Tracheostomy in the COVID-19 era: global and multidisciplinary guidance.
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McGrath BA
Manchester University NHS Foundation Trust, Manchester, UK; Manchester Academic Critical Care, Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester Academic Health Sciences Centre, Manchester, UK.
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Brenner MJ
University of Michigan, Ann Arbor, USA.
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Warrillow SJ
Austin Health, Melbourne, VIC, Australia.
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Pandian V
Johns Hopkins University, Baltimore, MD, USA.
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Arora A
Guy's and St Thomas' NHS Foundation Trust, London, UK.
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Cameron TS
Austin Health, Melbourne, VIC, Australia.
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Añon JM
La Paz-Carlos III University Hospital, IdiPAZ, Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain.
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Hernández Martínez G
Virgen de la Salud Hospital, Health Service of Castilla-La Mancha, Toledo, Spain.
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Truog RD
Center for Bioethics, Harvard Medical School, Boston, MA, USA; Department of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, MA, USA.
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Block SD
Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
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Lui GCY
The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
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McDonald C
Austin Health, Institute for Breathing and Sleep (IBAS), Melbourne, VIC, Australia.
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Rassekh CH
University of Pennsylvania, Philadelphia, PA, USA.
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Atkins J
University of Pennsylvania, Philadelphia, PA, USA.
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Qiang L
East Hospital of Shanghai, TongJi University, Shanghai, China.
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Vergez S
University Hospital Rangueil-Larrey, Toulouse, France.
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Dulguerov P
Hôpital de la Tour, Meyrin, Geneva University, Geneva, Switzerland.
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Zenk J
Universitätsklinikum Augsburg Klinik für HNO-Heilkunde, Augsburg, Germany.
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Antonelli M
Dipartimento di Scienze dell' Emergenza Anestesiologiche e della Rianimazione, Fondazione Policlinico Universitario A. Gemelli Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy.
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Pelosi P
Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy; Anesthesia and Intensive Care, San Martino Policlinico Hospital, Genoa, Italy.
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Walsh BK
Liberty University, Lynchburg, VA, USA.
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Ward E
Tracheostomy Team, Institute for Professionalism and Ethical Practice, Boston Children's Hospital, Boston, MA, USA.
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Shang Y
Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
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Gasparini S
Department of Biomedical Sciences and Public Health, Polytechnic University of Marche Region - Azienda Ospedali Riuniti, Ancona, Italy.
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Donati A
Department of Biomedical Sciences and Public Health, Polytechnic University of Marche Region - Azienda Ospedali Riuniti, Ancona, Italy.
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Singer M
University College London, London, UK.
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Openshaw PJM
National Heart and Lung Institute, Imperial College of London, London, UK.
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Tolley N
Imperial College Healthcare NHS Trust, London, UK.
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Markel H
University of Michigan, Ann Arbor, USA.
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Feller-Kopman DJ
Johns Hopkins University, Baltimore, MD, USA. Electronic address: dfk@jhmi.edu.
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Published in:
- The Lancet. Respiratory medicine. - 2020
English
Global health care is experiencing an unprecedented surge in the number of critically ill patients who require mechanical ventilation due to the COVID-19 pandemic. The requirement for relatively long periods of ventilation in those who survive means that many are considered for tracheostomy to free patients from ventilatory support and maximise scarce resources. COVID-19 provides unique challenges for tracheostomy care: health-care workers need to safely undertake tracheostomy procedures and manage patients afterwards, minimising risks of nosocomial transmission and compromises in the quality of care. Conflicting recommendations exist about case selection, the timing and performance of tracheostomy, and the subsequent management of patients. In response, we convened an international working group of individuals with relevant expertise in tracheostomy. We did a literature and internet search for reports of research pertaining to tracheostomy during the COVID-19 pandemic, supplemented by sources comprising statements and guidance on tracheostomy care. By synthesising early experiences from countries that have managed a surge in patient numbers, emerging virological data, and international, multidisciplinary expert opinion, we aim to provide consensus guidelines and recommendations on the conduct and management of tracheostomy during the COVID-19 pandemic.
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bronze
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https://sonar.ch/global/documents/43853
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