Tracheotomy in the SARS-CoV-2 pandemic.
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.
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
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