Tracheostomy protocols during COVID-19 pandemic
Tracheostomy protocols during COVID-19 pandemic
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DOI：
10.1002/hed.26192
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发表时间：
2020-05-02
影响因子：
2.9
通讯作者：
Day, Terry A.
中科院分区：
文献类型：
--
作者：
Heyd, Cameron P.;Desiato, Vincent M.;Day, Terry A.
背景 COVID-19 大流行导致了与气管切开术的适应症和围手术期预防措施以及方案相关的方案和指南的快速变化。本研究的目的是评估 COVID-19 大流行期间气管切开术的现行指南，为卫生系统提供一个框架，以便随着未来几个月和几年科学的发展做好准备。方法进行了文献综述。其中包括报告 COVID-19 背景下气管切开术临床实践指南的文章。结果 总共确定了 13 项气管切开术指南。其中两种是通过 PubMed 获得的，五种是通过社会或组织网站获得的，六种是通过卫生系统网站或其他来源确定的。 5 名来自耳鼻喉科-头颈外科专业，6 名来自麻醉科，1 名来自肺科/重症监护科。所有（100%）研究均建议推迟对 COVID-19 阳性患者进行择期手术室病例，其中 7 项研究建议将团队成员减少为仅必要人员，3 项建议组建指定的气管造口团队。本文总结了带有支持性参考文献的建议。 结论 COVID-19 大流行期间的气管切开术指南因医生群体和专业、医院系统以及供应链/资源可用性而异。本摘要作为 2020 年 4 月气管切开术管理指南的当前状态提供，预计随着 COVID-19 大流行、病毒检测和抗体检测的发展，将在未来几周和几个月内发生变化。
Background The COVID-19 pandemic has resulted in the implementation of rapidly changing protocols and guidelines related to the indications and perioperative precautions and protocols for tracheostomy. The purpose of this study was to evaluate current guidelines for tracheostomy during the COVID-19 pandemic to provide a framework for health systems to prepare as the science evolves over the upcoming months and years.Methods Literature review was performed. Articles reporting clinical practice guidelines for tracheostomy in the context of COVID-19 were included.Results A total of 13 tracheotomy guidelines were identified. Two were available via PubMed, five in society or organization websites, and six identified via health system websites or other sources. Five were from Otolaryngology-Head and Neck Surgery specialties, six from Anesthesiology and one from Pulmonary/Critical Care. All (100%) studies recommended postponing elective OR cases in COVID-19 positive patients, while seven recommended reducing team members to only essential staff and three recommended forming a designated tracheostomy team. Recommendations with supporting references are summarized in the article.Conclusions Tracheostomy guidelines during the COVID-19 pandemic vary by physician groups and specialty, hospital systems, and supply-chain/resource availability. This summary is provided as a point-in-time current state of the guidelines for tracheotomy management in April 2020 and is expected to change in coming weeks and months as the COVID-19 pandemic, virus testing and antibody testing evolves.