Section 4: Protection and transfer (from DOI: 10.1080/22221751.2020.1735265)
From publication: "Diagnosis and clinical management of severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) infection: an operational recommendation of Peking Union Medical College Hospital (V2.0)" in the journal Emerg Microbes Infect (2020)
https://doi.org/10.1080/22221751.2020.1735265
Section 4: Protection and transfer
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Once the critically ill patients are diagnosed and endotracheal intubation is anticipated, they should be immediately transferred to the ICU ward with negative pressure. All the procedures should be carried out in accordance with the requirements of comprehensive protection.
Oxygen storage mask is used to supply oxygen above 15 L/min during transport, during which complete filling of the oxygen storage airbag should be ensured.
Endotracheal intubation should be induced by standard rapid procedure, and muscle relaxants should be used as much as possible to avoid droplet transmission caused by choking.
Reusable items such as goggles should be disinfected after intubation before taken out of the negative pressure ward.
Patients with intubation should use closed endotracheal suction to avoid airborne transmission caused by ventilator airflow.
Under certain circumstances when the ventilator must be disconnected for operation, the standby function of the ventilator should be set to avoid airborne transmission caused by ventilator airflow. Once the standby function is not available, the Y-tube port of the ventilator should be blocked to avoid air spread.
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