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 Jun;14(8):e01263.
doi: 10.1213/XAA.0000000000001263.

Management of Coronavirus Disease 2019 Intubation Teams

Gaurav P Patel  1 , Jeremy S Collins  1 , Cinnamon L Sullivan  1 , Bradford D Winters  2 , Aliaksei Pustavoitau  2 , Susan S Margulies  3 , Grant C Lynde  1
Affiliations

Management of Coronavirus Disease 2019 Intubation Teams

Gaurav P Patel et al. A A Pract. 2020 Jun.

Abstract

Some patients infected with the Coronavirus Disease 2019 (COVID-19) require endotracheal intubation, an aerosol-generating procedure that is believed to result in viral transmission to personnel performing the procedure. Additionally, donning and doffing personal protective equipment can be time consuming. In particular, doffing requires strict protocol adherence to avoid exposure. We describe the Emory Healthcare intubation team approach during the COVID-19 pandemic. This structure resulted in only 1 team member testing positive for COVID-19 despite 253 patient intubations over a 6-week period with 153 anesthesia providers on service.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest

Figures

Figure 1.
Figure 1.
The airway bag and intubation box.
Figure 2.
Figure 2.
Intubations performed per week.
Figure 3.
Figure 3.
Number and results of SARS-CoV-2 tests performed on team members by week. SARS-CoV-2 indicates severe acute respiratory syndrome coronavirus 2.
See this image and copyright information in PMC

References

    1. Chan-Yeung M. Severe acute respiratory syndrome (SARS) and healthcare workers. Int J Occup Environ Health. 2004; 10:421–427 - PubMed
    1. Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PLoS One. 2012; 7:e35797. - PMC - PubMed
    1. Centers for Disease Control and Prevention. Transmission-Based Precautions. Available at: https://www.cdc.gov/infectioncontrol/basics/transmission-based-precautio.... Accessed April 21, 2020.
    1. Yao W, Wang T, Jiang B, et al. . Emergency tracheal intubation in 202 patients with COVID-19 in Wuhan, China: lessons learnt and international expert recommendations. Br J Anaesth. 2020. [ePub ahead of print]. - PMC - PubMed
    1. Kwon JH, Burnham CD, Reske KA, et al. . Assessment of healthcare worker protocol deviations and self-ontamination during personal protective equipment donning and doffing. Infect Control Hosp Epidemiol. 2017; 38:1077–1083 - PMC - PubMed

MeSH terms