The Surviving Sepsis Campaign (SSC) has released Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19).
SCCM Emergency Response: COVID-19
The SSC COVID-19 subcommittee panel (36 experts from 12 countries) issued 53 statements based on the available evidence, four of which are best practices based on high-quality evidence:
- Healthcare workers performing aerosol-generating procedures (e.g. intubation, bronchoscopy, open suctioning, etc.) on patients with COVID-19 should wear fitted respirator masks, such as N-95, FFP2 or equivalent – instead of surgical masks – in addition to other personal protective equipment, such as gloves, gown and eye protection.
- Aerosol-generating procedures should be performed on ICU patients with COVID-19 in a negative pressure room, if available. Negative pressure rooms are engineered to prevent the spread of contagious pathogens from room to room.
- Endotracheal intubation of patients with COVID-19 should be performed by healthcare workers with experience in airway management to minimize the number of attempts and risk of transmission.
- Adults with COVID-19 who are being treated with non-invasive positive pressure ventilation or a high flow nasal canula should be closely monitored for worsening respiratory status and intubated if necessary.
This guideline will be updated regularly as new evidence becomes available. Updated: 3/20/2020