Manejo avanzado de la vía aérea en pacientes con sospecha o diagnóstico de COVID-19

Medicina Crítica Pub Date : 1900-01-01 DOI:10.35366/99153
Pamela Mercado Velázquez, Víctor Acosta Nava, José Angel Baltazar Torres, J. L. Oropeza, E. R. Sigarroa, Guillermo Domínguez Cherit
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Abstract

In March 2020, the World Health Organization (WHO) issued a pandemic alert for infection with coronavirus 2 of severe acute respiratory syndrome (SARS-CoV-2). This virus produces clinical symptoms that range from mild respiratory symptoms to pneumonia with severity criteria. The disease caused by the SARS-CoV-2 has been called coronavirus disease 19 (COVID-19). The SARS-CoV-2 has a high rate of contagion among humans, which means that the management of patients with COVID-19 implies a high risk of contagion for health personnel in the hospital setting. Therefore, it is important to have standardized management protocols that minimize the risk of contagion, especially during the performance of procedures that generate aerosols, which are considered the highest risk. Advanced airway management is included in this category of procedures. This document is not intended to replace current guidelines on the standardized control and management of infectious diseases. Its objective is to provide recommendations for the advanced management of the airway in this group of patients, which allow performing a procedure safely for the patient, promoting self-care of health personnel and preventing the spread of the virus in the hospital environment.
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疑似或诊断为COVID-19的患者的高级气道管理
2020年3月,世界卫生组织(世卫组织)发布了严重急性呼吸系统综合征冠状病毒感染大流行警报。该病毒产生的临床症状范围从轻度呼吸道症状到具有严重程度标准的肺炎。由SARS-CoV-2引起的疾病被称为冠状病毒病19 (COVID-19)。SARS-CoV-2在人与人之间的传染率很高,这意味着对COVID-19患者的管理意味着医院环境中的卫生人员有很高的传染风险。因此,重要的是制定标准化的管理方案,以尽量减少传染风险,特别是在产生气溶胶的程序中,这被认为是风险最高的。高级气道管理包括在这类手术中。本文件无意取代目前关于传染病标准化控制和管理的指导方针。其目的是为这组患者的气道高级管理提供建议,以便为患者安全执行手术,促进卫生人员的自我保健,并防止病毒在医院环境中传播。
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