Swallowing and Communication Management of Tracheostomy and Laryngectomy in the Context of COVID-19: A Review.
Identifieur interne : 000254 ( Main/Exploration ); précédent : 000253; suivant : 000255Swallowing and Communication Management of Tracheostomy and Laryngectomy in the Context of COVID-19: A Review.
Auteurs : José Vergara [Brésil] ; Heather M. Starmer [États-Unis] ; Sarah Wallace [Royaume-Uni] ; Lee Bolton [Royaume-Uni] ; Jaishika Seedat [Afrique du Sud] ; Cinthia Madeira De Souza [Brésil] ; Susana Vaz Freitas [Portugal] ; Stacey A. Skoretz [Canada]Source :
- JAMA otolaryngology-- head & neck surgery [ 2168-619X ] ; 2020.
Abstract
Importance
The care of patients with a surgically modified airway, such as tracheostomy or laryngectomy, represents a challenge for speech-language pathologists (SLPs) in the context of the coronavirus disease 2019 (COVID-19) pandemic. The objective was to review available publications and practice guidelines on management of tracheostomy and laryngectomy in the context of COVID-19. This study performed a review and synthesis of information available in the PubMed database and from national SLP organizations across 6 countries.
Observations
From the search, 22 publications on tracheostomy and 3 referring to laryngectomy were identified. After analysis of titles and abstracts followed by full-text review, 4 publications were identified as presenting guidelines for specific approaches to tracheostomy and were selected; all 3 publications on laryngectomy were selected. The main guidelines on tracheostomy described considerations during management (eg, cuff manipulation, suctioning, valve placement) owing to the increased risk of aerosol generation and transmission during swallowing and communication interventions in this population. Regarding laryngectomy, the guidelines focused on the care and protection of both the professional and the patient, offering recommendations on the management of adverse events and leakage of the tracheoesophageal prosthesis.
Conclusions and Relevance
Frequent guideline updates for SLPs are necessary to inform best practice and ensure patient and health care worker protection and safety while providing high-quality care and rehabilitation.
DOI: 10.1001/jamaoto.2020.3720
PubMed: 33057590
Affiliations:
- Afrique du Sud, Brésil, Canada, Portugal, Royaume-Uni, États-Unis
- Angleterre, Californie, Colombie-Britannique , État de São Paulo
- São Paulo, Vancouver
- Université de la Colombie-Britannique
Links toward previous steps (curation, corpus...)
Le document en format XML
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Skoretz</name><affiliation wicri:level="4"><nlm:affiliation>School of Audiology and Speech Sciences, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>School of Audiology and Speech Sciences, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia</wicri:regionArea><orgName type="university">Université de la Colombie-Britannique</orgName><placeName><settlement type="city">Vancouver</settlement><region type="state">Colombie-Britannique </region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Critical Care Medicine, University of Alberta, Edmonton, Alberta, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Critical Care Medicine, University of Alberta, Edmonton, Alberta</wicri:regionArea><wicri:noRegion>Alberta</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Centre for Heart Lung Innovation, St Paul's Hospital, Vancouver, British Columbia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Centre for Heart Lung Innovation, St Paul's Hospital, Vancouver, British Columbia</wicri:regionArea><wicri:noRegion>British Columbia</wicri:noRegion></affiliation></author></analytic><series><title level="j">JAMA otolaryngology-- head & neck surgery</title><idno type="eISSN">2168-619X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Importance</b></p><p>The care of patients with a surgically modified airway, such as tracheostomy or laryngectomy, represents a challenge for speech-language pathologists (SLPs) in the context of the coronavirus disease 2019 (COVID-19) pandemic. The objective was to review available publications and practice guidelines on management of tracheostomy and laryngectomy in the context of COVID-19. This study performed a review and synthesis of information available in the PubMed database and from national SLP organizations across 6 countries.</p></div><div type="abstract" xml:lang="en"><p><b>Observations</b></p><p>From the search, 22 publications on tracheostomy and 3 referring to laryngectomy were identified. After analysis of titles and abstracts followed by full-text review, 4 publications were identified as presenting guidelines for specific approaches to tracheostomy and were selected; all 3 publications on laryngectomy were selected. The main guidelines on tracheostomy described considerations during management (eg, cuff manipulation, suctioning, valve placement) owing to the increased risk of aerosol generation and transmission during swallowing and communication interventions in this population. Regarding laryngectomy, the guidelines focused on the care and protection of both the professional and the patient, offering recommendations on the management of adverse events and leakage of the tracheoesophageal prosthesis.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusions and Relevance</b></p><p>Frequent guideline updates for SLPs are necessary to inform best practice and ensure patient and health care worker protection and safety while providing high-quality care and rehabilitation.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33057590</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>15</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2168-619X</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Oct</Month><Day>15</Day></PubDate></JournalIssue><Title>JAMA otolaryngology-- head & neck surgery</Title><ISOAbbreviation>JAMA Otolaryngol Head Neck Surg</ISOAbbreviation></Journal><ArticleTitle>Swallowing and Communication Management of Tracheostomy and Laryngectomy in the Context of COVID-19: A Review.