Critical Care Guidance for Tracheostomy Care During the COVID-19 Pandemic: A Global, Multidisciplinary Approach
| Autor: | Troy DeRose, Andrea Zavalis, Kafilat Ajoke Okusanya, Patrick A. Palmieri, Brian K Walsh, Michael Brenner, Brendan McGrath, Paolo Pelosi, Mary Lou Sole, Francisco Paredes Garza, Jane Phillips, Martin B. Brodsky, Lionel Lami, Leah Lambe, Vinciya Pandian, Alphonsa Rahman, Linda L. Morris, Patricia M. Davidson, Sarah Pui Man Wu, Simona Maiani, Cynda Hylton Rushton, James T. Lynch |
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| Rok vydání: | 2020 |
| Předmět: |
Critical Care
Health Personnel Pneumonia Viral 1110 Nursing Nursing Safeguarding Critical Care Nursing Occupational safety and health 03 medical and health sciences Betacoronavirus 0302 clinical medicine Tracheostomy Multidisciplinary approach Critical care nursing Health care medicine Infection control Humans 030212 general & internal medicine 030223 otorhinolaryngology Personal protective equipment Pandemics Personal Protective Equipment Occupational Health Aerosols Infection Control business.industry SARS-CoV-2 Risk of infection COVID-19 General Medicine medicine.disease Practice Guidelines as Topic Medical emergency business Coronavirus Infections |
| Zdroj: | American journal of critical care : an official publication, American Association of Critical-Care Nurses. 29(6) |
| ISSN: | 1937-710X |
| Popis: | Purpose Critical care nurses caring for patients with a tracheostomy are at high risk because of the predilection of SARS-CoV-2 for respiratory and mucosal surfaces. This review identifies patient-centered practices that ensure safety and reduce risk of infection transmission to health care workers during the coronavirus disease 2019 (COVID-19) pandemic. Methods Consensus statements, guidelines, institutional recommendations, and scientific literature on COVID-19 and previous outbreaks were reviewed. A global interdisciplinary team analyzed and prioritized findings via electronic communications and video conferences to develop consensus recommendations. Results Aerosol-generating procedures are commonly performed by nurses and other health care workers, most notably during suctioning, tracheostomy tube changes, and stoma care. Patient repositioning, readjusting circuits, administering nebulized medications, and patient transport also present risks. Standard personal protective equipment includes an N95/FFP3 mask with or without surgical masks, gloves, goggles, and gown when performing aerosol-generating procedures for patients with known or suspected COVID-19. Viral testing of bronchial aspirate via tracheostomy may inform care providers when determining the protective equipment required. The need for protocols to reduce risk of transmission of infection to nurses and other health care workers is evident. Conclusion Critical care nurses and multidisciplinary teams often care for patients with a tracheostomy who are known or suspected to have COVID-19. Appropriate care of these patients relies on safeguarding the health care team. The practices described in this review may greatly reduce risk of infectious transmission. |
| Databáze: | OpenAIRE |
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