Publication:
Tracheostomy During the COVID-19 Pandemic: Comparison of International Perioperative Care Protocols and Practices in 26 Countries

Issued Date

2021-06-01

Resource Type

Review

ISSN

10976817
01945998

DOI

10.1177/0194599820961985

Other identifier(s)

2-s2.0-85094954908

Rights

Mahidol University

Rights Holder(s)

SCOPUS

Bibliographic Citation

Otolaryngology - Head and Neck Surgery (United States). Vol.164, No.6 (2021), 1136-1147

Suggested Citation

Carol Bier-Laning, John D. Cramer, Soham Roy, Patrick A. Palmieri, Ayman Amin, José Manuel Añon, Cesar A. Bonilla-Asalde, Patrick J. Bradley, Pankaj Chaturvedi, David M. Cognetti, Fernando Dias, Arianna Di Stadio, Johannes J. Fagan, David J. Feller-Kopman, Sheng Po Hao, Kwang Hyun Kim, Petri Koivunen, Woei Shyang Loh, Jobran Mansour, Matthew R. Naunheim, Marcus J. Schultz, You Shang, Davud B. Sirjani, Maie A. St. John, Joshua K. Tay, Sébastien Vergez, Heather M. Weinreich, Eddy W.Y. Wong, Johannes Zenk, Christopher H. Rassekh, Michael J. Brenner Tracheostomy During the COVID-19 Pandemic: Comparison of International Perioperative Care Protocols and Practices in 26 Countries. Otolaryngology - Head and Neck Surgery (United States). Vol.164, No.6 (2021), 1136-1147. doi:10.1177/0194599820961985 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/78190

Research Projects

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Title

Tracheostomy During the COVID-19 Pandemic: Comparison of International Perioperative Care Protocols and Practices in 26 Countries

Author(s)

Carol Bier-Laning
 John D. Cramer
 Soham Roy
 Patrick A. Palmieri
 Ayman Amin
 José Manuel Añon
 Cesar A. Bonilla-Asalde
 Patrick J. Bradley
 Pankaj Chaturvedi
 David M. Cognetti
 Fernando Dias
 Arianna Di Stadio
 Johannes J. Fagan
 David J. Feller-Kopman
 Sheng Po Hao
 Kwang Hyun Kim
 Petri Koivunen
 Woei Shyang Loh
 Jobran Mansour
 Matthew R. Naunheim
 Marcus J. Schultz
 You Shang
 Davud B. Sirjani
 Maie A. St. John
 Joshua K. Tay
 Sébastien Vergez
 Heather M. Weinreich
 Eddy W.Y. Wong
 Johannes Zenk
 Christopher H. Rassekh
 Michael J. Brenner

Other Contributor(s)

School of Medicine
 Hospital Nacional Daniel Alcides Carrión
 Universidad Privada San Juan Bautista
 Universidad Norbert Wiener
 University of Michigan Medical School
 Stanford University School of Medicine
 Pontifícia Universidade Católica do Rio de Janeiro
 NUS Yong Loo Lin School of Medicine
 University of Illinois College of Medicine
 University of Texas Medical School at Houston
 Shin-Kong Wu Ho-Su Memorial Hospital Taiwan
 Wayne State University School of Medicine
 Tata Memorial Hospital
 Loyola University Medical Center
 National University of Singapore
 Oulu University Hospital
 Thomas Jefferson University
 University of Nottingham
 Mahidol University
 Chaim Sheba Medical Center Israel
 Cairo University
 Nuffield Department of Medicine
 Hôpital Rangueil
 University of Pennsylvania
 David Geffen School of Medicine at UCLA
 Massachusetts Eye and Ear Infirmary
 Università degli Studi di Perugia
 Chinese University of Hong Kong
 Universidad Carlos III de Madrid
 Tongji Medical College
 Amsterdam UMC - University of Amsterdam
 Johns Hopkins School of Medicine
 Seoul National University College of Medicine
 University of Cape Town
 Evidence-Based Health Care South America: A Joanna Briggs Institute Affiliated Group
 Global Tracheostomy Collaborative
 Universitätsklinikum Augsburg Klinik für HNO-Heilkunde

Abstract

Objective: The coronavirus disease 2019 (COVID-19) pandemic has led to a global surge in critically ill patients requiring invasive mechanical ventilation, some of whom may benefit from tracheostomy. Decisions on if, when, and how to perform tracheostomy in patients with COVID-19 have major implications for patients, clinicians, and hospitals. We investigated the tracheostomy protocols and practices that institutions around the world have put into place in response to the COVID-19 pandemic. Data Sources: Protocols for tracheostomy in patients with severe acute respiratory syndrome coronavirus 2 infection from individual institutions (n = 59) were obtained from the United States and 25 other countries, including data from several low- and middle-income countries, 23 published or society-endorsed protocols, and 36 institutional protocols. Review Methods: The comparative document analysis involved cross-sectional review of institutional protocols and practices. Data sources were analyzed for timing of tracheostomy, contraindications, preoperative testing, personal protective equipment (PPE), surgical technique, and postoperative management. Conclusions: Timing of tracheostomy varied from 3 to >21 days, with over 90% of protocols recommending 14 days of intubation prior to tracheostomy. Most protocols advocate delaying tracheostomy until COVID-19 testing was negative. All protocols involved use of N95 or higher PPE. Both open and percutaneous techniques were reported. Timing of tracheostomy changes ranged from 5 to >30 days postoperatively, sometimes contingent on negative COVID-19 test results. Implications for Practice: Wide variation exists in tracheostomy protocols, reflecting geographical variation, different resource constraints, and limited data to drive evidence-based care standards. Findings presented herein may provide reference points and a framework for evolving care standards.

Keyword(s)

Medicine

Availability

URI

https://repository.li.mahidol.ac.th/handle/20.500.14594/78190

Collections

Scopus 2021