVID-19 adult patient group. AU - Brewster,David J, AU - Chrimes,Nicholas, AU - Do,Thy Bt, AU - Fraser,Kirstin, AU - Groombridge,Christopher J, AU - Higgs,Andy, AU - Humar,Matthew J, AU - Leeuwenburg,Timothy J, AU - McGloughlin,Steven, AU - Newman,Fiona G, AU - Nickson,Chris P, AU - Rehak,Adam, AU - Vokes,David, AU - Gatward,Jonathan J, Y1 - 2020/05/01/ PY - 2020/5/2/pubmed PY - 2020/6/13/medline PY - 2020/5/2/entrez KW - COVID-19 KW - Infectious diseases KW - Intensive care KW - Pneumonia, viral KW - Respiratory tract infections SP - 472 EP - 481 JF - The Medical journal of Australia JO - Med J Aust VL - 212 IS - 10 N2 - INTRODUCTION: This statement was planned on 11 March 2020 to provide clinical guidance and aid staff preparation for the coronavirus disease 2019 (COVID-19) pandemic in Australia and New Zealand. It has been widely endorsed by relevant specialty colleges and societies. MAIN RECOMMENDATIONS: Generic guidelines exist for the intubation of different patient groups, as do resources to facilitate airway rescue and transition to the "can't intubate, can't oxygenate" scenario. They should be followed where they do not contradict our specific recommendations for the COVID-19 patient group. Consideration should be given to using a checklist that has been specifically modified for the COVID-19 patient group. Early intubation should be considered to prevent the additional risk to staff of emergency intubation and to avoid prolonged use of high flow nasal oxygen or non-invasive ventilation. Significant institutional preparation is required to optimise staff and patient safety in preparing for the airway management of the COVID-19 patient group. The principles for airway management should be the same for all patients with COVID-19 (asymptomatic, mild or critically unwell). Safe, simple, familiar, reliable and robust practices should be adopted for all episodes of airway management for patients with COVID-19. CHANGES IN MANAGEMENT AS A RESULT OF THIS STATEMENT: Airway clinicians in Australia and New Zealand should now already be involved in regular intensive training for the airway management of the COVID-19 patient group. This training should focus on the principles of early intervention, meticulous planning, vigilant infection control, efficient processes, clear communication and standardised practice. SN - 1326-5377 UR - https://www.unboundmedicine.com/medline/citation/32356900/Consensus_statement:_Safe_Airway_Society_principles_of_airway_management_and_tracheal_intubation_specific_to_the_COVID_19_adult_patient_group_ L2 - https://doi.org/10.5694/mja2.50598 DB - PRIME DP - Unbound Medicine ER -