COVID-19 Transmission to Health Care Personnel During Tracheostomy Under a Multidisciplinary Safety Protocol.

Humans COVID-19 Tracheostomy / adverse effects SARS-CoV-2 Personal Protective Equipment Delivery of Health Care

Journal

American journal of critical care : an official publication, American Association of Critical-Care Nurses
ISSN: 1937-710X
Titre abrégé: Am J Crit Care
Pays: United States
ID NLM: 9211547

Informations de publication

Date de publication:
01 11 2022
Historique:
pubmed: 12 8 2022
medline: 3 11 2022
entrez: 11 8 2022
Statut: ppublish

Résumé

Tracheostomies are highly aerosolizing procedures yet are often indicated in patients with COVID-19 who require prolonged intubation. Robust investigations of the safety of tracheostomy protocols and provider adherence and evaluations are limited. To determine the rate of COVID-19 infection of health care personnel involved in COVID-19 tracheostomies under a multidisciplinary safety protocol and to investigate health care personnel's attitudes and suggested areas for improvement concerning the protocol. All health care personnel involved in tracheostomies in COVID-19-positive patients from April 9 through July 11, 2020, were sent a 22-item electronic survey. Among 107 health care personnel (80.5%) who responded to the survey, 5 reported a positive COVID-19 test result (n = 2) or symptoms of COVID-19 (n = 3) within 21 days of the tracheostomy. Respondents reported 100% adherence to use of adequate personal protective equipment. Most (91%) were familiar with the tracheostomy protocol and felt safe (92%) while performing tracheostomy. Suggested improvements included creating dedicated tracheostomy teams and increasing provider choices surrounding personal protective equipment. Multidisciplinary engagement in the development and implementation of a COVID-19 tracheostomy protocol is associated with acceptable safety for all members of the care team.

Sections du résumé

BACKGROUND
Tracheostomies are highly aerosolizing procedures yet are often indicated in patients with COVID-19 who require prolonged intubation. Robust investigations of the safety of tracheostomy protocols and provider adherence and evaluations are limited.
OBJECTIVES
To determine the rate of COVID-19 infection of health care personnel involved in COVID-19 tracheostomies under a multidisciplinary safety protocol and to investigate health care personnel's attitudes and suggested areas for improvement concerning the protocol.
METHODS
All health care personnel involved in tracheostomies in COVID-19-positive patients from April 9 through July 11, 2020, were sent a 22-item electronic survey.
RESULTS
Among 107 health care personnel (80.5%) who responded to the survey, 5 reported a positive COVID-19 test result (n = 2) or symptoms of COVID-19 (n = 3) within 21 days of the tracheostomy. Respondents reported 100% adherence to use of adequate personal protective equipment. Most (91%) were familiar with the tracheostomy protocol and felt safe (92%) while performing tracheostomy. Suggested improvements included creating dedicated tracheostomy teams and increasing provider choices surrounding personal protective equipment.
CONCLUSIONS
Multidisciplinary engagement in the development and implementation of a COVID-19 tracheostomy protocol is associated with acceptable safety for all members of the care team.

Identifiants

DOI: 10.4037/ajcc2022538 PMID: 35953441
pubmed: 35953441
pii: 31810
doi: 10.4037/ajcc2022538
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

452-460

Informations de copyright

©2022 American Association of Critical-Care Nurses.

Auteurs

Taylor C Standiford (TC)

Taylor C. Standiford is a second-year resident, Department of Otolaryngology-Head & Neck Surgery, University of California, San Francisco.

Janice L Farlow (JL)

Janice L. Farlow is a head and neck surgical oncology fellow, Department of Otolaryngology-Head & Neck Surgery, The Ohio State University, Columbus.

Michael J Brenner (MJ)

Michael J. Brenner is an associate professor, Department of Otolaryngology-Head & Neck Surgery, University of Michigan, Ann Arbor.

Ross Blank (R)

Ross Blank is an assistant professor, Department of Anesthesiology, University of Michigan, Ann Arbor.

Venkatakrishna Rajajee (V)

Venkata-krishna Rajajee is a professor, Department of Neurosurgery, University of Michigan, Ann Arbor.

Noel R Baldwin (NR)

Noel R. Baldwin is a registered nurse, Critical Care Medicine Unit, University of Michigan, Ann Arbor.

Steven B Chinn (SB)

Steven B. Chinn is an assistant professor, Department of Otolaryngology-Head & Neck Surgery, University of Michigan, Ann Arbor.

Jessica A Cusac (JA)

Jessica A. Cusac is a respiratory therapist, clinical specialist, University Hospital/Cardiovascular Center, University of Michigan, Ann Arbor.

Jose De Cardenas (J)

Jose De Cardenas is an associate professor, Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Michigan, Ann Arbor.

Kelly M Malloy (KM)

Kelly M. Malloy is an associate professor, Department of Otolaryngology-Head & Neck Surgery, University of Michigan, Ann Arbor.

Kelli L McDonough (KL)

Kelli L. McDonough is a clinical research project manager, Department of Surgery, University of Michigan, Ann Arbor.

Lena M Napolitano (LM)

Lena M. Napolitano is a professor, Department of Surgery, University of Michigan, Ann Arbor.

Michael W Sjoding (MW)

Michael W. Sjoding is an assistant professor, Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Michigan, Ann Arbor.

Emily K Stoneman (EK)

Emily K. Stoneman is an associate professor, Division of Infectious Disease, Department of Medicine, University of Michigan, Ann Arbor.

Laraine L Washer (LL)

Laraine L. Washer is a professor, Division of Infectious Disease, Department of Medicine, University of Michigan, Ann Arbor.

Pauline K Park (PK)

Pauline K. Park is a professor, Department of Surgery, University of Michigan, Ann Arbor.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › COVID-19 Transmission to Health Care Personnel...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › COVID-19 Transmission to Health Care Personnel...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie thoracique › Trachéostomie › COVID-19 Transmission to Health Care Personnel...
questionsmedicales.fr › Virus › Virus à ARN › Virus à ARN à brin positif › Nidovirales › Coronaviridae › Coronavirus › Betacoronavirus › Virus du SRAS › SARS-CoV-2 › COVID-19 Transmission to Health Care Personnel...
questionsmedicales.fr › Technologie, industrie et agriculture › Produits manufacturés › Dispositifs de protection › Équipement de protection individuelle › COVID-19 Transmission to Health Care Personnel...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › COVID-19 Transmission to Health Care Personnel...