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The Royal College of Surgeons multidisciplinary guidelines on elective tracheostomy insertion in COVID-19 ventilated patients

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journal contribution
posted on 16.09.2022, 07:46 authored by Holly Jones, Adrien Gendre, Peter WalshePeter Walshe, Michael WalshMichael Walsh, Fergal Glynn, Peter Lacy, Robert Gaffney, Rory McConn WalshRory McConn Walsh, Sherif Mamdouh, James O'RourkeJames O'Rourke, Ross MorganRoss Morgan, Michael Emmet O'Brien, Neville Shine, Gerard CurleyGerard Curley, James Paul O'NeillJames Paul O'Neill

Background: The current COVID-19 pandemic has placed enormous strain on healthcare systems worldwide. Understanding of COVID-19 is rapidly evolving. Pneumonia associated with COVID-19 may lead to respiratory failure requiring mechanical ventilation. The rise in patients requiring mechanical ventilation may lead to an increase in tracheostomies being performed in patients with COVID-19. Performing tracheostomy in patients with active SARS-CoV-2 infection poses a number of challenges.

Methods: These guidelines were written following multidisciplinary agreement between Otolaryngology, Head and Neck Surgery, Respiratory Medicine and the Department of Anaesthetics and Critical Care Medicine in the Royal College of Surgeons in Ireland. A literature review was performed and a guideline for elective tracheostomy insertion in patients with COVID-19 proposed.

Conclusion: The decision to perform tracheostomy in patients with COVID-19 should be undertaken by senior members of the multidisciplinary team. Steps should be taken to minimise risks to healthcare workers.

History

Comments

The original article is available at https://www.sciencedirect.com/

Published Citation

Jones H, et al. The Royal College of Surgeons multidisciplinary guidelines on elective tracheostomy insertion in COVID-19 ventilated patients. Surgeon. 2020;19(5):e265-e269.

Publication Date

29 December 2020

PubMed ID

33423925

Department/Unit

  • Otolaryngology Head and Neck Surgery
  • Anaesthetics and Critical Care
  • Beaumont Hospital
  • Medicine

Publisher

Elsevier B.V.

Version

  • Accepted Version (Postprint)