The experience of endotracheal intubation in Middle East respiratory syndrome patients: A case report.
10.17085/apm.2017.12.2.191
- Author:
Mi Young KWON
1
;
Gunn Hee KIM
;
Byunguk KIM
;
Min Seok KOO
Author Information
1. Department of Anesthesiology and Pain Medicine, National Medical Center, Seoul, Korea. gunnhee@gmail.com
- Publication Type:Case Report
- Keywords:
Airway management;
Intubation;
Middle East respiratory syndrome coronavirus;
Personal protective equipment
- MeSH:
Airway Management;
Coronavirus Infections*;
Humans;
Intubation;
Intubation, Intratracheal*;
Korea;
Laryngoscopy;
Middle East Respiratory Syndrome Coronavirus;
Middle East*;
Personal Protective Equipment;
Pneumonia;
Respiration, Artificial
- From:Anesthesia and Pain Medicine
2017;12(2):191-194
- CountryRepublic of Korea
- Language:English
-
Abstract:
After Middle East respiratory syndrome (MERS) was first confirmed in Korea on May 20, 2015, a total of 186 confirmed cases and 37 deaths occurred until the announcement of its cessation on December 23, 2015. MERS often causes severe pneumonia; accordingly, many patients require endotracheal intubation for mechanical ventilation. At our hospital, we treated 30 confirmed and 29 suspected cases and performed 9 endotracheal intubations in 8 of these patients, using conventional direct laryngoscopy (DL) and GlideScope video-laryngoscopy (GL). We faced difficulty in conducting endotracheal intubation due to the personal protective equipment and the limited bed height required for managing MERS patients. In such cases, GL improved the ease and direct confirmation of success of endotracheal intubation as compared to DL. In addition, we found that portable end-tidal CO2-monitoring devices may facilitate more precise and reliable confirmation of successful intubation.
