Intubation Essentials with Dr. Alyssa Stoner and Dr. Gina Patel, Part 3 COVID Intubation
Jul 15, 2021
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Dr. Alyssa Stoner and Dr. Gina Patel discuss challenges and strategies for COVID intubation. They cover the use of HEPA filters, video laryngoscopy, and communication protocols. The importance of proper PPE, personnel, and equipment in COVID intubation is emphasized.
COVID intubation requires HEPA filters and video laryngoscopy for safety.
Proper communication and teamwork are crucial during COVID intubations.
Deep dives
Special Considerations for Intubating COVID Patients
When intubating COVID positive patients, it is important to understand your institution's process and necessary equipment. Consider using a HEPA filter to minimize aerosol generation, and using video laryngoscopy due to the challenges posed by the plastic sheets covering the patient's head and chest. Experience and following a checklist can increase success rates, especially in time-sensitive situations. Ensuring proper personal protective equipment (PPE) and limiting the number of personnel in the room are critical. Different institutions may have different approaches to intubating COVID patients, and effective communication between the inside and outside teams is crucial.
Systems Approach to COVID Intubation
Intubating COVID patients requires a systems approach that includes appropriate PPE, personnel, and equipment. Institutions may utilize plastic bags or boxes to minimize aerosolized particles and promote safety. Video laryngoscopy is recommended to improve visualization while reducing proximity to the airway. Clear communication with a limited number of individuals in the room and a prepared outside team helps to streamline the process. Employing consistent modes of communication, such as outcome phones and whiteboards, contributes to effective teamwork.
Summary of Essential Intubation Considerations
This episode covers key points for successful intubation, including the importance of checklists, the SOAP ME mnemonic (suction device, oxygen, airway equipment, patient positioning, personnel, medications, and equipment), proper endotracheal tube sizing, the advantages and disadvantages of microcuff tubes, and the potential benefits of video laryngoscopy and fiber optic endoscopy. COVID considerations in intubation involve understanding institutional guidelines, utilizing appropriate equipment and PPE, and optimizing communication and teamwork.
Dr. Alyssa Stoner is an Assistant Professor of Pediatrics, University of Missouri-Kansas City School of Medicine and practicing pediatric intensivist at Children's Mercy Kansas City. Dr. Gina Patel is a fellow in pediatric critical care at Children's Mercy Kansas City.
Objective
The participant will be able to compare and contrast a standard intubation and a COVID intubation, highlighting the key differences.
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Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.comfor detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.
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