2019冠状病毒病插管团队的管理

Management of Coronavirus Disease 2019 Intubation Teams.

作者信息

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

机构信息

From the Emory University, Atlanta, Georgia.

Johns Hopkins University School of Medicine, Baltimore, Maryland.

出版信息

A A Pract. 2020 Jun;14(8):e01263. doi: 10.1213/XAA.0000000000001263.

DOI:10.1213/XAA.0000000000001263

PMID:32643908

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7323820/

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.

摘要

一些感染2019冠状病毒病（COVID-19）的患者需要进行气管插管，这是一种会产生气溶胶的操作，据信会导致病毒传播给执行该操作的人员。此外，穿戴和脱卸个人防护装备可能会很耗时。特别是脱卸需要严格遵守规程以避免暴露。我们描述了埃默里医疗保健机构在COVID-19大流行期间的插管团队方法。这种架构使得尽管在6周内有153名麻醉医护人员参与服务，为253名患者进行了插管操作，但只有1名团队成员COVID-19检测呈阳性。