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SPECIAL ARTICLE
Year : 2020  |  Volume : 64  |  Issue : 14  |  Page : 107-115

All India difficult airway association (AIDAA) consensus guidelines for airway management in the operating room during the COVID-19 pandemic


1 Chief Consultant Anesthesiologist, Kailash Cancer Hospital and Research Centre, Muni Ashram, Goraj, VINS, Vadodara, Gujarat, India
2 Department of Onco-Anaesthesiology and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India
3 Department of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India
4 Department of Anaesthesiology, JIPMER, Puducherry, India
5 Department of Anaesthesiology and Critical Care, K S Hegde Medical Academy, Nitte University, Mangalore, Karnataka, India
6 Department of Anaesthesiology and Critical Care, J N Medical College, AMU, Aligarh, Uttar Pradesh, India
7 Professor of Anaesthesiology, Medical College, Kolkata, West Bengal, India

Correspondence Address:
Dr. Rakesh Garg
Additional Professor of Anaesthesiology, Critical Care, Pain and Palliative Medicine, Department of Onco-Anaesthesiology and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ija.IJA_498_20

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Severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) which causes coronavirus disease (COVID-19) is a highly contagious virus. The closed environment of the operation room (OR) with aerosol generating airway management procedures increases the risk of transmission of infection among the anaesthesiologists and other OR personnel. Wearing complete, fluid impermeable personal protective equipment (PPE) for airway related procedures is recommended. Team preparation, clear methods of communication and appropriate donning and doffing of PPEs are essential to prevent spread of the infection. Optimal pre oxygenation, rapid sequence induction and video laryngoscope aided tracheal intubation (TI) are recommended. Supraglottic airways (SGA) and surgical cricothyroidotomy should be preferred for airway rescue. High flow nasal oxygen, face mask ventilation, nebulisation, small bore cannula cricothyroidotomy with jet ventilation should be avoided. Tracheal extubation should be conducted with the same levels of precaution as TI. The All India Difficult Airway Association (AIDAA) aims to provide consensus guidelines for safe airway management in the OR, while attempting to prevent transmission of infection to the OR personnel during the COVID-19 pandemic.


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