Safe tracheotomy for patients with COVID-19.
Betacoronavirus
COVID-19
Coronavirus Infections
/ epidemiology
Female
Humans
Infectious Disease Transmission, Patient-to-Professional
/ prevention & control
Intubation, Intratracheal
Male
Middle Aged
Pandemics
/ prevention & control
Pneumonia, Viral
/ epidemiology
Respiration, Artificial
SARS-CoV-2
Time Factors
Tracheostomy
Tracheotomy
COVID-19
Coronavirus
SARS-CoV-2
Tracheostomy
Tracheotomy
Journal
American journal of otolaryngology
ISSN: 1532-818X
Titre abrégé: Am J Otolaryngol
Pays: United States
ID NLM: 8000029
Informations de publication
Date de publication:
Historique:
received:
25
04
2020
accepted:
03
05
2020
pubmed:
16
5
2020
medline:
3
7
2020
entrez:
16
5
2020
Statut:
ppublish
Résumé
Patients affected by severe acute respiratory syndrome coronavirus 2 disease (COVID-19) with respiratory distress may need invasive mechanical ventilation for a long period of time. Head and neck surgeons are becoming increasingly involved in the care of COVID-19 patients because of the rapidly increasing number of tracheotomies required. This procedure, when performed without protection, may lead to the infection of the medical and nursing staff caring for the patient. The aim of this report is to share our protocol for performing a safe surgical tracheotomy in COVID-19 patients. Infection of the nursing/medical staff involved in the first 30 tracheotomies performed in patients affected by COVID-19 in the Intensive Care Unit of a tertiary referral center were evaluated. Mistakes that occurred during surgery were analyzed and discussed. None of the nursing/medical staff presented signs or symptoms of COVID-19 within 15 days after the procedure. Conclusion: The authors have prepared a protocol for performing a safe surgical tracheotomy in patients affected by COVID-19. Surgeons who might be involved in performing the tracheotomies should become familiar with these guidelines.
Identifiants
pubmed: 32409163
pii: S0196-0709(20)30224-6
doi: 10.1016/j.amjoto.2020.102533
pmc: PMC7204678
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
102533Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest None.
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