Download PDF
CC BY 4.0 · Brazilian Journal of Oncology 2020; 16: e-20200013
DOI: 10.5935/2526-8732.20200013
Review Article
Oncological Surgery

Tracheostomy in suspected or confirmed cases of COVID-19

Traqueostomia em casos suspeitos ou confirmados de COVID-19

Terence Pires de Farias
1   Brazilian Society of Surgical Oncology, BSSO - Rio de Janeiro - Rio de Janeiro - Brazil
2   Catholic University of Rio de Janeiro, Post Graduate School of Medicine, Department of Head and Neck Surgery - Rio de Janeiro - Rio de Janeiro - Brazil
3   Brazilian National Cancer Institute, Department of Head and Neck Surgery - Rio de Janeiro - Rio de Janeiro - Brazil
,
Fernando Luiz Dias
1   Brazilian Society of Surgical Oncology, BSSO - Rio de Janeiro - Rio de Janeiro - Brazil
2   Catholic University of Rio de Janeiro, Post Graduate School of Medicine, Department of Head and Neck Surgery - Rio de Janeiro - Rio de Janeiro - Brazil
3   Brazilian National Cancer Institute, Department of Head and Neck Surgery - Rio de Janeiro - Rio de Janeiro - Brazil
,
José Guilherme Vartanian
1   Brazilian Society of Surgical Oncology, BSSO - Rio de Janeiro - Rio de Janeiro - Brazil
4   AC Camargo Cancer Center, Department of Head and Neck Surgery and Otolaryngology - Sao Paulo - Sao Paulo - Brazil
,
Carlos Eduardo Santa Ritta Barreira 
1   Brazilian Society of Surgical Oncology, BSSO - Rio de Janeiro - Rio de Janeiro - Brazil
5   Hospital Siro-libânes Brasília, Head and Neck Surgery - Brasília - Distrito Federal - Brazil
,
Alexandre Ferreira Oliveira
1   Brazilian Society of Surgical Oncology, BSSO - Rio de Janeiro - Rio de Janeiro - Brazil
6   Universidade Federal de Juiz de Fora, Department of Oncology - Juiz de Fora - Minas Gerais - Brazil
,
Heber Salvador de Castro Ribeiro
1   Brazilian Society of Surgical Oncology, BSSO - Rio de Janeiro - Rio de Janeiro - Brazil
7   AC Camargo Cancer Center, Department of Abdominal Surgery - Sao Paulo - Sao Paulo - Brazil
,
Paulo Henrique de Sousa Fernandes
1   Brazilian Society of Surgical Oncology, BSSO - Rio de Janeiro - Rio de Janeiro - Brazil
8   Universidade Federal de Ub erlandia, Department of Surgical Oncology - Uberlandia - Minas Gerais - Brazil
,
Reitan Ribeiro
1   Brazilian Society of Surgical Oncology, BSSO - Rio de Janeiro - Rio de Janeiro - Brazil
9   Hospital Erasto Gaertner, Department of Surgical Oncology - Curitiba - Paraná - Brazil
,
Luiz Paulo Kowalski
1   Brazilian Society of Surgical Oncology, BSSO - Rio de Janeiro - Rio de Janeiro - Brazil
4   AC Camargo Cancer Center, Department of Head and Neck Surgery and Otolaryngology - Sao Paulo - Sao Paulo - Brazil
10   Faculdade de Medicina da Universidade de São Paulo, Department of Head and Neck Surgery - Sao Paulo - Sao Paulo - Brazil
› Author Affiliations Financial support: none to declare.
› Further Information
   Permissions and Reprints All articles of this category

ABSTRACT

The focus of this review is to present the consensus of head and neck surgery experts on tracheostomy during COVID-19 outbreak. Considerations about the ideal time to perform, surgical team, appropriate location, technique, and the necessary surgical equipment of the procedure were described to minimize risks of contamination of health care workers and hospital facilities.

