Your browser doesn't support javascript.
Tracheotomy in the SARS-CoV-2 pandemic.
Skoog, Hunter; Withrow, Kirk; Jeyarajan, Harishanker; Greene, Benjamin; Batra, Hitesh; Cox, Daniel; Pierce, Albert; Grayson, Jessica W; Carroll, William R.
  • Skoog H; Department of Otolaryngology: Head and Neck Surgery, University of Alabama Birmingham, Birmingham, Alabama, USA.
  • Withrow K; Department of Otolaryngology: Head and Neck Surgery, University of Alabama Birmingham, Birmingham, Alabama, USA.
  • Jeyarajan H; Department of Otolaryngology: Head and Neck Surgery, University of Alabama Birmingham, Birmingham, Alabama, USA.
  • Greene B; Department of Otolaryngology: Head and Neck Surgery, University of Alabama Birmingham, Birmingham, Alabama, USA.
  • Batra H; Department of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine, University of Alabama Birmingham, Birmingham, Alabama, USA.
  • Cox D; Department of Surgery, University of Alabama Birmingham, Birmingham, Alabama, USA.
  • Pierce A; Department of Anesthesiology and Perioperative Medicine, University of Alabama Birmingham, Birmingham, Alabama, USA.
  • Grayson JW; Department of Otolaryngology: Head and Neck Surgery, University of Alabama Birmingham, Birmingham, Alabama, USA.
  • Carroll WR; Department of Otolaryngology: Head and Neck Surgery, University of Alabama Birmingham, Birmingham, Alabama, USA.
Head Neck ; 42(7): 1392-1396, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-1384168
ABSTRACT
The severe acute respiratory syndrome (SARS)-CoV-2 pandemic continues to produce a large number of patients with chronic respiratory failure and ventilator dependence. As such, surgeons will be called upon to perform tracheotomy for a subset of these chronically intubated patients. As seen during the SARS and the SARS-CoV-2 outbreaks, aerosol-generating procedures (AGP) have been associated with higher rates of infection of medical personnel and potential acceleration of viral dissemination throughout the medical center. Therefore, a thoughtful approach to tracheotomy (and other AGPs) is imperative and maintaining traditional management norms may be unsuitable or even potentially harmful. We sought to review the existing evidence informing best practices and then develop straightforward guidelines for tracheotomy during the SARS-CoV-2 pandemic. This communication is the product of those efforts and is based on national and international experience with the current SARS-CoV-2 pandemic and the SARS epidemic of 2002/2003.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Tracheotomy / Hospital Mortality / Coronavirus Infections / Severe Acute Respiratory Syndrome / Pandemics / Clinical Decision-Making Type of study: Cohort study / Observational study / Prognostic study Limits: Female / Humans / Male Country/Region as subject: North America Language: English Journal: Head Neck Journal subject: Neoplasms Year: 2020 Document Type: Article Affiliation country: HED.26214

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Tracheotomy / Hospital Mortality / Coronavirus Infections / Severe Acute Respiratory Syndrome / Pandemics / Clinical Decision-Making Type of study: Cohort study / Observational study / Prognostic study Limits: Female / Humans / Male Country/Region as subject: North America Language: English Journal: Head Neck Journal subject: Neoplasms Year: 2020 Document Type: Article Affiliation country: HED.26214