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Managing head and neck cancer patients with tracheostomy or laryngectomy during the COVID-19 pandemic.
Kligerman, Maxwell P; Vukkadala, Neelaysh; Tsang, Raymond K Y; Sunwoo, John B; Holsinger, F Christopher; Chan, Jason Y K; Damrose, Edward J; Kearney, Ann; Starmer, Heather M.
  • Kligerman MP; Division of Head and Neck Surgery, Stanford University, Palo Alto, California, USA.
  • Vukkadala N; Division of Laryngology, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.
  • Tsang RKY; Division of Head and Neck Surgery, Stanford University, Palo Alto, California, USA.
  • Sunwoo JB; Division of Laryngology, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.
  • Holsinger FC; Department of Otorhinolaryngology-Head and Neck Surgery, The Chinese University of Hong Kong, Shatin, NT East, Hong Kong.
  • Chan JYK; Division of Head and Neck Surgery, Stanford University, Palo Alto, California, USA.
  • Damrose EJ; Division of Head and Neck Surgery, Stanford University, Palo Alto, California, USA.
  • Kearney A; Division of Otorhinolaryngology-Head and Neck Surgery, Department of Surgery, The University of Hong Kong, Pok Fu Lam, Hong Kong.
  • Starmer HM; Division of Head and Neck Surgery, Stanford University, Palo Alto, California, USA.
Head Neck ; 42(6): 1209-1213, 2020 06.
Article in English | MEDLINE | ID: covidwho-142513
ABSTRACT
Head and neck cancer patients with tracheostomies and laryngectomies, as well as their healthcare providers, face unique challenges in the context of the current COVID-19 pandemic. This document consolidates best available evidence to date and presents recommendations to minimize the risks of aerosolization and SARS-CoV-2 exposures in both the inpatient and outpatient settings. The cornerstones of these recommendations include the use of closed-circuit ventilation whenever possible, cuffed tracheostomy tubes, judicious use of heat moisture exchange units, appropriate personal protective equipment for providers and patients, meticulous hand hygiene, and minimal manipulation of tracheostomy tubes.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Tracheostomy / Coronavirus Infections / Disease Transmission, Infectious / Pandemics / Head and Neck Neoplasms / Laryngectomy Type of 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.26171

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Tracheostomy / Coronavirus Infections / Disease Transmission, Infectious / Pandemics / Head and Neck Neoplasms / Laryngectomy Type of 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.26171