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2020 ; 42
(6
): 1297-1302
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Tracheostomy protocols during COVID-19 pandemic
#MMPMID32329922
Heyd CP
; Desiato VM
; Nguyen SA
; O'Rourke AK
; Clemmens CS
; Awad MI
; Worley ML
; Day TA
Head Neck
2020[Jun]; 42
(6
): 1297-1302
PMID32329922
show ga
BACKGROUND: The COVID-19 pandemic has resulted in the implementation of rapidly
changing protocols and guidelines related to the indications and perioperative
precautions and protocols for tracheostomy. The purpose of this study was to
evaluate current guidelines for tracheostomy during the COVID-19 pandemic to
provide a framework for health systems to prepare as the science evolves over the
upcoming months and years. METHODS: Literature review was performed. Articles
reporting clinical practice guidelines for tracheostomy in the context of
COVID-19 were included. RESULTS: A total of 13 tracheotomy guidelines were
identified. Two were available via PubMed, five in society or organization
websites, and six identified via health system websites or other sources. Five
were from Otolaryngology-Head and Neck Surgery specialties, six from
Anesthesiology and one from Pulmonary/Critical Care. All (100%) studies
recommended postponing elective OR cases in COVID-19 positive patients, while
seven recommended reducing team members to only essential staff and three
recommended forming a designated tracheostomy team. Recommendations with
supporting references are summarized in the article. CONCLUSIONS: Tracheostomy
guidelines during the COVID-19 pandemic vary by physician groups and specialty,
hospital systems, and supply-chain/resource availability. This summary is
provided as a point-in-time current state of the guidelines for tracheotomy
management in April 2020 and is expected to change in coming weeks and months as
the COVID-19 pandemic, virus testing and antibody testing evolves.
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