ABSTRACT
Introduction: Orotracheal intubation is one of the medical skills that has gained the most importance for the management of the airway of hospitalized patients with severe COVID-19 symptoms. Objective: To determine the number of videolaryngoscopies that the operator must perform to master orotracheal intubation with videolaryngoscope. Methods: A longitudinal and prospective study was carried out, where the learning process of an anesthesiology specialist was evaluated to determine the reduction in the time they needed to perform an orotracheal intubation in COVID-19 positive patients with respiratory distress. Results: The anesthesiologist with no experience in the use of the Airtraq® videolaryngoscope achieved a learning rate of 86.98% within the first 10 interventions (p < 0.05), leading to a constant decrease in time in each procedure until reaching their mastery. Conclusions: The practice of orotracheal intubation facilitates that with a greater number of intubated patients, a significant decrease in the time required for this technique can be obtained, reducing the transient hypoxia of the patient in apnea due to COVID-19, being the number of repetitions of the procedure a more important factor than the difficulty of the cases. © 2022 Sociedad de Anestesiologia de Chile. All rights reserved.
ABSTRACT
Since the last months of 2019, SARS-CoV-2 was identified as a highly contagious virus, March 11, 2020 WHO classified SARS-CoV-2 as a pandemic. Since April 21, 2020 Mexican Government declared Phase 3 of his Contingency plan to fight SARS-CoV-2 pandemic. SARS-CoV-2 is mainly a respiratory virus, but there are reports of involvement in organs distant from the lungs, including the kidneys. SARS-CoV-2 kidney involvement is sign of worse prognosis. Is important to know the characteristics of this injury, the way to diagnose it, its treatment and how to prevent it. Here we review some theories about kidney injury related to SARS-CoV-2 infection and its histopathological correlation. We also evaluate the relationship between SARS-CoV-2 and Angiotensin Converting Enzyme 2 receptors, the kidney injury related to the use of the novels therapies against SARS-CoV-2, renal replacement therapies prescription in SARS-CoV-2 y in kidney transplant patients. Since the lasts months SARS-CoV-2 has invaded and modified our knowledge and daily routine. Healthcare staff from the different specialties, including Nephrologist must keep in constant learning and training to fight against this pandemic with the better weapons.