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2020 ; 42
(7
): 1392-1396
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Tracheotomy in the SARS-CoV-2 pandemic
#MMPMID32342565
Skoog H
; Withrow K
; Jeyarajan H
; Greene B
; Batra H
; Cox D
; Pierce A
; Grayson JW
; Carroll WR
Head Neck
2020[Jul]; 42
(7
): 1392-1396
PMID32342565
show ga
The severe acute respiratory syndrome (SARS)-CoV-2 pandemic continues to produce
a large number of patients with chronic respiratory failure and ventilator
dependence. As such, surgeons will be called upon to perform tracheotomy for a
subset of these chronically intubated patients. As seen during the SARS and the
SARS-CoV-2 outbreaks, aerosol-generating procedures (AGP) have been associated
with higher rates of infection of medical personnel and potential acceleration of
viral dissemination throughout the medical center. Therefore, a thoughtful
approach to tracheotomy (and other AGPs) is imperative and maintaining
traditional management norms may be unsuitable or even potentially harmful. We
sought to review the existing evidence informing best practices and then develop
straightforward guidelines for tracheotomy during the SARS-CoV-2 pandemic. This
communication is the product of those efforts and is based on national and
international experience with the current SARS-CoV-2 pandemic and the SARS
epidemic of 2002/2003.
|*Clinical Decision-Making
[MESH]
|COVID-19
[MESH]
|Coronavirus Infections/*epidemiology/prevention & control
[MESH]
|Critical Care/methods
[MESH]
|Elective Surgical Procedures/methods/statistics & numerical data
[MESH]
|Emergencies
[MESH]
|Female
[MESH]
|Follow-Up Studies
[MESH]
|Hospital Mortality/*trends
[MESH]
|Humans
[MESH]
|Intensive Care Units/statistics & numerical data
[MESH]
|Internationality
[MESH]
|Intubation, Intratracheal
[MESH]
|Male
[MESH]
|Occupational Health
[MESH]
|Pandemics/prevention & control/*statistics & numerical data
[MESH]
|Patient Safety
[MESH]
|Pneumonia, Viral/*epidemiology/prevention & control
[MESH]
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free
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