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Swallowing and Communication Management of Tracheostomy and Laryngectomy in the Context of COVID-19: A Review.
Vergara, José; Starmer, Heather M; Wallace, Sarah; Bolton, Lee; Seedat, Jaishika; de Souza, Cinthia Madeira; Freitas, Susana Vaz; Skoretz, Stacey A.
  • Vergara J; Department of Surgery, University of Campinas, Campinas, São Paulo, Brazil.
  • Starmer HM; Division of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California.
  • Wallace S; Department of Speech, Voice and Swallowing, Manchester University NHS Foundation Trust, Manchester, England.
  • Bolton L; Speech and Language Therapy Service, Imperial College Healthcare NHS Trust, London, England.
  • Seedat J; Department of Speech and Hearing Therapy, University of Witwatersrand, Johannesburg, South Africa.
  • de Souza CM; School of Medical Sciences, University of Campinas, Campinas, São Paulo, Brazil.
  • Freitas SV; Faculty of Health Sciences, Speech Therapy Department, University Fernando Pessoa, Porto, Portugal.
  • Skoretz SA; ENT Department, Centro Hospitalar Universitário do Porto, Porto, Portugal.
JAMA Otolaryngol Head Neck Surg ; 2020 Oct 15.
Article in English | MEDLINE | ID: covidwho-871301
ABSTRACT
IMPORTANCE The care of patients with a surgically modified airway, such as tracheostomy or laryngectomy, represents a challenge for speech-language pathologists (SLPs) in the context of the coronavirus disease 2019 (COVID-19) pandemic. The objective was to review available publications and practice guidelines on management of tracheostomy and laryngectomy in the context of COVID-19. This study performed a review and synthesis of information available in the PubMed database and from national SLP organizations across 6 countries. OBSERVATIONS From the search, 22 publications on tracheostomy and 3 referring to laryngectomy were identified. After analysis of titles and abstracts followed by full-text review, 4 publications were identified as presenting guidelines for specific approaches to tracheostomy and were selected; all 3 publications on laryngectomy were selected. The main guidelines on tracheostomy described considerations during management (eg, cuff manipulation, suctioning, valve placement) owing to the increased risk of aerosol generation and transmission during swallowing and communication interventions in this population. Regarding laryngectomy, the guidelines focused on the care and protection of both the professional and the patient, offering recommendations on the management of adverse events and leakage of the tracheoesophageal prosthesis. CONCLUSIONS AND RELEVANCE Frequent guideline updates for SLPs are necessary to inform best practice and ensure patient and health care worker protection and safety while providing high-quality care and rehabilitation.

Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Reviews Language: English Year: 2020 Document Type: Article Affiliation country: Jamaoto.2020.3720

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Reviews Language: English Year: 2020 Document Type: Article Affiliation country: Jamaoto.2020.3720