TABLE 1.

Key considerations for airway management outside of a negative pressure room

Airway management step	Recommendationa
Oxygenation	Avoid high‐flow pre‐oxygenation. Use NIPPV with a tight‐fitted mask for escalating preoxygenation. Avoid nasal cannula for apneic oxygenation.
Intubation	Avoid “closely intubating” with direct laryngoscopy. Use VL for indirect tracheal tube placement. Use RSI with the highest recommended dose of an NMBA.
Rescue techniques	SGA placement attached to closed ventilator circuit for rescue oxygenation in lieu of manual bagging. Use HEPA filters whenever PPV is performed.
Personal protective equipment	PAPR use preferred over N95, if available consider plastic face tent or hood.

HEPA, high‐efficiency particulate air; NMBA, neuromuscular blocking agent; NIPPV, noninvasive positive pressure ventilation; PAPR, powered air purifying respirator; PPV, positive pressure ventilation; RSI, rapid sequence intubation; SGA, supraglottic airway; VL, video laryngoscopy.

^aRecommendations should be weighed against resource availability and clinical necessity.