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10.1007/s00405-020-05993-x http://scihub22266oqcxt.onion/10.1007/s00405-020-05993-x 32314050!7170707!32314050     free     free     free Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Eur+Arch+Otorhinolaryngol 2020 ; 277 (8): 2173-2184 Nephropedia Template TP {{tp|p=32314050|t=2020. Recommendation of a practical guideline for safe tracheostomy during the COVID-19 pandemic |pdf=|usr=}}{{32314050}} gab.com Text Recommendation of a practical guideline for safe tracheostomy during the COVID-19 pandemic JO: Eur Arch Otorhinolaryngol http://www.kidney.de/pget.php?&tw=1&pmid=32314050 #FOAvip PURPOSE: The COVID-19 pandemic is placing unprecedented demand upon critical care services for invasive mechanical ventilation. There is current uncertainty regarding the role of tracheostomy for weaning ventilated patients with COVID-19 pneumonia. This is due to a number of factors including prognosis, optimal healthcare resource utilisation, and safety of healthcare workers when performing such a high-risk aerosol-generating procedure. METHODS: Literature review and proposed practical guideline based on the experience of a tertiary healthcare institution with 195 critical care admissions for COVID-19 up until 4th April 2020. RESULTS: A synthesis of the current international literature and reported experience is presented with respect to prognosis, viral load and staff safety, thus leading to a pragmatic recommendation that tracheostomy is not performed until at least 14 days after endotracheal intubation in COVID-19 patients. Practical steps to minimise aerosol generation in percutaneous tracheostomy are outlined and we describe the process and framework for setting up a dedicated tracheostomy team. CONCLUSION: In selected COVID-19 patients, there is a role for tracheostomy to aid in weaning and optimise healthcare resource utilisation. Both percutaneous and open techniques can be performed safely with careful modifications to technique and appropriate enhanced personal protective equipment. ORL-HNS surgeons can play a valuable role in forming tracheostomy teams to support critical care teams during this global pandemic. Twit Text FOAVip Recommendation of a practical guideline for safe tracheostomy during the COVID-19 pandemic ????Eur Arch Otorhinolaryngol http://www.kidney.de/pget.php?&tw=1&pmid=32314050 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32314050 #FOAvip English Wikipedia <ref>{{Cite pmid|32314050}}</ref> Recommendation of a practical guideline for safe tracheostomy during the COVID-19 pandemic #MMPMID32314050 Takhar A; Walker A; Tricklebank S; Wyncoll D; Hart N; Jacob T; Arora A; Skilbeck C; Simo R; Surda P Eur Arch Otorhinolaryngol 2020[Aug]; 277 (8): 2173-2184 PMID32314050show ga PURPOSE: The COVID-19 pandemic is placing unprecedented demand upon critical care services for invasive mechanical ventilation. There is current uncertainty regarding the role of tracheostomy for weaning ventilated patients with COVID-19 pneumonia. This is due to a number of factors including prognosis, optimal healthcare resource utilisation, and safety of healthcare workers when performing such a high-risk aerosol-generating procedure. METHODS: Literature review and proposed practical guideline based on the experience of a tertiary healthcare institution with 195 critical care admissions for COVID-19 up until 4th April 2020. RESULTS: A synthesis of the current international literature and reported experience is presented with respect to prognosis, viral load and staff safety, thus leading to a pragmatic recommendation that tracheostomy is not performed until at least 14 days after endotracheal intubation in COVID-19 patients. Practical steps to minimise aerosol generation in percutaneous tracheostomy are outlined and we describe the process and framework for setting up a dedicated tracheostomy team. CONCLUSION: In selected COVID-19 patients, there is a role for tracheostomy to aid in weaning and optimise healthcare resource utilisation. Both percutaneous and open techniques can be performed safely with careful modifications to technique and appropriate enhanced personal protective equipment. ORL-HNS surgeons can play a valuable role in forming tracheostomy teams to support critical care teams during this global pandemic. |*Intubation, Intratracheal/standards[MESH] |*Practice Guidelines as Topic[MESH] |*Respiration, Artificial/standards[MESH] |Aerosols[MESH] |Betacoronavirus[MESH] |COVID-19[MESH] |Coronavirus Infections/epidemiology/prevention & control/transmission[MESH] |Humans[MESH] |Infectious Disease Transmission, Patient-to-Professional/*prevention & control[MESH] |Pandemics/prevention & control[MESH] |Personal Protective Equipment[MESH] |Pneumonia, Viral/epidemiology/prevention & control/transmission[MESH] |SARS-CoV-2[MESH]Recommendation of a practical guideline for safe tracheostomy during t(epmc).pdf DeepDyve Pubget Overpricing