Tracheostomy and personal protective equipment (PPE) in the midst of the COVID-19 pandemic
| Autor: | Navin Mani, Frans Gordts, Callum Faris, Olivier M. Vanderveken, Gilles Van Haesendonck, Steven Mariën, Carl Van Laer, Roberto Puxeddu, Katia Verbruggen, Kristof Deben |
|---|---|
| Přispěvatelé: | Ear, nose & throat, Microbiology and Infection Control, Surgical clinical sciences |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.product_category Coronavirus disease 2019 (COVID-19) business.industry Coronavirus 03 medical and health sciences 0302 clinical medicine Nosocomial infection Tracheostomy Otorhinolaryngology personal proactive equipment Management of Technology and Innovation Pandemic Health care medicine Observational study Human medicine Clinical case Respirator 030223 otorhinolaryngology business Intensive care medicine Personal protective equipment |
| Zdroj: | B-ENT |
| ISSN: | 1781-782X |
| Popis: | The primary aim was to review the guidelines published by Otolaryngology Societies for performing tracheostomies in the COVID-19 pandemic. A secondary aim was to briefly review the literature for the effectiveness of surgical masks, N-95 and FFP-3 respirators, and power air purifying respirators (PAPRs) in reducing transmission of respiratory viral infections to health care workers while performing tracheostomy. Recommendations are mainly derived from clinical case series/retrospective observational studies from the SARS 2003/2004 outbreaks or experimental evidence for effectiveness for N-95/FFP-3 respirators and PAPRs. Differences do occur due to lack of evidence for COVID-19 as to whether N-95 and FFP-3 respirators are sufficient, or PAPRs should be recommended for tracheostomy. We would recommend adopting a conservative (protective) approach for HCWs teams performing tracheostomies, by routinely utilizing additional PPE such as PAPRs. Recommendations for the timing of tracheostomy also varied, however, almost all recommend a period of delay. The optimum duration of which is still unclear. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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