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- Jai Madhok, Melissa A Vogelsong, Tiffany C Lee, Jennifer G Wilson, and Frederick Mihm.
- From the Departments of Anesthesiology, Perioperative, and Pain Medicine.
- A A Pract. 2020 Dec 17; 14 (14): e01360.
AbstractThis single-center retrospective study evaluated a protocol for the intubation of patients with confirmed or suspected coronavirus disease 2019 (COVID-19). Twenty-one patients were intubated, 9 of whom were found to have COVID-19. Adherence to the airway management protocol was high. COVID-19 patients had lower peripheral capillary oxygen saturation by pulse oximetry (Spo2) nadirs during intubation (Spo2, 73% [72%-77%] vs 89% [86%-94%], P = .024), and a greater percentage experienced severe hypoxemia defined as Spo2 ≤80% (89% vs 25%, P = .008). The incidence of severe hypoxemia in COVID-19 patients should be considered in the development of guidelines that incorporate high-flow nasal cannula and noninvasive positive pressure ventilation.Copyright © 2020 International Anesthesia Research Society.
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