Management of tracheostomy patients during the COVID-19 pandemic: review of the literature and demonstration

HNO
J S KempfleS K Mueller

Abstract

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-CoV‑2 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. This study aimed to evaluate the risk of droplet dispersion during tracheostomy tube change and overview tracheostomy tube change in COVID-19 patients. The current literature was reviewed, quantitative and qualitative analyses of droplet formation during tracheostomy tube change in n = 8 patients were performed, and an overview of and checklist for tracheostomy tube change were compiled. This study demonstrates that tracheostomy tube change, in particular insertion of the new tube, may cause significant droplet formation. The aerosolization of particles smal...Continue Reading

References

Oct 2, 2003·The Laryngoscope·William I WeiLai Kun Lam
Mar 20, 2004·Emerging Infectious Diseases·Tze-wai WongUNKNOWN Outbreak Study Group
Mar 20, 2004·Emerging Infectious Diseases·Michael D ChristianUNKNOWN SARS Investigation Team
Apr 23, 2004·The New England Journal of Medicine·Ignatius T S YuTommy Ho
Mar 12, 2005·American Journal of Infection Control·David MooreUNKNOWN BC Interdisciplinary Respiratory Protection Study Group
May 7, 2009·Journal of Aerosol Medicine and Pulmonary Drug Delivery·Graham Richard Johnson, Lidia Morawska
Jan 13, 2015·The Cochrane Database of Systematic Reviews·Brenda N G AndrioloOrsine Valente
Jun 27, 2017·Nature Cell Biology·Fengbiao ZhouCarsten Müller-Tidow
Sep 15, 2019·American Journal of Infection Control·Rex A HowardNathaniel Powell
Nov 27, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Steven D Curry, Paul J Rowan
Feb 14, 2020·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Randy S Wax, Michael D Christian
Feb 20, 2020·The New England Journal of Medicine·Lirong ZouJie Wu
Feb 28, 2020·Journal of Clinical Microbiology·Poramed WinichakoonQuanhathai Kaewpoowat
Mar 17, 2020·Annals of Internal Medicine·Kangqi NgJagadesan Raghuram
Mar 18, 2020·The New England Journal of Medicine·Neeltje van DoremalenVincent J Munster
Mar 21, 2020·Lancet·Paul Weiss, David R Murdoch
Mar 27, 2020·Irish Journal of Medical Science·Juan Wang, Guoqiang Du
Apr 1, 2020·The Lancet Infectious Diseases·Francois-Xavier LescureYazdan Yazdanpanah
Apr 2, 2020·JAMA Otolaryngology-- Head & Neck Surgery·Babak GiviLouise Davies
Apr 3, 2020·Nature·Roman WölfelClemens Wendtner
Apr 3, 2020·The Lancet Infectious Diseases·Robert VerityNeil M Ferguson
Apr 5, 2020·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Clyde T MatavaSimon Denning
May 7, 2020·Nature Medicine·Nancy H L LeungBenjamin J Cowling

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