**10.7 Special situations such as Covid-19 pandemia**

Managing the airway in Covid-19 pandemia have led intensivists to a point of maximum risk of exposition to the virus due to aerosols and high proximity to the patient's airway. It has been endorsed by many studies and many medical scientific societies the safety use of all personal protective equipment throughout the intubation process. It is also advised to avoid BMV if possible and when the situation allows to pre-oxygenate with a high-flow non-rebreathing mask or high-flow humidified nasal cannulae, then using RSI with a hypnotic drug and rapid depolarizing NBA. Small endotracheal tubes are not recommended due to the predicted long period of mechanical intubation and frequent plugs of mucous that interfere with the patient's adequate ventilation and oxygenation.
