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Chapter 32. Management of a Patient Admitted to ICU with Ebola Virus and Impending Respiratory Failure

Which of the following is considered the basic personal protection equipment in managing a patient with Ebola virus?

A. N95 or powered air purification respirator system

B. contact: gloves, gown, hat, shoe-covers

C. eye protection: goggles or face-shields

D. pens, pagers, or personal items should not be brought into or out of the room

E. all of the above.

(E) All the listed equipment are required to protect the health care providers who are managing a patient with Ebola.

All of the following principles in managing the airway of a patient with Ebola are true EXCEPT

A. Awake bronchoscopic intubation is the preferred airway technique for all Ebola patients with a potential difficult laryngoscopic intubation.

B. Intubation should be undertaken by an experienced airway practitioner, wearing full protection.

C. It is necessary to reduce the risk of aerosolization of Ebola droplets during the process of intubation.

D. It is critical that the health care workers apply and remove personal protection equipment prior to and after intubating the patient.

E. Bag-mask-ventilation, nebulization, and application of topical airway anesthesia are to be avoided.

(A) In managing the airway of a patient with Ebola, every effort should be made to reduce the risk of aerosolization of Ebola droplets (e.g., coughing) during the process of intubation. Awake intubation using a flexible bronchoscope should be avoided if at all possible.

All of the following should be in the airway management team for patients with Ebola EXCEPT

A. an experienced airway practitioner

B. an experienced surgeon for a surgical airway

C. an experienced paramedic

D. an ICU nurse

E. an intensivist

(C) In order to minimize the spread of Ebola virus, the patient should be placed in an isolation room, and only those persons required to carry out the intubation should be permitted in the immediate vicinity of the patient. This team may consist of an experienced airway practitioner, respiratory therapist, and an ICU nurse. An additional personnel with airway management expertise who can perform a surgical airway (a surgeon) should stand by outside the ...

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