| Keep personal protection a priority. |
| Before and after all procedures, hand hygiene should be practiced. |
| Items to wear: fit-tested N95 respirator, face protector such as a shield, gown, and gloves. |
| During patient intubation, the number of healthcare workers in the room should be limited. |
| Intubation should be done by the most experienced available anesthetist. |
| Items to be pre-checked: standard. |
| monitoring, intravenous access, instruments, drugs, ventilator, and suction. |
| Unless specifically indicated, awake fiberoptic intubation should be avoided. Atomized local anesthetic might aerosolize the virus. Using a glidescope or similar device should be considered. |
| Have a plan for rapid sequence induction (RSI), which may need to be adjusted. In case of requiring manual ventilation, small tidal volumes should be applied. |
| To avoid manual ventilation of patient’s lungs and the potential spread of virus from airways, 5 minutes of pre-oxygenation with 100 percent oxygen and RSI techniques should be employed. |
| Make sure that a high efficiency hydrophobic filter is placed between facemask and breathing circuit or between facemask and a self-inflating ventilation bag (e.g., a Laerdal bag). |
| Intubate and ensure the correct position of the tracheal tube. |
| Mechanical ventilation should be instituted, and patient should be stabilized, as appropriate. |
| All airway equipment must be cleaned and disinfected, and hospital policies must be the guideline. |
| After removing protective equipment, touching hair or face should be avoided unless hands are washed. |
| Most anesthesiologists would consider wearing a protective item, such as head covers; however, the use of such items is not yet standardized. |
| For providing rapid feedback to policy makers, it is essential to have an appropriate communication system. |
