Navarro CG, Padilla CJI

Idioma: Español
Referencias bibliográficas: 10
Paginas: 88-93
Archivo PDF: 178.99 Kb.

RESUMEN

En diciembre del 2019 aparecen en Wuhan, China los primeros casos de una neumonía progresiva sin explicación clara. Luego, la enfermedad fue formalmente denominada como COVID-19 y se ha extendido a todo el mundo. Esta enfermedad afecta el aparato respiratorio, gastrointestinal, hepático y neurológico. Es común la afectación respiratoria, con progreso hacia la falla respiratoria e incluso hasta llegar al Síndrome de Distrés Respiratorio que requiriera soporte ventilatorio mecánico. El manejo de la vía aérea en estos casos conlleva riesgos particulares en tanto puede conducir a la contaminación del personal. Se revisan en este artículo las medidas necesarias para evitar exposición y contaminación durante procedimiento de intubación.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel Coronavirus– infected pneumonia in Wuhan, China. Journal of the American Medical Association 2020. Epub ahead of print 7 February. https://doi. org/10.1001/jama.2020.1585 4.

2. van Doremalen N, Bushmaker T, Morris DH, et al. Aerosol and surface stability of HCoV-19 (SARS-CoV-2) compared to SARS-CoV-1. New England Journal of Medicine 2020. Epub ahead of print 13 March. https://doi.org/10.1101/ 2020.03.09.20033217

3. Wu Z, McGoogan JM. Characteristics of and important lessons from the Coronavirus disease 2019 (COVID-19) outbreak in China. Summary of a report of 72,314 Cases from the Chinese Center for Disease Control and Prevention. Journal of the American Medical Association 2020. Epub ahead of print 24 February.https://doi.org/10.1001/jama.2020.2648 5.

4. The COVID-19 Task force of the Department of Infectious Diseases and the IT Service Istituto Superiore di Sanita.Integrated surveillance of COVID-19 in Italy. 2020. https://www.epicentro.iss.it/coronavirus/bollettino/covid- 19infografica_eng.pdf(accessed13/03/2020).

5. Guan W, Ni Z, Hu Y,et al.Clinical characteristics of Coronavirus disease 2019 in China. New England Journal of Medicine.2020. Epub ahead of print 28 February. https://doi.org/10.1056/ nejmoa2002032

6. Cheung JCH, HoL T, Cheng JV, Cham EYK, Lam KN. Staff safety during emergency airway management for COVID-19 in Hong Kong. Lancet Respiratory Medicine 2020. Epub ahead of print 24February.https://doi.org/10.1016/s2213-2600(20)30084-9

7. Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PLoSONE2012;7: e35797.

8. Leung CCH, Joynt GM, Gomersall CD, et al. Comparison of high-flow nasal cannula versus oxygen face mask for environmental bacterial contamination in critically ill pneumonia patients: a randomized controlled crossover trial. HospitalInfection2019; 101:84–7.

9. Cook TM, El-Boghdadly K, McGuire B, McNarry AF, Patel A, Higgs A. Consensus guidelines for managing the airway in patients with COVID-19: Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetists. Anaesthesia. 2020 Mar 27. doi: 10.1111/anae.15054. [Epub ahead of print] PubMed PMID: 32221970.

10. Zuo MZ, Huang YG, Ma WH, Xue ZG, Zhang JQ, Gong YH, Che L; Chinese Society of Anesthesiology Task Force on Airway Management. Expert Recommendations for Tracheal Intubation in Critically ill Patients with Noval Coronavirus Disease 2019. Chin Med Sci J. 2020 Feb 27. doi: 10.24920/003724. [Epub ahead of print] PubMed PMID: 32102726.