Tracheostomy time-out: New safety tool in the setting of COVID-19.

Dharmarajan, Harish; Snyderman, Carl H

Dharmarajan, Harish; Snyderman, Carl H.

Dharmarajan H; Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Snyderman CH; Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Head Neck ; 42(7): 1397-1402, 2020 Jul.

Article in English | MEDLINE | ID: covidwho-209758

ABSTRACT

ABSTRACT

Tracheostomy procedures have a high risk of aerosol generation. Airway providers have reflected on ways to mitigate the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission risks when approaching a surgical airway. To standardize institutional safety measures with tracheostomy, we advocate using a dedicated tracheostomy time-out applicable to all patients including those suspected of having COVID-19. The aim of the tracheostomy time-out is to reduce preventable errors that may increase the risk of transmission of SARS-CoV-2.

Subject(s)

Clinical Decision-Making; Coronavirus Infections/prevention & control; Infectious Disease Transmission, Patient-to-Professional/prevention & control; Pandemics/prevention & control; Pneumonia, Viral/prevention & control; Severe Acute Respiratory Syndrome/therapy; Time Out, Healthcare/statistics & numerical data; Tracheostomy/methods; COVID-19; Coronavirus Infections/epidemiology; Critical Care/methods; Female; Humans; Male; Occupational Health; Pandemics/statistics & numerical data; Patient Selection; Personal Protective Equipment/statistics & numerical data; Pneumonia, Viral/epidemiology; Risk Assessment; Severe Acute Respiratory Syndrome/epidemiology; Surveys and Questionnaires; United States

Keywords

COVID-19; airway; safety; time-out; tracheostomy

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Tracheostomy / Infectious Disease Transmission, Patient-to-Professional / Coronavirus Infections / Severe Acute Respiratory Syndrome / Pandemics / Clinical Decision-Making / Time Out, Healthcare Type of study: Observational study / Prognostic study / Randomized controlled trials 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.26253

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