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1001/jamaoto.2020.3720</ELocationID><Abstract><AbstractText Label="Importance" NlmCategory="UNASSIGNED">The care of patients with a surgically modified airway, such as tracheostomy or laryngectomy, represents a challenge for speech-language pathologists (SLPs) in the context of the coronavirus disease 2019 (COVID-19) pandemic. The objective was to review available publications and practice guidelines on management of tracheostomy and laryngectomy in the context of COVID-19. This study performed a review and synthesis of information available in the PubMed database and from national SLP organizations across 6 countries.</AbstractText><AbstractText Label="Observations" NlmCategory="UNASSIGNED">From the search, 22 publications on tracheostomy and 3 referring to laryngectomy were identified. After analysis of titles and abstracts followed by full-text review, 4 publications were identified as presenting guidelines for specific approaches to tracheostomy and were selected; all 3 publications on laryngectomy were selected. The main guidelines on tracheostomy described considerations during management (eg, cuff manipulation, suctioning, valve placement) owing to the increased risk of aerosol generation and transmission during swallowing and communication interventions in this population. Regarding laryngectomy, the guidelines focused on the care and protection of both the professional and the patient, offering recommendations on the management of adverse events and leakage of the tracheoesophageal prosthesis.</AbstractText><AbstractText Label="Conclusions and Relevance" NlmCategory="UNASSIGNED">Frequent guideline updates for SLPs are necessary to inform best practice and ensure patient and health care worker protection and safety while providing high-quality care and rehabilitation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vergara</LastName><ForeName>José</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Surgery, University of Campinas, Campinas, São Paulo, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Starmer</LastName><ForeName>Heather M</ForeName><Initials>HM</Initials><AffiliationInfo><Affiliation>Division of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wallace</LastName><ForeName>Sarah</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Speech, Voice and Swallowing, Manchester University NHS Foundation Trust, Manchester, England.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bolton</LastName><ForeName>Lee</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Speech and Language Therapy Service, Imperial College Healthcare NHS Trust, London, England.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Seedat</LastName><ForeName>Jaishika</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Speech and Hearing Therapy, University of Witwatersrand, Johannesburg, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Souza</LastName><ForeName>Cinthia Madeira</ForeName><Initials>CM</Initials><AffiliationInfo><Affiliation>School of Medical Sciences, University of Campinas, Campinas, São Paulo, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Freitas</LastName><ForeName>Susana Vaz</ForeName><Initials>SV</Initials><AffiliationInfo><Affiliation>Faculty of Health Sciences, Speech Therapy Department, University Fernando Pessoa, Porto, Portugal.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>ENT Department, Centro Hospitalar Universitário do Porto, Porto, Portugal.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Laboratório de Inteligência Artificial e Análise de Dados, LIAAD-INESCTEC, Porto, Portugal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Skoretz</LastName><ForeName>Stacey A</ForeName><Initials>SA</Initials><AffiliationInfo><Affiliation>School of Audiology and Speech Sciences, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Critical Care Medicine, University of Alberta, Edmonton, Alberta, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Heart Lung Innovation, St Paul's Hospital, Vancouver, British Columbia, Canada.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>10</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>JAMA Otolaryngol Head Neck Surg</MedlineTA><NlmUniqueID>101589542</NlmUniqueID><ISSNLinking>2168-6181</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>10</Month><Day>15</Day><Hour>17</Hour><Minute>35</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>10</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33057590</ArticleId><ArticleId IdType="pii">2771746</ArticleId><ArticleId IdType="doi">10.1001/jamaoto.2020.3720</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Afrique du Sud</li><li>Brésil</li><li>Canada</li><li>Portugal</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Californie</li><li>Colombie-Britannique </li><li>État de São Paulo</li></region><settlement><li>São Paulo</li><li>Vancouver</li></settlement><orgName><li>Université de la 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Starmer</name></region></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Wallace, Sarah" sort="Wallace, Sarah" uniqKey="Wallace S" first="Sarah" last="Wallace">Sarah Wallace</name></region><name sortKey="Bolton, Lee" sort="Bolton, Lee" uniqKey="Bolton L" first="Lee" last="Bolton">Lee Bolton</name></country><country name="Afrique du Sud"><noRegion><name sortKey="Seedat, Jaishika" sort="Seedat, Jaishika" uniqKey="Seedat J" first="Jaishika" last="Seedat">Jaishika Seedat</name></noRegion></country><country name="Portugal"><noRegion><name sortKey="Freitas, Susana Vaz" sort="Freitas, Susana Vaz" uniqKey="Freitas S" first="Susana Vaz" last="Freitas">Susana Vaz Freitas</name></noRegion><name sortKey="Freitas, Susana Vaz" sort="Freitas, Susana Vaz" uniqKey="Freitas S" first="Susana Vaz" last="Freitas">Susana Vaz Freitas</name><name sortKey="Freitas, Susana Vaz" sort="Freitas, Susana Vaz" uniqKey="Freitas S" first="Susana Vaz" last="Freitas">Susana Vaz Freitas</name></country><country name="Canada"><region name="Colombie-Britannique "><name sortKey="Skoretz, Stacey A" sort="Skoretz, Stacey A" uniqKey="Skoretz S" first="Stacey A" last="Skoretz">Stacey A. 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