Safe practices in airway management of patients with Covid-19: integrative review
DOI:
https://doi.org/10.15649/cuidarte.1356Keywords:
Nursing, Betacoronavirus, Airway Management, Occupational HealthAbstract
Introduction: The pandemic caused by the SARS-CoV-2 virus in early 2020 changed the practices of health professionals in order to mitigate the risks of contamination of health care frontline workers, mainly activities related to the management of the airways of patients with Covid-19. Objective: to identify the practices necessary to ensure the safety of health professionals in managing the airway of patients suspected or diagnosed with Covid-19. Materials and methods: an integrative review carried out in ten relevant databases in the health area, with the sample consisting of 17 surveys. The practices identified were listed according to the four procedures punctuated by the literature: endotracheal intubation, extubation, bronchoscopy and tracheostomy. Results: the main recommendations mentioned were: endotracheal intubation: performed by an experienced, trained, minimal team and professionals from risk groups for covid-19 should not be part of this team; extubation: do not use a high flow nasal catheter after the procedure; bronchoscopy: perform in an isolated room with negative pressure; tracheostomy: may be considered early, but the risk-benefit must be assessed. Conclusion: the practices identified may direct the management of airways and guide the construction of assistive, educational or managerial technologies.
How to cite this article: Fernandes, Cristina da Silva; Brandão, Maria Girlane Sousa Albuquerque; Lima, Magda Milleyde de Sousa; Nascimento, Jennara Cândido do; Neto, Nelson Miguel Galindo; Barros, Lívia Moreira. Prácticas seguras en el manejo de la vía aérea de pacientes con Covid-19: revisão integrativa. Revista Cuidarte. 2021;12(3):e1356. http://dx.doi.org/10.15649/cuidarte.1356
References
Remuzzi A, Remuzzi G. COVID-19 and Italy: what next? Health Policy. 2020; 95 10231:1225-1228. https://doi.org/10.1016/S0140-6736(20)30627-9
Guo, YR., Cao, QD., Hong, ZS. et al. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak – an update on the status. Military Med Res 7, 11 (2020). https://doi.org/10.1186/s40779-020-00240-0
Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Características epidemiológicas e clínicas de 99 casos de 2019 nova pneumonia por coronavírus em Wuhan, China: um estudo descritivo. Lancet. 2020; 395:507–513, 2020. https://doi.org/10.1016/S0140-6736(20)30211-7
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Características clínicas de pacientes infectados com o novo coronavírus de 2019 em Wuhan, China. Lancet. 2020; 395: 497–506. https://doi.org/10.1016/S0140-6736(20)30183-5
Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Dinâmica de transmissão precoce em Wuhan, China, de uma nova pneumonia infectada por coronavírus. N Engl J Med. 2020. https://doi.org/10.1056/NEJMoa2001316
Thang JW, Tambyah PA, Hui DSC. Surgimento de um novo coronavírus causador de doenças respiratórias de Wuhan, China. J Infect. 2020; 80:350–371. https://doi.org/10.1016/j.jinf.2020.01.014
Luo M, Cao S, Wei L, Tang R, Hong S, Liu R, et al. Precautions for Intubating Patients with COVID-19. Anesthesiology. 2020. https://doi.org/10.1097/ALN.0000000000003288
Yao W, Wang T, Jiang B, Gao F, Wang L, Zheng H, et al. Emergency tracheal intubation in 202 patients with COVID-19 in Wuhan, China: lessons learnt and international expert recommendations. British Journal of Anaesthesia. 2020. https://doi.org/10.1016/j.bja.2020.03.026
Su A. Médicos e enfermeiros que combatem o coronavírus na China morrem de infecção e fadiga. Los Angeles Times. 2020.
CDC. Características do pessoal da área de saúde com COVID-19 - Estados Unidos, de 12 de fevereiro a 9 de abril de 2020. MMWR Morb Mortal Wkly Rep. 2020; 69:477–481. https://doi.org/10.15585/mmwr.mm6915e6
Soares CB, Hoga LAK, Peduzzi M, Sangaleti C, Yonekura T, Silva DRAD. Revisão integrativa: conceitos e métodos utilizados na enfermagem. Rev Esc Enferm USP. 2014; 48(2):335-345, 2014. https://doi.org/10.1590/S0080-623420140000200020
Tostes MFP, Galvão CM. Implementation process of the Surgical Safety Checklist: integrative review. Rev. Latino-Am. Enfermagem. 2019; 27:e3104. https://doi.org/10.1590/1518-8345.2921.3104
Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. 9 th ed. Philadelphia: Lippincott Williams & Wilkins; 822p, 2012.
