Tracheostomy guidelines developed at a large academic medical center during the COVID-19 pandemic.
Academic Medical Centers
Betacoronavirus
COVID-19
Coronavirus Infections
/ prevention & control
Humans
Infectious Disease Transmission, Patient-to-Professional
/ prevention & control
Pandemics
/ prevention & control
Personal Protective Equipment
Pneumonia, Viral
/ prevention & control
Practice Guidelines as Topic
SARS-CoV-2
Tracheostomy
COVID-19
coronavirus
personal protective equipment (PPE)
tracheostomy
tracheotomy
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
08
04
2020
accepted:
09
04
2020
pubmed:
25
4
2020
medline:
9
6
2020
entrez:
25
4
2020
Statut:
ppublish
Résumé
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. 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. Modified guidelines for all phases of tracheostomy care at an academic tertiary care center in the setting of COVID-19 are presented. 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.
Sections du résumé
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.
Identifiants
pubmed: 32329926
doi: 10.1002/hed.26191
pmc: PMC7264650
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1291-1296Informations de copyright
© 2020 Wiley Periodicals, Inc.
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