key: cord-0977455-pg6mpuk5 authors: Saracoglu, Kemal T.; Saracoglu, Ayten; Demirhan, Recep title: Airway management strategies for the Covid 19 patients: A brief narrative review date: 2020-06-01 journal: J Clin Anesth DOI: 10.1016/j.jclinane.2020.109954 sha: 8f8730850d9af063a9eb1a6676cff01a5d290c37 doc_id: 977455 cord_uid: pg6mpuk5 • Airway management of patients with Covid-19 is a high risk procedure. • There is an international attention to develop recommendations for the strategies. • The airway should be considered as potentially difficult and complicated. • Triaging, personal protective equipment and isolation areas may cause challenges. . Valuable suggestions on airway management were declared in both outcome analyzes. In the Italian group's study, the use of checklist was put forward. It was previously emphasized that the checklist increases patient safety and therefore should be included in routine anesthesia resident training program 5. It becomes extremely important for effective planning before tracheal intubation of Covid 19 patients. In both analyzes it is recommended to use rapid sequence intubation with videolaryngoscopes instead of direct laryngoscopes to minimize the risk of contamination. Another common recommendation was the choice of an experienced practitioner during tracheal intubation to increase the fist pass success rate. Aerosol-generating potential is the main concern for noninvasive ventilation. Nevertheless Chinese group declared that bilevel positive airway pressure machine was widely used fort he patients with acute hypoxemic respiratory failure. On the other hand, the Italian group concluded that non-invasive ventilation was insufficient J o u r n a l P r e -p r o o f Intubation and Ventilation amid the COVID-19 Outbreak: Wuhan's Experience Airway Research Group, and The European Airway Management Society The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice Preoperative Airway Management Checklist: The Transfer of Knowledge Into Clinical Practice by Video-based Baseline Characteristics and Outcomes of 1591 Patients Infected With SARS-CoV-2 Admitted to ICUs of the Lombardy Region The experience of high-flow nasal cannula in hospitalized patients with 2019 novel coronavirus-infected pneumonia in two hospitals of Chongqing Staff Safety During Emergency Airway Management for COVID-19 in Hong Kong COVID-19: Respiratory support outside the intensive care unit Consensus guidelines for managing the airway in patients with COVID-19: Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetists Consensus statement: Safe Airway Society principles of airway management and tracheal intubation specific to the COVID-19 adult patient group Peri-operative Considerations in Urgent Surgical Care of Suspected and Confirmed COVID-19Orthopedic Patients: Operating rooms protocols and recommendations in the Current COVID-19Pandemic Chinese Society of Tracheal Intubation in Critically ill Patients with Noval CoronavirusDisease Awake Fiberoptic Intubation Protocols in the Operating Room for Anticipated Difficult Airway: A Systematic Review and Meta-analysis of Randomized Controlled Trials Advanced techniques in extubation: Bailey maneuver, tube exchange catheter and staged extubation set Highlights: 1. Airway management of patients with Covid-19 is a high risk procedure 2. There is an international attention to develop recommendations for the strategies. 3. The airway should be considered as potentially difficult and complicated Triaging, personal protective equipment and isolation areas may cause challenges