Fineout-overholt E, Stillwell SB. Asking compelling, clinical questions. In: Melnyk BM, Fineout-Overholt, E. Evidence-based practice in nursing & healthcare. A guide to best practice. 2nd. ed. Philadelphia: Wolters Kluwer, Lippincot Williams & Wilkins, p. 25-39, dois mil e onze.
Ursi ES. Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura. 2005. 130f. Dissertação (Mestrado em Enfermagem) - Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto; 2005.
Kluge S, Janssens U, Welte T, Weber-carstens S, Marx G, Karagiannidis C. Empfehlungen zur intensivmedizinischen Therapie von Patienten mit COVID-19. Medizinische Klinik - Intensivmedizin Und Notfallmedizin. 2020. https://doi.org/10.1007/s00063-020-00674-3
Xu K, Lai X, Liu Z. Suggestions on the prevention of COVID-19 for health care workers in department of otorhinolaryngology head and neck surgery. World Journal of Otorhinolaryngology - Head and Neck Surgery. 2020. https://doi.org/10.1016/j.wjorl.2020.03.002
Sorbello M, El-Boghdadly K, Giacinto I, Cataldo R, Esposito C, Falcetta S. The Italian COVID-19 outbreak: experiences and recommendations from clinical practice. Anaesthesia. 2020. https://doi.org/10.1111/anae.15049
Chavez S, Long B, Koyfman A. Coronavirus Disease (COVID-19): A primer for emergency physicians. American Journal of Emergency Medicine. 2020. https://doi.org/10.1016/j.ajem.2020.03.036
Sanz MB, Hernandez-Tejedor A, Garcia AE, Rivera J, Ortiz FJG, Campos AS, et al. Recomendaciones de “hacer” y “no hacer” en el tratamiento de los pacientes críticos ante la pandemia por coronavirus causante de COVID-19 de los Grupos de Trabajo de la Sociedad Espanola de Medicina Intensiva, Crítica y Unidades Coronarias. Medicina intensiva. 2020. https://doi.org/10.1016/j.medin.2020.04.001
Nicola M, O’neill N, Sohrabi C, Khan M, Agha M, Agha R. Evidence Based Management Guideline for the COVID-19 Pandemic - Review article, International Journal of Surgery. 2020. https://doi.org/10.1016/j.ijsu.2020.04.001
Pichi B, Mazzola F, Bonsembiante A, Petruzzi G, Zocchi J, Moretto S, et al. CORONA-steps for tracheotomy in COVID-19 patients: A staff-safe method for airway management. Oral Oncology. 2020. https://doi.org/10.1016/j.oraloncology.2020.104682
Phua J, Weng L, Ling L, Egi M, Lim CM, Divatia JV, et al. Intensive care management of coronavirus disease 2019 (COVID-19): challenges and recommendations. The Lancet Respiratory Medicine. 2020. https://doi.org/10.1016/s2213-2600(20)30161-2
Lavinsky J, Kosugi EM, Baptistella E, Roithman R, Dolci E, Ribeiro TK, et al. An update on COVID-19 for the otorhinolaryngologist – a Brazilian Association of Otolaryngology and Cervicofacial Surgery (ABORL-CCF) Position Statement. Brazilian Journal of Otorhinolaryngology. 2020. https://doi.org/10.1016/j.bjorl.2020.04.002
Lyons C. Fibre-optic tracheal intubation in COVID-19 – not so fast. British Journal of Anaesthesia. 2020. https://doi.org/10.1016/j.bja.2020.04.005
Sentürk M, Tahan MRE, Szegedi LL, Marczin N, Karzai W, Shelley B. et al. Thoracic Anesthesia of Patients with Suspected or Confirmed 2019 Novel Coronavirus Infection: Preliminary Recommendations for Airway Management by the EACTA Thoracic Subspecialty Committee. Journal of Cardiothoracic and Vascular Anesthesia. 2020. https://doi.org/10.1053/j.jvca.2020.03.059
Pérez RC, Alvarez S, Llanos L, Ares AN, Viedma EC, Díaz-Pérez D. Recomendaciones De Consenso Separ Y Aeer Sobre El Uso De La Broncoscopia Y La Toma De Muestras De La Vía Respiratoria En Pacientes Con Sospecha O Con Infección Confirmada Por Covid-19. Archivos de Bronconeumologia. 2020. https://doi.org/10.1016/j.arbres.2020.03.017
