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2.
Lancet Respir Med ; 8(7): 717-725, 2020 07.
Article in English | MEDLINE | ID: covidwho-276408

ABSTRACT

Global health care is experiencing an unprecedented surge in the number of critically ill patients who require mechanical ventilation due to the COVID-19 pandemic. The requirement for relatively long periods of ventilation in those who survive means that many are considered for tracheostomy to free patients from ventilatory support and maximise scarce resources. COVID-19 provides unique challenges for tracheostomy care: health-care workers need to safely undertake tracheostomy procedures and manage patients afterwards, minimising risks of nosocomial transmission and compromises in the quality of care. Conflicting recommendations exist about case selection, the timing and performance of tracheostomy, and the subsequent management of patients. In response, we convened an international working group of individuals with relevant expertise in tracheostomy. We did a literature and internet search for reports of research pertaining to tracheostomy during the COVID-19 pandemic, supplemented by sources comprising statements and guidance on tracheostomy care. By synthesising early experiences from countries that have managed a surge in patient numbers, emerging virological data, and international, multidisciplinary expert opinion, we aim to provide consensus guidelines and recommendations on the conduct and management of tracheostomy during the COVID-19 pandemic.


Subject(s)
Betacoronavirus , Coronavirus Infections/therapy , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Internationality , Pneumonia, Viral/therapy , Practice Guidelines as Topic , Tracheostomy/methods , COVID-19 , Coronavirus Infections/prevention & control , Critical Care/methods , Humans , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , SARS-CoV-2
3.
Head Neck ; 42(6): 1339-1343, 2020 06.
Article in English | MEDLINE | ID: covidwho-133541

ABSTRACT

Coronavirus disease 2019 (COVID-19) pandemic forced significant changes in current approach to outpatient evaluation of common otolaryngology complaints as hospitals around the world are trying to limit the spread of the virus and to preserve health care resources. These changes raise a lot of questions regarding patient triage and treatment decisions in clinical situations when it is unclear if the workup and management can be postponed. In this communication, we present our approach to evaluation and triage of new patients with complaints concerning for salivary gland disease.


Subject(s)
Betacoronavirus , Coronavirus Infections/epidemiology , Otolaryngology , Pneumonia, Viral/epidemiology , Salivary Gland Diseases/diagnosis , Telemedicine , Triage , COVID-19 , Coronavirus Infections/prevention & control , Coronavirus Infections/transmission , Humans , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Pneumonia, Viral/transmission , SARS-CoV-2
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