Tracheostomy and personal protective equipment (PPE) in the midst of the COVID-19 pandemic

被引:6
|
作者
Faris, Callum [1 ,2 ]
Deben, Kristof [3 ]
Van Haesendonck, Gilles [1 ,2 ]
Van Laer, Carl [1 ,2 ]
Puxeddu, Roberto [4 ]
Verbruggen, Katia [5 ,6 ]
Marien, Steven [1 ,2 ]
Gordts, Frans [5 ,6 ]
Mani, Navin [7 ]
Vanderveken, Olivier M. [1 ,2 ]
机构
[1] Antwerp Univ Hosp, Dept ENT & Head Neck Surg, Antwerp, Belgium
[2] Univ Antwerp, Fac Med & Hlth Sci, Translat Neurosci, Antwerp, Belgium
[3] Jessa Hosp, Dept Otorhinolaryngol & Head & Neck Surg, Campus Virga Jesse, Hasselt, Belgium
[4] Univ Cagliari, Sch Med, Dept Otorhinolaryngol, Cagliari, Italy
[5] Univ Ziekenhuis Brussel, Dept Otorhinolaryngol & Head & Neck Surg, Brussels, Belgium
[6] Vrije Univ Brussel, Brussels, Belgium
[7] Univ Manchester, Cent Manchester Univ Hosp, Manchester, Lancs, England
关键词
Corortavirus; rtosocornial infection; personal proactive equiontertt; tracheostomy; FILTERING FACEPIECE RESPIRATORS; HEALTH-CARE WORKERS; CORONAVIRUS OUTBREAK; GLOBAL HEALTH; SYNDROME SARS; N95; TRANSMISSION; PERFORMANCE; PATIENT; EXPOSURE;
D O I
10.5152/B-ENT.2020.20128
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
delme A seGooSarY aim was to hrleflY rieReiew the.Ilteratore for tflie effectiveness Of sorRiGal rilasks N-95 an FFP r Pirators. arld ePoosvitter air rifying respirators (PAPRiis) irt reducing transmission of respiratory viral attention h Ith care wforkerils while performing trach orriyiPPeucorriimendatirtns are mainly derived from clinical case seriesEretrospective observsatt 10neaal studies rorri e SAPS 2003/2004 outbreaks or e)rperimental evidence for effectiveness for N-95/FFP-3 respirators arid PAPRs, Differences do OCCUr dLie to lack of evidence for COVID-19 as to wiiriether N-95 and FFP-3 respirators are sufficient, or PAPFZs should be recommended for tracheostomy. We would recommend adoptirig a conservative (proteptive) approaph for HOWs tearris perforrriirig tracheostornies, by routinely utilizing additional PPE such as PAPRs. Recommendations for the timing of trapheostomy also varied, however, almost all recommend a period of delay. The optimum duration of which is still u riiclear
引用
收藏
页码:63 / 72
页数:10
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