Tracheostomy Considerations during the COVID-19 Pandemic

Objective To compile current best practices regarding tracheostomy decision making, care, and technical performance during the global COVID-19 pandemic. Data Sources Articles listed in PubMed and Google sources for up-to-date information. Review Methods All sources presenting objective evidence rela...

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Main Authors: Travis Shiba MD, Shabnam Ghazizadeh MD, Dinesh Chhetri MD, Maie St. John MD, PhD, Jennifer Long MD, PhD
Format: Article
Language:English
Published: Wiley 2020-04-01
Series:OTO Open
Online Access:https://doi.org/10.1177/2473974X20922528
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author Travis Shiba MD
Shabnam Ghazizadeh MD
Dinesh Chhetri MD
Maie St. John MD, PhD
Jennifer Long MD, PhD
author_facet Travis Shiba MD
Shabnam Ghazizadeh MD
Dinesh Chhetri MD
Maie St. John MD, PhD
Jennifer Long MD, PhD
author_sort Travis Shiba MD
collection DOAJ
description Objective To compile current best practices regarding tracheostomy decision making, care, and technical performance during the global COVID-19 pandemic. Data Sources Articles listed in PubMed and Google sources for up-to-date information. Review Methods All sources presenting objective evidence related to the topic were reviewed and distilled. Conclusions Tracheostomy in patients with coronavirus disease should be a rare event yet one that requires significant decision making and procedural deliberation. Indications for surgery must be balanced by risk of disease transmission to health care workers. Considerations are given to personal protective equipment, viral testing, and alternatives. Implications for Practice Otolaryngologists worldwide must be aware of these considerations to provide safe patient care without undue risk to themselves or their hospital coworkers.
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spelling doaj.art-7fb81d56919142739ca82f0279e402302023-12-02T14:37:58ZengWileyOTO Open2473-974X2020-04-01410.1177/2473974X20922528Tracheostomy Considerations during the COVID-19 PandemicTravis Shiba MD0Shabnam Ghazizadeh MD1Dinesh Chhetri MD2Maie St. John MD, PhD3Jennifer Long MD, PhD4Department of Head and Neck Surgery, University of California–Los Angeles, Los Angeles, California, USADepartment of Head and Neck Surgery, University of California–Los Angeles, Los Angeles, California, USADepartment of Head and Neck Surgery, University of California–Los Angeles, Los Angeles, California, USADepartment of Head and Neck Surgery, University of California–Los Angeles, Los Angeles, California, USAGreater Los Angeles Veterans Administration Healthcare System, Los Angeles, California, USAObjective To compile current best practices regarding tracheostomy decision making, care, and technical performance during the global COVID-19 pandemic. Data Sources Articles listed in PubMed and Google sources for up-to-date information. Review Methods All sources presenting objective evidence related to the topic were reviewed and distilled. Conclusions Tracheostomy in patients with coronavirus disease should be a rare event yet one that requires significant decision making and procedural deliberation. Indications for surgery must be balanced by risk of disease transmission to health care workers. Considerations are given to personal protective equipment, viral testing, and alternatives. Implications for Practice Otolaryngologists worldwide must be aware of these considerations to provide safe patient care without undue risk to themselves or their hospital coworkers.https://doi.org/10.1177/2473974X20922528
spellingShingle Travis Shiba MD
Shabnam Ghazizadeh MD
Dinesh Chhetri MD
Maie St. John MD, PhD
Jennifer Long MD, PhD
Tracheostomy Considerations during the COVID-19 Pandemic
OTO Open
title Tracheostomy Considerations during the COVID-19 Pandemic
title_full Tracheostomy Considerations during the COVID-19 Pandemic
title_fullStr Tracheostomy Considerations during the COVID-19 Pandemic
title_full_unstemmed Tracheostomy Considerations during the COVID-19 Pandemic
title_short Tracheostomy Considerations during the COVID-19 Pandemic
title_sort tracheostomy considerations during the covid 19 pandemic
url https://doi.org/10.1177/2473974X20922528
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