Tracheotomy in the SARS-CoV-2 pandemic.
Head Neck
; 42(7): 1392-1396, 2020 Jul.
Artigo
em Inglês
| MEDLINE | ID: covidwho-1384168
ABSTRACT
The severe acute respiratory syndrome (SARS)-CoV-2 pandemic continues to produce a large number of patients with chronic respiratory failure and ventilator dependence. As such, surgeons will be called upon to perform tracheotomy for a subset of these chronically intubated patients. As seen during the SARS and the SARS-CoV-2 outbreaks, aerosol-generating procedures (AGP) have been associated with higher rates of infection of medical personnel and potential acceleration of viral dissemination throughout the medical center. Therefore, a thoughtful approach to tracheotomy (and other AGPs) is imperative and maintaining traditional management norms may be unsuitable or even potentially harmful. We sought to review the existing evidence informing best practices and then develop straightforward guidelines for tracheotomy during the SARS-CoV-2 pandemic. This communication is the product of those efforts and is based on national and international experience with the current SARS-CoV-2 pandemic and the SARS epidemic of 2002/2003.
Palavras-chave
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
MEDLINE
Assunto principal:
Pneumonia Viral
/
Traqueotomia
/
Mortalidade Hospitalar
/
Infecções por Coronavirus
/
Síndrome Respiratória Aguda Grave
/
Pandemias
/
Tomada de Decisão Clínica
Tipo de estudo:
Estudo de coorte
/
Estudo observacional
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Norte
Idioma:
Inglês
Revista:
Head Neck
Assunto da revista:
Neoplasias
Ano de publicação:
2020
Tipo de documento:
Artigo
País de afiliação:
HED.26214
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