Management of dysphagia in the patient with head and neck cancer during COVID-19 pandemic: Practical strategy.
Air Filters
Barium Sulfate
Betacoronavirus
COVID-19
Contrast Media
Coronavirus Infections
Deglutition Disorders
/ diagnosis
Environmental Exposure
/ prevention & control
Esophagoscopy
Fluoroscopy
Head and Neck Neoplasms
/ complications
Humans
Infection Control
/ organization & administration
Occupational Exposure
/ prevention & control
Pandemics
Personal Protective Equipment
Pneumonia, Viral
Quarantine
SARS-CoV-2
Telemedicine
Video Recording
COVID-19
coronavirus
dysphagia
head and neck
management
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
15
04
2020
accepted:
20
04
2020
pubmed:
30
4
2020
medline:
21
7
2020
entrez:
30
4
2020
Statut:
ppublish
Résumé
The global pandemic of 2019 novel coronavirus disease (COVID-19) has tremendously altered routine medical service provision and imposed unprecedented challenges to the health care system. This impacts patients with dysphagia complications caused by head and neck cancers. As this pandemic of COVID-19 may last longer than severe acute respiratory syndrome (SARS) in 2003, a practical workflow for managing dysphagia is crucial to ensure a safe and efficient practice to patients and health care personnel. This document provides clinical practice guidelines based on available evidence to date to balance the risks of SARS-CoV-2 exposure with the risks associated with dysphagia. Critical considerations include reserving instrumental assessments for urgent cases only, optimizing the noninstrumental swallowing evaluation, appropriate use of personal protective equipment (PPE), and use of telehealth when appropriate. Despite significant limitations in clinical service provision during the pandemic of COVID-19, a safe and reasonable dysphagia care pathway can still be implemented with modifications of setup and application of newer technologies.
Identifiants
pubmed: 32348591
doi: 10.1002/hed.26224
pmc: PMC7267655
doi:
Substances chimiques
Contrast Media
0
Barium Sulfate
25BB7EKE2E
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1491-1496Informations de copyright
© 2020 Wiley Periodicals, Inc.
Références
Health Informatics J. 2019 Dec;25(4):1373-1382
pubmed: 29618274
Gastroenterology. 2000 Apr;118(4):678-87
pubmed: 10734019
Arch Otolaryngol Head Neck Surg. 2001 Jul;127(7):870-6
pubmed: 11448365
Ann Otol Rhinol Laryngol. 2008 Dec;117(12):919-24
pubmed: 19140539
Dysphagia. 2018 Apr;33(2):227-233
pubmed: 28965209
Wkly Epidemiol Rec. 2003 Oct 24;78(43):373-5
pubmed: 14601330
JAMA Oncol. 2017 Apr 1;3(4):524-548
pubmed: 27918777
Influenza Other Respir Viruses. 2020 Jul;14(4):474-475
pubmed: 32246886
J Pain Symptom Manage. 2013 Aug;46(2):201-6
pubmed: 23159683
Arch Phys Med Rehabil. 2005 Aug;86(8):1516-20
pubmed: 16084801
Oral Oncol. 2010 Apr;46(4):e10-4
pubmed: 20219415
Support Care Cancer. 2014 Mar;22(3):595-602
pubmed: 24141700
Cancer Nurs. 2017 May/Jun;40(3):E9-E16
pubmed: 27244664
Dysphagia. 2017 Apr;32(2):279-292
pubmed: 27844152
Telemed J E Health. 2014 Apr;20(4):296-303
pubmed: 24443927
Am J Med. 2000 Mar 6;108 Suppl 4a:68S-72S
pubmed: 10718455
Telemed J E Health. 2011 Nov;17(9):688-95
pubmed: 21882996
Neurosurgery. 2020 Jul 1;87(1):E66-E67
pubmed: 32293678
Laryngoscope. 2010 Feb;120(2):223-8
pubmed: 19950372
Cancer. 1996 Jun 1;77(11):2294-301
pubmed: 8635098
J Occup Environ Hyg. 2012;9(7):443-9
pubmed: 22651099
Head Neck. 2020 Jul;42(7):1491-1496
pubmed: 32348591
J Clin Med. 2020 Feb 07;9(2):
pubmed: 32046137
Dysphagia. 2017 Apr;32(2):293-314
pubmed: 27913916