Emergency tracheostomy protocols in Coltea Clinical Hospital in patients with SARS-CoV-2 infection

Since the outbreak of the COVID-19 pandemic in December 2019 there has been an array have studies regarding otolaryngologist and head and neck surgeons considering the exceptionally high risk of exposure. The purpose of this article is to evaluate the current practice in an oncology ENT Department,...

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Main Authors: Bogdan Popescu, Irina Doinița Oașă, Serban Vifor Gabriel Bertesteanu, Cristian Balalau, Razvan Scaunasu, Felicia Manole, Maria Domuta, Alina Lavinia Antoaneta Oancea
Format: Article
Language:English
Published: Digital ProScholar Media 2020-05-01
Series:Journal of Clinical and Investigative Surgery
Subjects:
Online Access:https://www.e-repository.org/jcis/5.1/34.38.pdf
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spelling doaj-969bfd01a8af4e6cb0f99ab53e61095c2020-11-25T02:18:53ZengDigital ProScholar MediaJournal of Clinical and Investigative Surgery2559-55552559-55552020-05-0151343810.25083/2559.5555/5.1/34.38Emergency tracheostomy protocols in Coltea Clinical Hospital in patients with SARS-CoV-2 infectionBogdan Popescu0Irina Doinița Oașă1Serban Vifor Gabriel Bertesteanu2Cristian Balalau3Razvan Scaunasu4Felicia Manole5Maria Domuta6Alina Lavinia Antoaneta Oancea7CAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, BUCHAREST, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, BUCHAREST, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, BUCHAREST, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, BUCHAREST, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, BUCHAREST, ROMANIAFACULTY OF MEDICINE AND PHRAMACY, ORADEA, ROMANIAFACULTY OF MEDICINE AND PHRAMACY, ORADEA, ROMANIACAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, BUCHAREST, ROMANIASince the outbreak of the COVID-19 pandemic in December 2019 there has been an array have studies regarding otolaryngologist and head and neck surgeons considering the exceptionally high risk of exposure. The purpose of this article is to evaluate the current practice in an oncology ENT Department, which ensures health care services for upper aero digestive tract cancer patients. It is of outmost importance that all the health care providers are aware of good clinical practice recommendations and training, according to the current guidelines that needs to be performed as often as possible, so that the implementation of the institution specific guidelines to be optimal. Performing a tracheostomy for an ENT emergency in a patient with suspected or confirmed COVID-19 disease requires preparation from the health care provider so, after reviewing the international literature, we have elaborated a protocol and guidelines in Colțea Clinical Hospital to ensure the possibility of performing emergency surgical interventions for oncology patients. Testing for SARS-CoV-2 is mandatory prior to surgery since opening the trachea and operating on the upper respiratory tract leads to aerosol particles that can infect the surrounding environment and health care providers. Limitations are predictable as long as health care systems are being under tremendous pressure from the general condition and by patients with life threatening disease.https://www.e-repository.org/jcis/5.1/34.38.pdfcovid-19aerosolupper respiratory tractsurgery
collection DOAJ
language English
format Article
sources DOAJ
author Bogdan Popescu
Irina Doinița Oașă
Serban Vifor Gabriel Bertesteanu
Cristian Balalau
Razvan Scaunasu
Felicia Manole
Maria Domuta
Alina Lavinia Antoaneta Oancea
spellingShingle Bogdan Popescu
Irina Doinița Oașă
Serban Vifor Gabriel Bertesteanu
Cristian Balalau
Razvan Scaunasu
Felicia Manole
Maria Domuta
Alina Lavinia Antoaneta Oancea
Emergency tracheostomy protocols in Coltea Clinical Hospital in patients with SARS-CoV-2 infection
Journal of Clinical and Investigative Surgery
covid-19
aerosol
upper respiratory tract
surgery
author_facet Bogdan Popescu
Irina Doinița Oașă
Serban Vifor Gabriel Bertesteanu
Cristian Balalau
Razvan Scaunasu
Felicia Manole
Maria Domuta
Alina Lavinia Antoaneta Oancea
author_sort Bogdan Popescu
title Emergency tracheostomy protocols in Coltea Clinical Hospital in patients with SARS-CoV-2 infection
title_short Emergency tracheostomy protocols in Coltea Clinical Hospital in patients with SARS-CoV-2 infection
title_full Emergency tracheostomy protocols in Coltea Clinical Hospital in patients with SARS-CoV-2 infection
title_fullStr Emergency tracheostomy protocols in Coltea Clinical Hospital in patients with SARS-CoV-2 infection
title_full_unstemmed Emergency tracheostomy protocols in Coltea Clinical Hospital in patients with SARS-CoV-2 infection
title_sort emergency tracheostomy protocols in coltea clinical hospital in patients with sars-cov-2 infection
publisher Digital ProScholar Media
series Journal of Clinical and Investigative Surgery
issn 2559-5555
2559-5555
publishDate 2020-05-01
description Since the outbreak of the COVID-19 pandemic in December 2019 there has been an array have studies regarding otolaryngologist and head and neck surgeons considering the exceptionally high risk of exposure. The purpose of this article is to evaluate the current practice in an oncology ENT Department, which ensures health care services for upper aero digestive tract cancer patients. It is of outmost importance that all the health care providers are aware of good clinical practice recommendations and training, according to the current guidelines that needs to be performed as often as possible, so that the implementation of the institution specific guidelines to be optimal. Performing a tracheostomy for an ENT emergency in a patient with suspected or confirmed COVID-19 disease requires preparation from the health care provider so, after reviewing the international literature, we have elaborated a protocol and guidelines in Colțea Clinical Hospital to ensure the possibility of performing emergency surgical interventions for oncology patients. Testing for SARS-CoV-2 is mandatory prior to surgery since opening the trachea and operating on the upper respiratory tract leads to aerosol particles that can infect the surrounding environment and health care providers. Limitations are predictable as long as health care systems are being under tremendous pressure from the general condition and by patients with life threatening disease.
topic covid-19
aerosol
upper respiratory tract
surgery
url https://www.e-repository.org/jcis/5.1/34.38.pdf
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