Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\32514605
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 HNO
2020 ; 68
(11
): 828-837
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Management von Patienten mit Tracheostoma während der COVID-19-Pandemie:
Literaturüberblick und Demonstration
#MMPMID32514605
Kempfle JS
; Löwenheim H
; Huebner MJ
; Iro H
; Mueller SK
HNO
2020[Nov]; 68
(11
): 828-837
PMID32514605
show ga
BACKGROUND: Since emergence of the new coronavirus in China in December 2019,
many countries have been struggling to control skyrocketing numbers of
infections, including among healthcare personnel. It has now been clearly
demonstrated that SARS-CoV?2 resides in the upper airways and transmits easily
via aerosols and droplets, which significantly increases the risk of infection
when performing upper airway procedures. Ventilated COVID-19 patients in
a critical condition in the intensive care unit may require tracheotomy for
long-term ventilation and to improve weaning. However, the risk of secondary
infection of medical personnel performing subsequent tracheostomy care remains
unclear. OBJECTIVE: This study aimed to evaluate the risk of droplet dispersion
during tracheostomy tube change and overview tracheostomy tube change in COVID-19
patients. MATERIALS AND METHODS: The current literature was reviewed,
quantitative and qualitative analyses of droplet formation during tracheostomy
tube change in n?=?8 patients were performed, and an overview of and checklist
for tracheostomy tube change were compiled. RESULTS: This study demonstrates that
tracheostomy tube change, in particular insertion of the new tube, may cause
significant droplet formation. The aerosolization of particles smaller than 5?µm
was not analyzed. CONCLUSION: Our data, together with the current literature,
clearly emphasize that tracheostomy care is associated with a high infection risk
and should only be performed by a small group of well-trained, maximally
protected healthcare personnel.
|*Tracheostomy
[MESH]
|Aerosols
[MESH]
|Betacoronavirus
[MESH]
|COVID-19
[MESH]
|Coronavirus Infections/*therapy
[MESH]
|Humans
[MESH]
|Infectious Disease Transmission, Patient-to-Professional/*prevention & control
[MESH]
free
free
free
