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Methods for a Seamless Transition From Tracheostomy to Spontaneous Breathing in Patients With COVID-19.
Divo, Miguel J; Oberg, Catherine L; Pritchett, Michael A; Celli, Bartolome R; Folch, Erik E.
  • Divo MJ; Pulmonary and Critical Care Division, Brigham and Women's Hospital, Boston, Massachusetts. mdivo@bwh.harvard.edu.
  • Oberg CL; Spaulding Rehabilitation Hospital, Cambridge, Massachusetts.
  • Pritchett MA; Division of Pulmonary, Critical Care Medicine, Clinical Immunology, and Allergy, UCLA Medical School, Los Angeles, California.
  • Celli BR; FirstHealth of the Carolinas, Pinehurst, North Carolina.
  • Folch EE; Pulmonary and Critical Care Division, Brigham and Women's Hospital, Boston, Massachusetts.
Respir Care ; 65(11): 1773-1783, 2020 11.
Article in English | MEDLINE | ID: covidwho-695569
Semantic information from SemMedBD (by NLM)
1. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
2. Spontaneous respiration PROCESS_OF Patients
Subject
Spontaneous respiration
Predicate
PROCESS_OF
Object
Patients
3. Respiratory Failure PROCESS_OF Patients
Subject
Respiratory Failure
Predicate
PROCESS_OF
Object
Patients
4. Attention PROCESS_OF Patients
Subject
Attention
Predicate
PROCESS_OF
Object
Patients
5. Artificial Airways PREVENTS Iatrogenesis
Subject
Artificial Airways
Predicate
PREVENTS
Object
Iatrogenesis
6. COVID-19 AFFECTS Patients
Subject
COVID-19
Predicate
AFFECTS
Object
Patients
7. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
8. Spontaneous respiration PROCESS_OF Patients
Subject
Spontaneous respiration
Predicate
PROCESS_OF
Object
Patients
9. Respiratory Failure PROCESS_OF Patients
Subject
Respiratory Failure
Predicate
PROCESS_OF
Object
Patients
10. Attention PROCESS_OF Patients
Subject
Attention
Predicate
PROCESS_OF
Object
Patients
11. Artificial Airways PREVENTS Iatrogenesis
Subject
Artificial Airways
Predicate
PREVENTS
Object
Iatrogenesis
12. COVID-19 AFFECTS Patients
Subject
COVID-19
Predicate
AFFECTS
Object
Patients
ABSTRACT
The COVID-19 pandemic has profoundly affected health care delivery worldwide. A small yet significant number of patients with respiratory failure will require prolonged mechanical ventilation while recovering from the viral-induced injury. The majority of reports thus far have focused on the epidemiology, clinical factors, and acute care of these patients, with less attention given to the recovery phase and care of those patients requiring extended time on mechanical ventilation. In this paper, we review the procedures and methods to safely care for patients with COVID-19 who require tracheostomy, gastrostomy, weaning from mechanical ventilation, and final decannulation. The guiding principles consist of modifications in the methods of airway care to safely prevent iatrogenesis and to promote safety in patients severely affected by COVID-19, including mitigation of aerosol generation to minimize risk for health care workers.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Tracheostomy / Gastrostomy / Ventilator Weaning / Infection Control / Coronavirus Infections / Device Removal / Pandemics Type of study: Etiology study Topics: Long Covid Limits: Humans Language: English Journal: Respir Care Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Tracheostomy / Gastrostomy / Ventilator Weaning / Infection Control / Coronavirus Infections / Device Removal / Pandemics Type of study: Etiology study Topics: Long Covid Limits: Humans Language: English Journal: Respir Care Year: 2020 Document Type: Article