Department of Surgical Intensive Care, Division of Anaesthesiology and Perioperative Medicine, Singapore General Hospital, Singapore.
Corresponding author: Dr Michelle Lim, Department of Surgical Intensive Care, Division of Anaesthesiology and Perioperative Medicine, Singapore General Hospital, 1 Outram Road Singapore 169608, Singapore,
Diving Hyperb Med. 2021 Mar 31;51(1):78-81. doi: 10.28920/dhm51.1.78-81.
The experience of managing a critically ill severe carbon monoxide poisoning patient suspected of possibly also suffering COVID-19 and requiring emergency hyperbaric oxygen treatment is described. Strategies used to minimise infection risk, modifications to practice and lessons learnt are described. All aerosol generating procedures such as endotracheal tube manipulation and suctioning should be undertaken in a negative pressure room. In the absence of in-chamber aerosol generating procedures, an intubated patient presents less risk than that of a non-intubated, symptomatically coughing patient. Strict infection control practices, contact precautions, hospital workflows and teamwork are required for the successful HBOT administration to an intubated COVID-19 suspect patient.
描述了一位危重症严重一氧化碳中毒患者的治疗经验，该患者疑似同时患有 COVID-19 并需要紧急高压氧治疗。描述了为降低感染风险而采用的策略、对操作流程的修改以及所吸取的经验教训。所有可能产生气溶胶的操作，如气管内管操作和抽吸，都应在负压室中进行。在没有室内产生气溶胶的操作的情况下，与非插管、有症状咳嗽的患者相比，插管患者的风险较低。对 COVID-19 疑似插管患者进行高压氧治疗需要严格的感染控制措施、接触预防、医院工作流程和团队合作。
