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. |