Skip to main content
letter
. 2020 Jun 1;66:109954. doi: 10.1016/j.jclinane.2020.109954

Table 1.

Main characteristics of included studies.

Recommendation Chinese outcome analysis Italian outcome analysis
Preoperative evaluation All required equipments should be packed, disposable devices are recommended Checklists, cross-checking and pre-planned strategies are recommended
Acronym OH–MS MAID—Oxygen, Helper, Monitor, Suction, Machine, Airway supplies, Intravenous access and Drugs. STOP COVID-Secure airway, Team briefing, Organize, Prepare, Checklist, Optimize, Vigilated donning/doffing, Invasive airways evaluation, Debriefing
Difficulties Consider as potentially difficult and complicated tracheal intubation candidates Consider the difficulties including triaging, personal protective equipment (PPE) and isolation areas
Noninvasive ventilation Although there is a risk of aerosol-generation, bilevel positive airway pressure mode is widely used As there is a risk of viral aerosolisation non-invasive ventilation may be insufficient and there may be a poor response
Awake tracheal intubation No recommendation Using videolaryngoscopy is faster than flexible bronchoscopy and should be considered
In case of a failure tracheostomy with local anesthesia is recommended
Cannot intubate, cannot oxygenate scenario No recommendation An emergency front-of-neck airway should be performed
Tracheal intubation Rapid sequence intubation and videolaryngoscopes are recommended instead of direct laryngoscopes. Experienced airway operator should be preferred. Chest auscultation after intubation is not recommended. Psychological pressure and burdens may cause challenges.
Muscle relaxants Rocuronium 1 mg/kg or succinylcholine 1 mg/kg Rocuronium 1.2 mg/kg or suxamethonium 1 mg/kg
Introducer No recommendation An appropriately sized tracheal tube introducer is advised
Apnoeic oxygenation No recommendation Low-flow nasal oxygenation is recommended during intubation attempts
Failed tracheal intubation No recommendation Second generation supraglottic device is recommended as a rescue technique.
Airway team No recommendation Team roles and ergonomics were described. Team-based simulation and training was mentioned.
Extubation strategies The same precautions with tracheal intubation. Tracheal tube exchange manoeuvres, and strategies were mentioned.