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Anesthesiology

COVID-19 and Risks Posed to Personnel During Endotracheal Intubation

Educational Objective
To understand the risks for hospital personnel during endotracheal intubation

1 Credit CME

JAMA

Published Online: April 27, 2020

Editorial

Article Information and Disclosures

David N. Weissman, MD¹;

Marie A. de Perio, MD²;

Lewis J. Radonovich Jr, MD¹

Author Affiliations

¹Respiratory Health Division, National Institute for Occupational Safety and Health, US Centers for Disease Control and Prevention, Morgantown, West Virginia
²Office of the Director, National Institute for Occupational Safety and Health, US Centers for Disease Control and Prevention, Cincinnati, Ohio

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Article Information

Corresponding Author: Lewis J. Radonovich Jr, MD, 1095 Willowdale Rd, Morgantown, WV 26505 (mto@cdc.gov).

Published Online: April 27, 2020. doi:10.1001/jama.2020.6627

Conflict of Interest Disclosures: None reported.

Disclaimer: The findings and conclusions are those of the authors and do not necessarily represent the views of the US Centers for Disease Control and Prevention.

References

Grasselli G , Zangrillo A , Zanella A , et al. Baseline characteristics and outcomes of 1591 patients infected with SARS-CoV-2 admitted to ICUs of the Lombardy Region, Italy. JAMA. 2020;323(16):1574-1581.PubMed Google Scholar Crossref

US Centers for Disease Control and Prevention. COVID-19 infection prevention and control in healthcare settings: questions and answers. Accessed April 11, 2020. https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-faq.html

Health Protection Scotland. Aerosol generating procedures: version 1.0. Published November 2019. Accessed April 11, 2020. https://hpspubsrepo.blob.core.windows.net/hps-website/nss/2893/documents/1_tbp-lr-agp-v1.pdf

Public Health England. Guidance: COVID-19 personal protective equipment (PPE). Accessed April 10, 2020. https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-personal-protective-equipment-ppe#section-8point1

Tran K , Cimon K , Severn M , et al. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers. PLoS One. 2012;7(4):e35797.PubMed Google Scholar

Cook TM , El-Boghdadly K , McGuire B , et al. Consensus guidelines for managing the airway in patients with COVID-19. Published online March 27, 2020. Anaesthesia. doi:10.1111/anae.15054 PubMed Google Scholar

Feldman O , Meir M , Shavit D , Idelman R , Shavit I . Exposure to a surrogate measure of contamination from simulated patients by emergency department personnel wearing personal protective equipment. Published online April 27, 2020. JAMA. doi:10.1001/jama.2020.6633 Google Scholar

Brewster DJ , Chrimes NC , Do TBT , et al. Consensus statement: Safe Airway Society principles of airway management and tracheal intubation specific to the COVID-19 adult patient group. Accessed April 11, 2020. https://www.mja.com.au/system/files/202004/Preprint%20Brewster%20updated%201%20April%202020.pdf

Zuo MZ , Huang YG , Ma WH , et al. Expert recommendations for tracheal intubation in critically ill patients with novel coronavirus disease 2019. Published online February 27, 2020. Chin Med Sci J. doi:10.24920/003724 PubMed Google Scholar

US Centers for Disease Control and Prevention. Interim infection prevention and control recommendations for patients with suspected or confirmed coronavirus disease 2019 (COVID-19) in healthcare settings. Accessed April 11, 2020. https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html

World Health Organization. Rational use of personal protective equipment (PPE) for coronavirus disease (COVID-19). Published March 19, 2020. Accessed April 11, 2020. https://apps.who.int/iris/bitstream/handle/10665/331498/WHO-2019-nCoV-IPCPPE_use-2020.2-eng.pdf

Occupational Safety and Health Administration. Assigned protection factors for the revised respiratory protection standard 3352-02 2009. Accessed April 12, 2020. https://www.osha.gov/Publications/3352-APF-respirators.pdf

US Centers for Disease Control and Prevention. Strategies for optimizing the supply of N95 respirators, conventional capacity strategies, PAPRs. Accessed April 12, 2020. https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirators-strategy/index.html#conventional

Bryson-Cahn C , Duchin J , Makarewicz VA , et al. A novel approach for a novel pathogen. Published online March 12, 2020. Clin Infect Dis. doi:10.1093/cid/ciaa256 PubMed Google Scholar

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.