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Play, download and edit the free video Intubation and airway isolation of a COVID19 patient.

Intubating a COVID positive patient exposes the anesthesiologist to aerosolized viral droplets. Isolating the source of the viral presence (naso-oropharynx and lungs) is easier to accomplish than Minimizing exposure can be accomplished with adequate premedication, anesthesia mask induction with the patient mask in place, muscle relaxation, intubation after exhalation and the following technique. Add a Humidivent to the end of the endotracheal tube (ETT) and place the ETT through a plastic bag. Partially inflate the cuff while leaving a 3 cc syringe (low airflow resistance) attached to the pilot tube to allow deflation as you advance through the vocal cords. Lubricate the cuff with lidocaine jelly to decrease friction as the cuff slides pass the cords while intubating. Once intubated, reinflate the cuff to a 20cm H2O leak, secure the ETT, tape the eyes, tape a gauze sponge over the nares, cover the patient's head with the bag and seal it.

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