Recommendations from the CSO-HNS taskforce on performance of tracheotomy during the COVID-19 pandemic
Abstract Introduction The performance of tracheotomy is a common procedural request by critical care departments to the surgical services of general surgery, thoracic surgery and otolaryngology - head & neck surgery. A Canadian Society of Otolaryngology – Head & Neck Surgery (CSO-HNS) task f...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-04-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s40463-020-00414-9 |
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| author | D. D. Sommer P. T. Engels E.K. Weitzel S. Khalili M. Corsten M. A. Tewfik K. Fung D. Cote M. Gupta N. Sne T. F. E. Brown J. Paul K. M. Kost I. J. Witterick |
| author_facet | D. D. Sommer P. T. Engels E.K. Weitzel S. Khalili M. Corsten M. A. Tewfik K. Fung D. Cote M. Gupta N. Sne T. F. E. Brown J. Paul K. M. Kost I. J. Witterick |
| author_sort | D. D. Sommer |
| collection | DOAJ |
| description | Abstract Introduction The performance of tracheotomy is a common procedural request by critical care departments to the surgical services of general surgery, thoracic surgery and otolaryngology - head & neck surgery. A Canadian Society of Otolaryngology – Head & Neck Surgery (CSO-HNS) task force was convened with multi-specialty involvement from otolaryngology-head & neck surgery, general surgery, critical care and anesthesiology to develop a set of recommendations for the performance of tracheotomies during the COVID-19 pandemic. Main body The tracheotomy procedure is highly aerosol generating and directly exposes the entire surgical team to the viral aerosol plume and secretions, thereby increasing the risk of transmission to healthcare providers. As such, we believe extended endotracheal intubation should be the standard of care for the entire duration of ventilation in the vast majority of patients. Pre-operative COVID-19 testing is highly recommended for any non-emergent procedure. Conclusion The set of recommendations in this document highlight the importance of avoiding tracheotomy procedures in patients who are COVID-19 positive if at all possible. Recommendations for appropriate PPE and environment are made for COVID-19 positive, negative and unknown patients requiring consideration of tracheotomy. The safety of healthcare professionals who care for ill patients and who keep critical infrastructure operating is paramount. |
| format | Article |
| id | doaj-art-5b85192fd6144936851bb064df5c4be2 |
| institution | OA Journals |
| issn | 1916-0216 |
| language | English |
| publishDate | 2020-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-5b85192fd6144936851bb064df5c4be22025-08-20T01:47:50ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162020-04-014911410.1186/s40463-020-00414-9Recommendations from the CSO-HNS taskforce on performance of tracheotomy during the COVID-19 pandemicD. D. Sommer0P. T. Engels1E.K. Weitzel2S. Khalili3M. Corsten4M. A. Tewfik5K. Fung6D. Cote7M. Gupta8N. Sne9T. F. E. Brown10J. Paul11K. M. Kost12I. J. Witterick13Division of Otolaryngology - Head & Neck Surgery - Department of Surgery, McMaster University Medical Centre, McMaster UniversityDepartment of Surgery and Critical Care, McMaster UniversityUnited States Army Institute of Surgical ResearchAurora Neuroscience Innovation InstituteDivision of Otolaryngology - Head & Neck Surgery, Dalhousie UniversityDepartment of Otolaryngology - Head and Neck Surgery, McGill UniversityDepartment of Otolaryngology - Head and Neck Surgery, Western UniversityDivision of Otolaryngology - Head and Neck Surgery, University of AlbertaDivision of Otolaryngology - Head & Neck Surgery - Department of Surgery, McMaster University Medical Centre, McMaster UniversityDepartment of Surgery and Critical Care, McMaster UniversityDivision of Otolaryngology - Head & Neck Surgery, Dalhousie UniversityDepartment of Anesthesia, McMaster UniversityDepartment of Otolaryngology - Head and Neck Surgery, McGill UniversityDepartment of Otolaryngology - Head & Neck Surgery, University of TorontoAbstract Introduction The performance of tracheotomy is a common procedural request by critical care departments to the surgical services of general surgery, thoracic surgery and otolaryngology - head & neck surgery. A Canadian Society of Otolaryngology – Head & Neck Surgery (CSO-HNS) task force was convened with multi-specialty involvement from otolaryngology-head & neck surgery, general surgery, critical care and anesthesiology to develop a set of recommendations for the performance of tracheotomies during the COVID-19 pandemic. Main body The tracheotomy procedure is highly aerosol generating and directly exposes the entire surgical team to the viral aerosol plume and secretions, thereby increasing the risk of transmission to healthcare providers. As such, we believe extended endotracheal intubation should be the standard of care for the entire duration of ventilation in the vast majority of patients. Pre-operative COVID-19 testing is highly recommended for any non-emergent procedure. Conclusion The set of recommendations in this document highlight the importance of avoiding tracheotomy procedures in patients who are COVID-19 positive if at all possible. Recommendations for appropriate PPE and environment are made for COVID-19 positive, negative and unknown patients requiring consideration of tracheotomy. The safety of healthcare professionals who care for ill patients and who keep critical infrastructure operating is paramount.http://link.springer.com/article/10.1186/s40463-020-00414-9TracheotomyTracheostomyCovid-19CoronavirusSARS-CoV-2Airway |
| spellingShingle | D. D. Sommer P. T. Engels E.K. Weitzel S. Khalili M. Corsten M. A. Tewfik K. Fung D. Cote M. Gupta N. Sne T. F. E. Brown J. Paul K. M. Kost I. J. Witterick Recommendations from the CSO-HNS taskforce on performance of tracheotomy during the COVID-19 pandemic Journal of Otolaryngology - Head and Neck Surgery Tracheotomy Tracheostomy Covid-19 Coronavirus SARS-CoV-2 Airway |
| title | Recommendations from the CSO-HNS taskforce on performance of tracheotomy during the COVID-19 pandemic |
| title_full | Recommendations from the CSO-HNS taskforce on performance of tracheotomy during the COVID-19 pandemic |
| title_fullStr | Recommendations from the CSO-HNS taskforce on performance of tracheotomy during the COVID-19 pandemic |
| title_full_unstemmed | Recommendations from the CSO-HNS taskforce on performance of tracheotomy during the COVID-19 pandemic |
| title_short | Recommendations from the CSO-HNS taskforce on performance of tracheotomy during the COVID-19 pandemic |
| title_sort | recommendations from the cso hns taskforce on performance of tracheotomy during the covid 19 pandemic |
| topic | Tracheotomy Tracheostomy Covid-19 Coronavirus SARS-CoV-2 Airway |
| url | http://link.springer.com/article/10.1186/s40463-020-00414-9 |
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