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. 2020 Jun;42(6):1282-1290.
doi: 10.1002/hed.26166. Epub 2020 Apr 20.

Tracheostomy during SARS-CoV-2 pandemic: Recommendations from the New York Head and Neck Society

Brett A Miles  1 , Bradley Schiff  2 , Ian Ganly  3 , Thomas Ow  2 , Erik Cohen  4 , Eric Genden  1 , Bruce Culliney  1 , Bhoomi Mehrotra  5 , Steven Savona  6 , Richard J Wong  3 , Missak Haigentz  4 , Salvatore Caruana  7 , Babak Givi  8 , Kepal Patel  8 , Kenneth Hu  9
Affiliations

Tracheostomy during SARS-CoV-2 pandemic: Recommendations from the New York Head and Neck Society

Brett A Miles et al. Head Neck. 2020 Jun.

Abstract

The rapid spread of SARS-CoV-2 in 2019 and 2020 has resulted in a worldwide pandemic characterized by severe pulmonary inflammation, effusions, and rapid respiratory compromise. The result of this pandemic is a large and increasing number of patients requiring endotracheal intubation and prolonged ventilator support. The rapid rise in endotracheal intubations coupled with prolonged ventilation requirements will certainly lead to an increase in tracheostomy procedures in the coming weeks and months. Performing tracheostomy in the setting of active SARS-CoV-2, when necessary, poses a unique situation, with unique risks and benefits for both the patient and the health care providers. The New York Head and Neck Society has collaborated on this document to provide guidance on the performance of tracheostomies during the SARS-CoV-2 pandemic.

Keywords: COVID19; SARS-CoV-2; airway; tracheal stenosis; tracheostomy.

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Figures

FIGURE 1
FIGURE 1
Viral load detected in nasal and throat swabs obtained from patients infected with SARS‐CoV‐2 24 [Color figure can be viewed at http://wileyonlinelibrary.com]
FIGURE 2
FIGURE 2
Temporal profile of serial viral load from all patients (n = 23) 23 [Color figure can be viewed at http://wileyonlinelibrary.com]
FIGURE 3
FIGURE 3
Temporal profiles of serum IgM and IgG against NP and spike protein RBD, as ascertained by EIA 23 . EIA, enzyme immunoassay; IgG, immunoglobulin G; IgM, immunoglobulin M; NP, nucleprotein; RBD, receptor‐binding domain [Color figure can be viewed at http://wileyonlinelibrary.com]
See this image and copyright information in PMC

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