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Comment
. 2020 Jul:106:104777.
doi: 10.1016/j.oraloncology.2020.104777. Epub 2020 May 7.

Management of tracheostomy during COVID-19 outbreak: Heat and moisture exchanger filter and closed suctioning system

Daniele De Seta  1 , Filippo Carta  2 , Roberto Puxeddu  2
Affiliations
Comment

Management of tracheostomy during COVID-19 outbreak: Heat and moisture exchanger filter and closed suctioning system

Daniele De Seta et al. Oral Oncol. 2020 Jul.

Abstract

  1. •

    Precautions for safer management of tracheostomy should be taken for all patients.

  2. •

    HMEFs and closed endotracheal suctioning systems protect patients and healthcare professionals.

  3. •

    Precaution for reduce the COVID-19 diffusion should be taken until the epidemic is controlled.

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Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Patient at postoperative day 2 after a left mandibular resection, bilateral neck dissection and fibula free flap reconstruction. The bacterial/viral filter is provided with the heat and moisture exchanger (HMEF6/I, Deaflux, DEAS, Italy) (A), and the closed endotracheal suctioning system (Closed Suction System for Adults, Halyard Health, UK) (B) allows the aspiration of endotracheal secretions without the exposition of the tracheal lumen.
See this image and copyright information in PMC

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References

    1. Pichi B., Mazzola F., Bonsembiante A., Petruzzi G., Zocchi J., Moretto S. CORONA-steps for tracheotomy in COVID-19 patients: a staff-safe method for airway management. Oral Oncol. 2020;6(105) doi: 10.1016/j.oraloncology.2020.104682. - DOI - PMC - PubMed
    1. https://www.epicentro.iss.it/en/coronavirus/bollettino/Infografica_1magg....
    1. Lippi G, Simundic AM, Plebani M. Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19). Clin Chem Lab Med. 2020 Mar 16. pii: /j/cclm.ahead-of-print/cclm-2020-0285/cclm-2020-0285.xml. doi: 10.1515/cclm-2020-0285. - PubMed
    1. Wilkes A.R., Benbough J.E., Speight S.E., Harmer M. The bacterial and viral filtration performance of breathing system filters. Anaesthesia. 2000;55:458–465. - PubMed
    1. Muscedere J., Dodek P., Keenan S., Fowler R., Cook D. Heyland D; VAP guidelines committee and the Canadian critical care trials group. Comprehensive evidence-based clinical practice guidelines for ventilator-associated pneumonia: prevention. J Crit Care. 2008;23:126–137. - PubMed

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