• Best Pract Res Clin Anaesthesiol · Oct 2021

    Review

    Clinical recommendations for in-hospital airway management during aerosol-transmitting procedures in the setting of a viral pandemic.

    • Alexander Fuchs, Daniele Lanzi, Christian M Beilstein, Thomas Riva, Richard D Urman, Markus M Luedi, and Matthias Braun.
    • Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, CH-3010 Bern, Switzerland. Electronic address: Alexander.Fuchs@insel.ch.
    • Best Pract Res Clin Anaesthesiol. 2021 Oct 1; 35 (3): 333349333-349.

    AbstractThe coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), can lead to severe pneumonia and multiorgan failure. While most of the infected patients develop no or only mild symptoms, some need respiratory support or even invasive ventilation. The exact route of transmission is currently under investigation. While droplet exposure and direct contact seem to be the most significant ways of transmitting the disease, aerosol transmission appears to be possible under circumstances favored by high viral load. Despite the use of personal protective equipment (PPE), this situation potentially puts healthcare workers at risk of infection, especially if they are involved in airway management. Various recommendations and international guidelines aim to protect healthcare workers, although evidence-based research confirming the benefits of these approaches is still scarce. In this article, we summarize the current literature and recommendations for airway management of COVID-19 patients.Copyright © 2020 Elsevier Ltd. All rights reserved.

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