[Management of tracheostomy patients during the COVID-19 pandemic: review of the literature and demonstration]. / Management von Patienten mit Tracheostoma während der COVID-19-Pandemie: Literaturüberblick und Demonstration.
HNO
; 68(11): 828-837, 2020 Nov.
Article
em De
| MEDLINE
| ID: mdl-32514605
ABSTRACT
BACKGROUND:
Since emergence of the new coronavirus in China in December 2019, many countries have been struggling to control skyrocketing numbers of infections, including among healthcare personnel. It has now been clearly demonstrated that SARS-CoV2 resides in the upper airways and transmits easily via aerosols and droplets, which significantly increases the risk of infection when performing upper airway procedures. Ventilated COVID-19 patients in a critical condition in the intensive care unit may require tracheotomy for long-term ventilation and to improve weaning. However, the risk of secondary infection of medical personnel performing subsequent tracheostomy care remains unclear.OBJECTIVE:
This study aimed to evaluate the risk of droplet dispersion during tracheostomy tube change and overview tracheostomy tube change in COVID-19 patients. MATERIALS ANDMETHODS:
The current literature was reviewed, quantitative and qualitative analyses of droplet formation during tracheostomy tube change in nâ¯= 8 patients were performed, and an overview of and checklist for tracheostomy tube change were compiled.RESULTS:
This study demonstrates that tracheostomy tube change, in particular insertion of the new tube, may cause significant droplet formation. The aerosolization of particles smaller than 5⯵m was not analyzed.CONCLUSION:
Our data, together with the current literature, clearly emphasize that tracheostomy care is associated with a high infection risk and should only be performed by a small group of well-trained, maximally protected healthcare personnel.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pneumonia Viral
/
Traqueostomia
/
Transmissão de Doença Infecciosa do Paciente para o Profissional
/
Infecções por Coronavirus
/
Intubação Intratraqueal
Tipo de estudo:
Qualitative_research
Limite:
Humans
Idioma:
De
Revista:
HNO
Ano de publicação:
2020
Tipo de documento:
Article