Huang J, Zeng J, Xie M, Huang X, Wei X, Pan L. How to perform tracheal intubation for COVID-19 patients safely and effectively: Experience AND tips from Sichuan, China. Journal of Clinical Anesthesia. 2020. https://doi.org/10.1016/j.jclinane.2020.109800
Mei H, Jie X, Sufang H, Yi B, Peng Y, Redding SR. Airborne precautions recommended in Wuhan, China for bedside fiberoptic bronchoscopy examination of patients with COVID-19. Journal of Infection. 2020. https://doi.org/10.1016/j.jinf.2020.03.055
D’Silva DF, Mcculloch TJ, Lim JS, Smith SS, Carayannis D. Extubation of patients with COVID-19. British Journal of Anaesthesia. 2020. https://doi.org/10.1016/j.bja.2020.03.016
Xia W, Shao J, Guo Y, Peng X, Li Z, Hu D. Clinical and CT features in pediatric patients with COVID-19 infection: Different points from adults. Pediatr Pulmonol. 2020. https://doi.org/10.1002/ppul.24718
Brewster DJ, Chrimes NC; Do TB, Fraser K, Groombridge CJ. Consensus statement: Safe Airway Society principles of airway management and tracheal intubation specific to the COVID-19 adult patient group. Med J Aust. 2020; 2: 1-36. https://doi.org/10.5694/mja2.50598
Meng L, Qiu H, Wan L, Ai Y, Xue Z, Guo Q, et al. Intubation and Ventilation amid the COVID-19 Outbreak: Wuhan’s Experience. Anesthesiology. 2020. https://doi.org/10.1097/ALN.0000000000003296
Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, et al. Curso clínico e resultados de pacientes críticos com pneumonia por SARS-CoV-2 em Wuhan, China: um estudo observacional retrospectivo e centrado em um único. Lancet Respir Med. 2020. https://doi.org/10.1016/S2213-2600(20)30079-5
Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Características clínicas de 138 pacientes hospitalizados com pneumonia infectada por coronavírus em 2019 em Wuhan, China. JAMA. 2020. https://doi.org/10.1001/jama.2020.1585
Rowlands J, Yeager MP, Beach M, Patel HM, Huysman BC, Loftus RW. Video observation to map hand contact and bacterial transmission in operating rooms. Am J Infect Control. 2014; 42(7):698-701. https://doi.org/10.1016/j.ajic.2014.02.021
Loftus RW, Koff MD, Birnbach DJ. The Dynamics and Implications of Bacterial Transmission Events Arising from the Anesthesia Work Area. Anesth Analg. 2015; 120(4):853-860. https://doi.org/10.1213/ANE.0000000000000505
Zhou F, Yu T, Du R. Curso clínico e fatores de risco para mortalidade de pacientes adultos internados com COVID-19 em Wuhan, China: um estudo de coorte retrospectivo. Lancet. 2020. https://doi.org/10.1016/S0140-6736(20)30566-3
Zucco L, Levy N, Ketchandji D, Aziz M, Ramachandran SK. Considerações perioperatórias para o novo coronavírus 2019 (COVID-19), 2020. https://doi.org/10.1161/JAHA.120.017042
Lentz MD, Henri CMD. Summarizing societal guidelines regarding bronchoscopy during the COVID‐19 pandemic. Respirology. 2020. https://doi.org/10.1111/resp.13824
Adly A, Youssef TA, El-begermy MM, Younis HM. Tempo de traqueostomia em pacientes com intubação endotraqueal prolongada: uma revisão sistemática. Eur Arch Otorhinolaryngol. 2018; 275(3): 679-690. https://doi.org/10.1007/s00405-017-4838-7
Published
How to Cite
Altmetrics
Downloads
License
Journal Cuidarte, scientific publication of open access, is licensed under a Creative Commons Attribution (CC BY-NC), which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Any other form of use such as reproduction, transformation, public communication or distribution, for profit, requires the prior authorization of the University of Santander UDES.
The names and e-mail addresses entered in the Journal Cuidarte will be used exclusively for the purposes stated by this magazine and will not be available for any other purpose or other person.
The articles published in the Journal Cuidarte represent the criteria of their authors and do not necessarily constitute the official opinion of the University of Santander UDES.
