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Emergency management plan for paediatric patients with tracheostomies during the coronavirus disease 2019 pandemic

B Petulla1, E Ho1, E Sov1

  • 1Department of Otolaryngology, Sydney Children's Hospital, Randwick, Australia.

The Journal of Laryngology and Otology
|July 5, 2022
PubMed

Insights

A systematic approach to managing paediatric tracheostomies during the COVID-19 pandemic reduced healthcare worker anxiety and protected vulnerable patients. This structured plan optimized care and minimized viral exposure.

Area of Science:

  • Pediatric Otolaryngology
  • Infectious Disease Control
  • Respiratory Care

Background:

  • Pediatric patients with tracheostomies are at increased risk during the COVID-19 pandemic.
  • Healthcare workers face anxiety regarding viral transmission from tracheostomy secretions and aerosols.
  • Vulnerable pediatric population requires specialized care protocols.

Purpose of the Study:

  • To present a systematic approach for managing pediatric tracheostomies during the COVID-19 pandemic.
  • To reduce healthcare worker exposure to viral pathogens.
  • To optimize the care of pediatric patients with tracheostomies.

Main Methods:

  • Development of three key documents: a generic tracheostomy management plan, a personalized management plan, and a guide for tracheostomy tube changes.
  • Focus on minimizing aerosol production during procedures.
  • Dissemination of the management plan to relevant healthcare providers.

Main Results:

  • The management plan was implemented for 31 pediatric patients (11 months to 17 years).
  • The plan was utilized on 10 occasions, influencing patient management.
  • Included patients with uncuffed tubes (74.2%) and those on long-term ventilation (29%).

Conclusions:

  • A structured approach to emergency tracheostomy care during the COVID-19 pandemic is effective.
  • Safeguards pediatric patients by minimizing unnecessary tube manipulation.
  • Reduces viral exposure risk for healthcare workers and ensures prompt patient care.
Abstract

Keywords:
COVID-19PediatricsQuality ImprovementRisk ManagementTracheostomy

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