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KMID : 0361020210640090613
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Korean Journal of Otolaryngology - Head and Neck Surgery
2021 Volume.64 No. 9 p.613 ~ p.618
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Tracheostomy in COVID-19 Pandemic Era
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Jin Young-Ju
Kim Seong-Dong
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Abstract
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The outbreak of new coronavirus (COVID-19) has emerged as the cause of a severe acute respiratory.
The COVID-19 pandemic led to an unexpected increase in the number of patientswho are critically ill and required mechanical ventilation for active respiratory support. Tracheostomyis a common surgical procedure performed on patient to provide long-term ventilatorsupport or to manage upper airway obstruction. It could be a critical role in the managementof COVID-19 patients. Insertion of a tracheal cannula has become a viable alternative toprolonged endotracheal intubation, with the benefits of decreased airway resistance, improvedpatient comfort, reduced need for sedation, easier sputum removal. While these interventionscould be necessary to provide adequate care, they require special precautions to minimize occupationalrisk. Because the spread of COVID-19 happened by aerosol and fine droplets,medical staffs are in direct danger of occupational exposure while caring for these patients.
The purpose of this article is to review the preoperative preparation and tracheostomy guidelinesrelated to COVID-19 pandemic sprea
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KEYWORD
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Aerosols, COVID-19, Mechanical ventilation, Personal protective equipment, Tracheostomy
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