Tracheostomy in the COVID-19 era: global and multidisciplinary guidance

Massimo Antonelli, A McGrath 1 Brendan, J Brenner 2 Michael, J Warrillow 3 Stephen, Pandian 4 Vinciya, Arora 5 Asit, S Cameron 3 Tanis, Manuel Añon 6 José, Hernández Martínez 7 Gonzalo, D Truog 8 Robert, D Block 9 Susan, C Y Lui 10 Grace, McDonald 11 Christine, H Rassekh 12 Christopher, Atkins 12 Joshua, Qiang 13 Li, Vergez 14 Sébastien, Dulguerov 15 Pavel, Zenk 16 Johannes, Pelosi 18 PaoloK Walsh 19 Brian, Ward 20 Erin, Shang 21 You, Gasparini 22 Stefano, Donati 22 Abele, Singer 23 Mervyn, J M Openshaw 24 Peter, Tolley 25 Neil, Markel 2 Howard, J Feller-Kopman 26 David

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Global health care is experiencing an unprecedented surge in the number of critically ill patients who require mechanical ventilation due to the COVID-19 pandemic. The requirement for relatively long periods of ventilation in those who survive means that many are considered for tracheostomy to free patients from ventilatory support and maximise scarce resources. COVID-19 provides unique challenges for tracheostomy care: health-care workers need to safely undertake tracheostomy procedures and manage patients afterwards, minimising risks of nosocomial transmission and compromises in the quality of care. Conflicting recommendations exist about case selection, the timing and performance of tracheostomy, and the subsequent management of patients. In response, we convened an international working group of individuals with relevant expertise in tracheostomy. We did a literature and internet search for reports of research pertaining to tracheostomy during the COVID-19 pandemic, supplemented by sources comprising statements and guidance on tracheostomy care. By synthesising early experiences from countries that have managed a surge in patient numbers, emerging virological data, and international, multidisciplinary expert opinion, we aim to provide consensus guidelines and recommendations on the conduct and management of tracheostomy during the COVID-19 pandemic.
Lingua originaleEnglish
pagine (da-a)717-725
Numero di pagine9
RivistaTHE LANCET. RESPIRATORY MEDICINE
Volume2020
DOI
Stato di pubblicazionePubblicato - 2020

Keywords

  • Tracheostomy

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