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Tracheostomy Considerations during the COVID-19 Pandemic
Travis Shiba1, Shabnam Ghazizadeh1, Dinesh Chhetri1
1Department of Head and Neck Surgery, University of California-Los Angeles, Los Angeles, California, USA.
OTO Open
|April 29, 2020
Summary
Tracheostomy during the COVID-19 pandemic requires careful decision-making to balance patient needs with healthcare worker safety. Best practices emphasize minimizing procedures and using protective measures to prevent viral transmission.
Area of Science:
- Otolaryngology
- Infectious Disease Management
- Surgical Safety
Background:
- The COVID-19 pandemic presented unique challenges for surgical procedures, including tracheostomy.
- Healthcare workers faced risks of viral transmission during aerosol-generating procedures.
Purpose of the Study:
- To compile current best practices for tracheostomy decision-making, care, and technical performance during the COVID-19 pandemic.
- To provide guidance for otolaryngologists and healthcare teams.
Main Methods:
- Systematic review of articles from PubMed and Google for up-to-date information.
- Distillation of objective evidence from all reviewed sources.
Main Results:
- Tracheostomy in COVID-19 patients should be a rare event.
- Indications for surgery must be carefully weighed against the risk of disease transmission.
Conclusions:
- Key considerations include personal protective equipment, viral testing, and exploring alternative treatments.
- Otolaryngologists must be aware of these considerations to ensure safe patient care and protect healthcare workers.
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