TY - JOUR
T1 - Tracheostomy in the COVID-19 era
T2 - global and multidisciplinary guidance
AU - McGrath, Brendan A.
AU - Brenner, Michael J.
AU - Warrillow, Stephen J.
AU - Pandian, Vinciya
AU - Arora, Asit
AU - Cameron, Tanis S.
AU - Añon, José Manuel
AU - Hernández Martínez, Gonzalo
AU - Truog, Robert D.
AU - Block, Susan D.
AU - Lui, Grace C.Y.
AU - McDonald, Christine
AU - Rassekh, Christopher H.
AU - Atkins, Joshua
AU - Qiang, Li
AU - Vergez, Sébastien
AU - Dulguerov, Pavel
AU - Zenk, Johannes
AU - Antonelli, Massimo
AU - Pelosi, Paolo
AU - Walsh, Brian K.
AU - Ward, Erin
AU - Shang, You
AU - Gasparini, Stefano
AU - Donati, Abele
AU - Singer, Mervyn
AU - Openshaw, Peter J.M.
AU - Tolley, Neil
AU - Markel, Howard
AU - Feller-Kopman, David J.
N1 - Publisher Copyright:
© 2020 Elsevier Ltd
PY - 2020/7
Y1 - 2020/7
N2 - 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.
AB - 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.
UR - https://www.scopus.com/pages/publications/85085342613
U2 - 10.1016/S2213-2600(20)30230-7
DO - 10.1016/S2213-2600(20)30230-7
M3 - Review article
C2 - 32422180
AN - SCOPUS:85085342613
SN - 2213-2600
VL - 8
SP - 717
EP - 725
JO - The Lancet Respiratory Medicine
JF - The Lancet Respiratory Medicine
IS - 7
ER -