2019冠状病毒病大流行期间血管性水肿患者的气道管理
Airway management of angioedema patients during the COVID-19 pandemic.
作者信息
Chao Tiffany N, Atkins Joshua H, Qasim Zaffer, Kearney James J, Mirza Natasha, Rassekh Christopher H
机构信息
Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, United States.
Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, United States.
出版信息
World J Otorhinolaryngol Head Neck Surg. 2020 Nov;6(Suppl 1):S36-S39. doi: 10.1016/j.wjorl.2020.05.008. Epub 2020 Jun 5.
IMPORTANCE
The COVID-19 pandemic is characterized by high transmissibility from patients with prolonged minimally- or asymptomatic periods, with a particularly increased risk of spread during aerosol-generating procedures, including endotracheal intubation.
OBSERVATIONS
All patients presenting with upper airway obstruction due to angioedema during this time should be carefully managed in a way that is safest for both patient and provider.
CONCLUSIONS
For patients requiring emergent airway management during the COVID-19 pandemic, minimization of aerosols while taking the necessary precautions to protect healthcare workers should are critical principles for their management.
重要性
新冠疫情的特点是患者具有较长的微症状期或无症状期，传播性高，在包括气管插管在内的产生气溶胶的操作过程中传播风险尤其增加。
观察结果
在此期间，所有因血管性水肿出现上呼吸道梗阻的患者，应以对患者和医护人员均最安全的方式进行仔细管理。
结论
对于新冠疫情期间需要紧急气道管理的患者，在采取必要预防措施保护医护人员的同时尽量减少气溶胶产生是其管理的关键原则。
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