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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
Semantic information from SemMedBD (by NLM)
1. Tracheostomy procedure TREATS 2019 novel coronavirus
Subject
Tracheostomy procedure
Predicate
TREATS
Object
2019 novel coronavirus
2. Respirator dependence PROCESS_OF Patients
Subject
Respirator dependence
Predicate
PROCESS_OF
Object
Patients
3. Chronic respiratory failure PROCESS_OF Patients
Subject
Chronic respiratory failure
Predicate
PROCESS_OF
Object
Patients
4. Intubated PROCESS_OF Patients
Subject
Intubated
Predicate
PROCESS_OF
Object
Patients
5. Tracheostomy procedure ADMINISTERED_TO Surgeon
Subject
Tracheostomy procedure
Predicate
ADMINISTERED_TO
Object
Surgeon
6. Tracheostomy procedure TREATS 2019 novel coronavirus
Subject
Tracheostomy procedure
Predicate
TREATS
Object
2019 novel coronavirus
7. Respirator dependence PROCESS_OF Patients
Subject
Respirator dependence
Predicate
PROCESS_OF
Object
Patients
8. Chronic respiratory failure PROCESS_OF Patients
Subject
Chronic respiratory failure
Predicate
PROCESS_OF
Object
Patients
9. Intubated PROCESS_OF Patients
Subject
Intubated
Predicate
PROCESS_OF
Object
Patients
10. Tracheostomy procedure ADMINISTERED_TO Surgeon
Subject
Tracheostomy procedure
Predicate
ADMINISTERED_TO
Object
Surgeon
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: Etiology study / Clinical Practice Guide / Observational study / Prognostic study / Risk factors 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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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: Etiology study / Clinical Practice Guide / Observational study / Prognostic study / Risk factors 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