RESUMO

O foco desta revisão é apresentar o consenso de especialistas em cirurgia de cabeça e pescoço sobre traqueostomia durante o surto de COVID-19. Considerações sobre o tempo ideal para a realização, equipe cirúrgica, localização, técnica e o equipamento cirúrgico necessário do procedimento foram descritas para minimizar os riscos de contaminação dos profissionais de saúde e instalações hospitalares.

Keywords:

Tracheostomy - Health care facilities - Manpower and services - Surgical equipment - Biological contamination

Descritores:

Traqueostomia - Serviços de saúde - Mão de obra e serviços - Equipamento cirúrgico - Contaminação biológica


Publication History

Received: 20 April 2020

Accepted: 30 April 2020

Article published online:
02 July 2020

© 2022. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

Bibliographical Record
Terence Pires de Farias, Fernando Luiz Dias, José Guilherme Vartanian, Carlos Eduardo Santa Ritta Barreira, Alexandre Ferreira Oliveira, Heber Salvador de Castro Ribeiro, Paulo Henrique de Sousa Fernandes, Reitan Ribeiro, Luiz Paulo Kowalski. Tracheostomy in suspected or confirmed cases of COVID-19. Brazilian Journal of Oncology 2020; 16: e-20200013.
DOI: 10.5935/2526-8732.20200013
 

  • REFERENCES

  • World Health Organization (WHO). Coronavirus disease 2019 (COVID-19) - Situation report - 87. Geneva: WHO; 2020. access in 2020 Apr 18 Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200416-sitrep-87-covid-19.pdf?sfvrsn=9523115a_2
    Search in Google Scholar
  • Wu Z, McGoogan JM.. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72314 cases from the Chinese center for disease control and prevention. JAMA 2020; 323 (01) 1239-1242
    Search in Google Scholar
  • Alisson E. Autópsia em mortos por COVID-19 ajuda no tratamento de casos graves da doença. São Paulo: Agência FAPESP; 2020. access in 2020 Apr 18 Available from: http://agencia.fapesp.br/autopsia-em-mortos-por-covid-19ajuda-no-tratamento-de-casos-graves-da-doenca/32882/
    Search in Google Scholar
  • Farias TP. Tracheostomy - A surgical guide. Switzerland: Springer International Publishing;; 2018. access in 2020 Apr 18 Available from: http://link.springer.com/10.1007/978-3-319-67867-2
    Search in Google Scholar
  • Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PLoS One 2012; 7 (04) e35797
    Search in Google Scholar
  • Wei WI, Tuen HH, Ng RW, Lam LK. Safe tracheostomy for patients with severe acute respiratory syndrome. Laryngoscope 2003; Oct; 113 (10) 1777-1779
    Search in Google Scholar
  • Yang X, Yu Y, Xu J, Shu HS, Xia J, Li H. et al Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med 2020; May; 8 (05) 475-481
    Search in Google Scholar
  • Zhou F, Yu T, Du R, Fan GH, Liu Y, Liu Z. et al Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 2020; Mar; 395 (10229): 1054-1062
    Search in Google Scholar
  • Chee VW, Khoo ML, Lee SF, Lai YC, Chin NM. Infection control measures for operative procedures in severe acute respiratory syndrome-related patients. Anesthesiology 2004; Jun; 100 (06) 1394-1398
    Search in Google Scholar
  • Kwan A, Fok WG, Law KI, Lam SH. Tracheostomy in a patient with severe acute respiratory syndrome. Br J Anaesth 2004; Feb; 92 (02) 280-282
    Search in Google Scholar
  • Gobatto AL, Besen BA, Tierno PF, Mendes PV, Cadamuro F, Joelsons D. et al Ultrasound-guided percutaneous dilational tracheostomy versus bronchoscopy-guided percutaneous dilational tracheostomy in critically ill patients (TRACHUS): a randomized noninferiority controlled trial. Intensive Care Med 2016; Mar; 42 (03) 342-351
    Search in Google Scholar