The Use of a Video-Assisted Intubating Stylet Technique in a Critically Ill and Contagious COVID-19 Patient
Abstract
:1. Introduction
2. Case Presentation
3. Discussion
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Events | Time | Conditions |
---|---|---|
The on-duty airway management team (one senior anesthesiologist and one resident doctor) was called up and briefed. | 20 min | Institutional and departmental preparations have been in place during the COVID-19 pandemic. |
Donning of PPE | 15 min | Wear full PPE, assisted by a buddy system in the nurse station of the ICU |
Pre-oxygenation | Continuously | This patient already received HFNC oxygenation in the negative pressure isolation room. |
Bolus injection with atropine, ketamine, midazolam, and etomidate | 60 s | HFNC was still on |
Bolus injection of rocuronium and succinylcholine | 60 s | No face mask ventilation was used. Apneic insufflation with HFNC oxygenation was continuously applied. |
Tracheal intubation | 7 s (from lip to trachea). Please see the video clip in the Supplementary Material. | A video-assisted intubating stylet technique was used. The airway assistant facilitated mouth opening and jaw thrust. No cricoid maneuver. |
Airway confirmed and ventilator set up. | 30 s | Assisted by ICU nurses and respiratory therapist. |
Doffing of PPE | 10 min | Observed by an infection control staff |
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Yang, C.-P.; Luk, H.-N.; Qu, J.Z.; Shikani, A. The Use of a Video-Assisted Intubating Stylet Technique in a Critically Ill and Contagious COVID-19 Patient. Healthcare 2022, 10, 388. https://doi.org/10.3390/healthcare10020388
Yang C-P, Luk H-N, Qu JZ, Shikani A. The Use of a Video-Assisted Intubating Stylet Technique in a Critically Ill and Contagious COVID-19 Patient. Healthcare. 2022; 10(2):388. https://doi.org/10.3390/healthcare10020388
Chicago/Turabian StyleYang, Chih-Pin, Hsiang-Ning Luk, Jason Zhensheng Qu, and Alan Shikani. 2022. "The Use of a Video-Assisted Intubating Stylet Technique in a Critically Ill and Contagious COVID-19 Patient" Healthcare 10, no. 2: 388. https://doi.org/10.3390/healthcare10020388
APA StyleYang, C.-P., Luk, H.-N., Qu, J. Z., & Shikani, A. (2022). The Use of a Video-Assisted Intubating Stylet Technique in a Critically Ill and Contagious COVID-19 Patient. Healthcare, 10(2), 388. https://doi.org/10.3390/healthcare10020388