Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jul;45(4):649-651.
doi: 10.1111/coa.13549. Epub 2020 Apr 26.

A framework for open tracheostomy in COVID-19 patients

Affiliations

A framework for open tracheostomy in COVID-19 patients

Tony Jacob et al. Clin Otolaryngol. 2020 Jul.
No abstract available

PubMed Disclaimer

Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
A, Planning steps recommended in the days and weeks prior to predicted tracheostomy. PPE = Personal Protective Equipment, COVID = novel Coronavirus‐19 (nCov19), ICU: Intensive Care Unit, B, Proposed checklist for the day of tracheostomy. HME = Heat and Moisture Exchanger, ETT: Endotracheal tube. C, Performance of critical steps in open tracheostomy once the trachea is exposed. PEEP = Positive End‐Expiratory Pressure, APL valve = Adjustable Pressure Limiting valve, CO2 = carbon dioxide, D, Care for the tracheostomy patient after procedure in critical care and beyond. SLT = Speech and Language Therapist

References

    1. Wei‐Qing Chen W, Ling W, Lu C, et al. Which preventive measures might protect health care workers from SARS? BMC Public Health. 2009;9:81. - PMC - PubMed
    1. Tang J, Chan R. Severe acute respiratory syndrome (SARS) in intensive care units (ICUs): limiting the risk to healthcare workers. Curr Anaesth Crit Care. 2004;15(3):143‐155. - PMC - PubMed
    1. Chee VWT, Khoo M‐C, Lee SF, Lai YC, Chin NM. Infection control measures for operative procedures in severe acute respiratory syndrome–related patients. Anesthesiology. 2004;100(6):1394‐1398. - PubMed
    1. Harrison L, Ramsden J. Tracheostomy guidance during the COVID‐19‐Pandemic. 2020: https://www.entuk.org/tracheostomy‐guidance‐during‐covid‐19‐pandemic
    1. Brass P, Hellmich M, Ladra A, Ladra J, Wrzosek A. Percutaneous techniques versus surgical techniques for tracheostomy. Cochrane Database Syst Rev. 2016;7:CD008045. - PMC - PubMed