Article ; Online: French consensus regarding precautions during tracheostomy and post-tracheostomy care in the context of COVID-19 pandemic.
European annals of otorhinolaryngology, head and neck diseases
2020 Volume 137, Issue 3, Page(s) 167–169
Abstract: Tracheostomy post-tracheostomy care are regarded as at high risk for contamination ... or radiological (CT scan) markers of COVID-19, and with negative nasopharyngeal sample within 24h ... desaturation. Drug assisted neuromuscular blockage is advised to reduce coughing during tracheostomy tube ...
| Abstract | Tracheostomy post-tracheostomy care are regarded as at high risk for contamination of health care professionals with the new coronavirus (SARS-CoV-2). Considering the rapid spread of the infection, all patients in France must be considered as potentially infected by the virus. Nevertheless, patients without clinical or radiological (CT scan) markers of COVID-19, and with negative nasopharyngeal sample within 24h of surgery, are at low risk of being infected. Instructions for personal protection include specific wound dressings and decontamination of all material used. The operating room should be ventilated after each tracheostomy and the pressure of the room should be neutral or negative. Percutaneous tracheostomy is to be preferred over surgical cervicotomy in order to reduce aerosolization and to avoid moving patients from the intensive care unit to the operating room. Ventilation must be optimized during the procedure, to limit patient oxygen desaturation. Drug assisted neuromuscular blockage is advised to reduce coughing during tracheostomy tube insertion. An experienced team is mandatory to secure and accelerate the procedure as well as to reduce risk of contamination. |
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| MeSH term(s) | Betacoronavirus/isolation & purification ; COVID-19 ; Consensus ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/surgery ; France/epidemiology ; Humans ; Infection Control/methods ; Infection Control/standards ; Intubation, Intratracheal/instrumentation ; Intubation, Intratracheal/methods ; Intubation, Intratracheal/standards ; Pandemics/prevention & control ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/surgery ; Postoperative Care/methods ; Postoperative Care/standards ; SARS-CoV-2 ; Tracheostomy/methods ; Tracheostomy/standards ; Ventilation/methods ; Ventilation/standards |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-04-09 |
| Publishing country | France |
| Document type | Practice Guideline ; Journal Article |
| ZDB-ID | 2558008-5 |
| ISSN | 1879-730X ; 1879-7296 |
| ISSN (online) | 1879-730X |
| ISSN | 1879-7296 |
| DOI | 10.1016/j.anorl.2020.04.006 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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