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10.1002/hed.26191

http://scihub22266oqcxt.onion/10.1002/hed.26191
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32329926!7264650!32329926
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suck abstract from ncbi


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pmid32329926      Head+Neck 2020 ; 42 (6): 1291-1296
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  • Tracheostomy guidelines developed at a large academic medical center during the COVID-19 pandemic #MMPMID32329926
  • David AP; Russell MD; El-Sayed IH; Russell MS
  • Head Neck 2020[Jun]; 42 (6): 1291-1296 PMID32329926show ga
  • BACKGROUND: During the SARS-CoV-2 pandemic, tracheostomy may be required for COVID-19 patients requiring long-term ventilation in addition to other conditions such as airway compromise from head and neck cancer. As an aerosol-generating procedure, tracheostomy increases the exposure of health care workers to COVID-19 infection. Performing surgical tracheostomy and tracheostomy care requires a strategy that mitigates these risks and maintains the quality of patient care. METHODS: This study is a multidisciplinary review of institutional tracheostomy guidelines and clinical pathways. Modifications to support clinical decision making in the context of COVID-19 were derived by consensus and available evidence. RESULTS: Modified guidelines for all phases of tracheostomy care at an academic tertiary care center in the setting of COVID-19 are presented. DISCUSSION: During the various phases of the COVID-19 pandemic, clinicians must carefully consider the indications, procedural precautions, and postoperative care for tracheostomies. We present guidelines to mitigate risk to health care workers while preserving the quality of care.
  • |*Betacoronavirus[MESH]
  • |*Tracheostomy[MESH]
  • |Academic Medical Centers[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*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/*prevention & control/*transmission[MESH]
  • |Practice Guidelines as Topic[MESH]


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