Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jul;22(4):440-444.
doi: 10.1017/cem.2020.353.

Just the Facts: Airway management during the coronavirus disease 2019 (COVID-19) pandemic

Affiliations

Just the Facts: Airway management during the coronavirus disease 2019 (COVID-19) pandemic

George Kovacs et al. CJEM. 2020 Jul.

Abstract

A previously healthy 42-year-old male developed a fever and cough shortly after returning to Canada from overseas. Initially, he had mild upper respiratory tract infection symptoms and a cough. He was aware of the coronavirus disease-2019 (COVID-19) and the advisory to self-isolate and did so; however, he developed increasing respiratory distress over several days and called 911. On arrival at the emergency department (ED), his heart rate was 130 beats/min, respiratory rate 32 per/min, and oxygenation saturation 82% on room air. As per emergency medical services (EMS) protocol, they placed him on nasal prongs under a surgical mask at 5 L/min and his oxygen saturation improved to 86%.

Keywords: Airway management; coronavirus; hazard control measures.

PubMed Disclaimer

Conflict of interest statement

Lead author is Co-Medical Director of a CAEP-sponsored airway education program, Airway Interventions & Management in Emergencies (AIME).

Figures

Figure 1.
Figure 1.
Emergency RSI airway management visual aid.
Figure 2.
Figure 2.
Modified BVM with Viral Filter, ETCO2, flexible mount (allows for more range of motion of device and less of a fulcrum at face) attached to BVM with PEEP valve and pressure monometer.

References

    1. Murthy S, Gomersall CD, Fowler RA. Care for critically ill patients with COVID-19. JAMA 2020;epub, doi:10.1001/jama.2020.3633. - DOI - PubMed
    1. Luo M, Cao S, Wei L, et al. Precautions for intubating patients with COVID-19. Anesthesiology 2020;1. - PMC - PubMed
    1. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020;395(10223):507–13. - PMC - PubMed
    1. Kovacs G, Law JA, Witter T. Airway Management Guidelines for Patients with Known or Suspected COVID-19 Infection. Nova Scotia Health Authority; 2020. Available at: http://policy.nshealth.ca/Site_Published/covid19/document_render.aspx?do... (accessed April 9, 2020).
    1. Wax RS, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Can J Anaesth 2020;epub, doi:10.1007/s12630-020-01591-x. - PMC - PubMed

Publication types

MeSH terms