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COVID-19 Enfeksiyonu ve Havayolu Yönetimi
COVID-19 Infection and Airway Management
Turkiye Klinikleri J Anest Reanim. 2020;18(1):23-9
doi: 10.5336/anesthe.2020-76048
Makale Dili: TR
Tam Metin
ÖZET
Koronavirüs hastalığı-2019 [Coronavirus diseasse (2019)]'na sebep olan şiddetli akut solunum sendromu-koronavirüs-2 [severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2)] son derece bulaşıcıdır. COVID-19 hastalarında, havayolu yönetimi hem sağlık personeli hem de hastalar için yüksek risklidir. Özellikle anestezistler, perioperatif dönemde ve acil havayolu durumlarında hastalara ilk müdahale edenler olarak yüksek bir enfeksiyon riskine sahiptirler. Enfeksiyon riskini değerlendiren sistematik ve entegre bir yaklaşım ile enfekte olma potansiyeli azaltılabilir. Ayrıca kişisel koruma ve diğer hastalarla personele çapraz bulaşın önlenmesi için uygun malzeme ve teknik seçimini sağlar. Havayolu yönetimi için sağlık personeline, damlacık ve havayolu bulaş korumasına uygun kişisel koruyucu ekipmanlar sağlanmalıdır. Endotrakeal entübasyonda hızlı seri indüksiyon önerilmektedir. Havayolu yönetimi sırasında temel amaç, aerosol salınımının minimalize edilmesi olmalıdır.
Anahtar Kelimeler: COVID-19; SARS-CoV-2; havayolu yönetimi; endotrakeal entübasyon
Koronavirüs hastalığı-2019 [Coronavirus diseasse (2019)]'na sebep olan şiddetli akut solunum sendromu-koronavirüs-2 [severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2)] son derece bulaşıcıdır. COVID-19 hastalarında, havayolu yönetimi hem sağlık personeli hem de hastalar için yüksek risklidir. Özellikle anestezistler, perioperatif dönemde ve acil havayolu durumlarında hastalara ilk müdahale edenler olarak yüksek bir enfeksiyon riskine sahiptirler. Enfeksiyon riskini değerlendiren sistematik ve entegre bir yaklaşım ile enfekte olma potansiyeli azaltılabilir. Ayrıca kişisel koruma ve diğer hastalarla personele çapraz bulaşın önlenmesi için uygun malzeme ve teknik seçimini sağlar. Havayolu yönetimi için sağlık personeline, damlacık ve havayolu bulaş korumasına uygun kişisel koruyucu ekipmanlar sağlanmalıdır. Endotrakeal entübasyonda hızlı seri indüksiyon önerilmektedir. Havayolu yönetimi sırasında temel amaç, aerosol salınımının minimalize edilmesi olmalıdır.
Anahtar Kelimeler: COVID-19; SARS-CoV-2; havayolu yönetimi; endotrakeal entübasyon
ABSTRACT
Severe acute respiratory syndrome-coronavirus, which causes coronavirus disease-2019 (COVID-19), is highly contagious. Airway management of patients with COVID-19 is high risk to staff and patients. Anesthesiologists have a high risk of infection with COVID-19 during perioperative care and as first responders to airway emergencies. The potential of becoming infected can be reduced by a systematic and integrated approach that assesses infection risk. The latter leads to an acceptable choice of materials and techniques for personal protection and prevention of cross-contamination to other patients and staff. During the airway management, enhanced droplet/airborne personel protective equipment should be applied to the health care providers. Rapid series induction is recommended for endotracheal intubation. The main goal under airway management is to minimize aerosol release.
Keywords: COVID-19; SARS-CoV-2; airway management; endotracheal intubation
Severe acute respiratory syndrome-coronavirus, which causes coronavirus disease-2019 (COVID-19), is highly contagious. Airway management of patients with COVID-19 is high risk to staff and patients. Anesthesiologists have a high risk of infection with COVID-19 during perioperative care and as first responders to airway emergencies. The potential of becoming infected can be reduced by a systematic and integrated approach that assesses infection risk. The latter leads to an acceptable choice of materials and techniques for personal protection and prevention of cross-contamination to other patients and staff. During the airway management, enhanced droplet/airborne personel protective equipment should be applied to the health care providers. Rapid series induction is recommended for endotracheal intubation. The main goal under airway management is to minimize aerosol release.
Keywords: COVID-19; SARS-CoV-2; airway management; endotracheal intubation
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