Protection of Medical Staff during Tracheotomy: Lessons Learned from the COVID-19 Pandemic

Background: During the ongoing pandemic of COVID-19, tracheotomy under emergency situation is considered a high-risk procedure that causes probable expose to aerosolized secretion. Summary: We reviewed our case and previous reports, and summarized a detailed protocol that is needed to protect medica...

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Veröffentlicht in:O.R.L. Journal for oto-rhino-laryngology and its related specialties 2020, Vol.82 (6), p.304-309
Hauptverfasser: Lee, Dong-Hyun, Kim, Subin, Kim, Ji-Sun, Kim, Byung Guk, Chang, Ki-Hong, Park, Jun-Ook
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container_end_page 309
container_issue 6
container_start_page 304
container_title O.R.L. Journal for oto-rhino-laryngology and its related specialties
container_volume 82
creator Lee, Dong-Hyun
Kim, Subin
Kim, Ji-Sun
Kim, Byung Guk
Chang, Ki-Hong
Park, Jun-Ook
description Background: During the ongoing pandemic of COVID-19, tracheotomy under emergency situation is considered a high-risk procedure that causes probable expose to aerosolized secretion. Summary: We reviewed our case and previous reports, and summarized a detailed protocol that is needed to protect medical staffs who perform tracheotomy under the COVID-19 pandemic, considering the patient’s condition, experience of medical staff members, and available facilities and equipment. Key Messages: For efficient protection of medical staff who perform tracheotomy under the COVID-19 pandemic period, we suggest that the following needs to be considered: assessment of patient’s condition (COVID-19 infection and the airway problem), route (safest route to the operating room), experienced surgical team, negative-pressure isolation facility and appliance (personal protective equipment) availability, and safe and appropriate post-tracheotomy care.
doi_str_mv 10.1159/000511012
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source MEDLINE; Karger Journals Complete; Alma/SFX Local Collection; Karger:Jisc Collections:ORL, Ophthalmology, Dental Medicine, Obstetrics, Gynecology and Psychology, Psychiatry Archive Collection (2012-2112)
subjects Aged, 80 and over
COVID-19 - prevention & control
Humans
Infection Control - methods
Infectious Disease Transmission, Patient-to-Professional - prevention & control
Male
Medical Staff
Operating Rooms
Pandemics
Personal Protective Equipment
Review
Review Article
SARS-CoV-2
Tracheotomy
Ventilation - methods
title Protection of Medical Staff during Tracheotomy: Lessons Learned from the COVID-19 Pandemic
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