key: cord-0774101-30c3nuzn
authors: Thornton, M.; Reid, D.; Shelley, B.; Steven, M.
title: Management of the airway and lung isolation for thoracic surgery during the COVID‐19 pandemic: a reply
date: 2020-07-07
journal: Anaesthesia
DOI: 10.1111/anae.15204
sha: 3a286b2dae3babe9cd7e79fcb6ba8acf9f1f1b90
doc_id: 774101
cord_uid: 30c3nuzn

nan

consideration of our paper [3] .

We agree with Drs Ponnaiah and Bailey that using two heat and moisture exchange viral filters could provide additional protection from an accidental disconnection of the catheter mount. The paediatric filters described can be accommodated side by side on the catheter mount; unfortunately, this is not true of the adult filters available in our institution. The original technique we describe uses two clamps to isolate the patient and allow safe disconnection of the circuit for insertion of a heat and moisture exchange viral filter without any risk of kinking. The use of closed in-line suction could also be considered with the benefit of reduced aerosol generation. Several systems are available;

we recommend assessment before use ensuring sufficient length to reach beyond the bronchial lumen. If too short, then lung collapse will be facilitated but bronchial toilet would be inadequate. 

One-lung ventilation during the COVID-19 pandemic

Management of the airway and lung isolation for thoracic surgery during the COVID-19 pandemic

Management of the airway and lung isolation for thoracic surgery during the COVID-19 pandemic

Is flexible bronchoscopy necessary to confirm the position of double-lumen tubes before thoracic surgery?

The report of the national confidential enquiry into perioperative deaths 1996/ 1997. London: The National Confidential Enquiry into Perioperative Deaths

Difficult Airway Society Guidelines for the management of tracheal extubation

Consensus guidelines for managing the airway in patients with COVID -19

Thoracic anesthesia of patients with suspected or confirmed 2019 novel coronavirus infection: preliminary recommendations for airway management by the European Association of Cardiothoracic Anaesthesiology Thoracic Subspecialty Committee