CovidStanfordV1, Main, Exploration, bibRecord, 000269

Speech-Language Pathology Guidance for Tracheostomy During the COVID-19 Pandemic: An International Multidisciplinary Perspective.

Identifieur interne : 000269 ( Main/Exploration ); précédent : 000268; suivant : 000270

Speech-Language Pathology Guidance for Tracheostomy During the COVID-19 Pandemic: An International Multidisciplinary Perspective.

Auteurs : Charissa J. Zaga [Australie] ; Vinciya Pandian [États-Unis] ; Martin B. Brodsky [États-Unis] ; Sarah Wallace [Royaume-Uni] ; Tanis S. Cameron [Australie] ; Caroline Chao [Australie] ; Lisa Ann Orloff [États-Unis] ; Naomi E. Atkins [Australie] ; Brendan A. Mcgrath [Royaume-Uni] ; Cathy L. Lazarus [États-Unis] ; Adam P. Vogel [Australie, Allemagne] ; Michael J. Brenner

Source :

American journal of speech-language pathology [ 1558-9110 ] ; 2020.

RBID : pubmed:32525695

Descripteurs français

English descriptors

KwdEn :
- Betacoronavirus (MeSH), COVID-19 (MeSH), Consensus (MeSH), Coronavirus Infections (therapy), Coronavirus Infections (transmission), Coronavirus Infections (virology), Humans (MeSH), Infectious Disease Transmission, Patient-to-Professional (prevention & control), Interdisciplinary Communication (MeSH), International Cooperation (MeSH), Pandemics (MeSH), Pneumonia, Viral (therapy), Pneumonia, Viral (transmission), Pneumonia, Viral (virology), Practice Guidelines as Topic (MeSH), SARS-CoV-2 (MeSH), Speech-Language Pathology (standards), Tracheostomy (standards).
MESH :
- prevention & control : Infectious Disease Transmission, Patient-to-Professional.
- standards : Speech-Language Pathology, Tracheostomy.
- therapy : Coronavirus Infections, Pneumonia, Viral.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- virology : Coronavirus Infections, Pneumonia, Viral.
- Betacoronavirus, COVID-19, Consensus, Humans, Interdisciplinary Communication, International Cooperation, Pandemics, Practice Guidelines as Topic, SARS-CoV-2.

Abstract

Purpose As the COVID-19 pandemic has unfolded, there has been growing recognition of risks to frontline health care workers. When caring for patients with tracheostomy, speech-language pathologists have significant exposure to mucosal surfaces, secretions, and aerosols that may harbor the SARS-CoV-2 virus. This tutorial provides guidance on practices for safely performing patient evaluation and procedures, thereby reducing risk of infection. Method Data were collated through review of literature, guidelines, and consensus statements relating to COVID-19 and similar high-consequent infections, with a focus on mitigating risk of transmission to health care workers. Particular emphasis was placed on speech-language pathologists, nurses, and other allied health professionals. A multinational interdisciplinary team then analyzed findings, arriving at recommendations through consensus via electronic communications and video conference. Results Reports of transmission of infection to health care workers in the current COVID-19 pandemic and previous outbreaks substantiate the need for safe practices. Many procedures routinely performed by speech-language pathologists have a significant risk of infection due to aerosol generation. COVID-19 testing can inform level of protective equipment, and meticulous hygiene can stem spread of nosocomial infection. Modifications to standard clinical practice in tracheostomy are often required. Personal protective equipment, including either powered air-purifying respirator or N95 mask, gloves, goggles, and gown, are needed when performing aerosol-generating procedures in patients with known or suspected COVID-19 infection. Conclusions Speech-language pathologists are often called on to assist in the care of patients with tracheostomy and known or suspected COVID-19 infection. Appropriate care of these patients is predicated on maintaining the health and safety of the health care team. Careful adherence to best practices can significantly reduce risk of infectious transmission.

DOI: 10.1044/2020_AJSLP-20-00089
PubMed: 32525695

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000616
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Le document en format XML

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<country xml:lang="fr">Australie</country>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Betacoronavirus (MeSH)</term>
<term>COVID-19 (MeSH)</term>
<term>Consensus (MeSH)</term>
<term>Coronavirus Infections (therapy)</term>
<term>Coronavirus Infections (transmission)</term>
<term>Coronavirus Infections (virology)</term>
<term>Humans (MeSH)</term>
<term>Infectious Disease Transmission, Patient-to-Professional (prevention & control)</term>
<term>Interdisciplinary Communication (MeSH)</term>
<term>International Cooperation (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (therapy)</term>
<term>Pneumonia, Viral (transmission)</term>
<term>Pneumonia, Viral (virology)</term>
<term>Practice Guidelines as Topic (MeSH)</term>
<term>SARS-CoV-2 (MeSH)</term>
<term>Speech-Language Pathology (standards)</term>
<term>Tracheostomy (standards)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Betacoronavirus (MeSH)</term>
<term>Communication interdisciplinaire (MeSH)</term>
<term>Consensus (MeSH)</term>
<term>Coopération internationale (MeSH)</term>
<term>Guides de bonnes pratiques cliniques comme sujet (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (thérapie)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (virologie)</term>
<term>Pandémies (MeSH)</term>
<term>Pathologie de la parole et du langage (spécialité) (normes)</term>
<term>Pneumopathie virale (thérapie)</term>
<term>Pneumopathie virale (transmission)</term>
<term>Pneumopathie virale (virologie)</term>
<term>Trachéostomie (normes)</term>
<term>Transmission de maladie infectieuse du patient au professionnel de santé (prévention et contrôle)</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Pathologie de la parole et du langage (spécialité)</term>
<term>Trachéostomie</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Infectious Disease Transmission, Patient-to-Professional</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Transmission de maladie infectieuse du patient au professionnel de santé</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Speech-Language Pathology</term>
<term>Tracheostomy</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Betacoronavirus</term>
<term>COVID-19</term>
<term>Consensus</term>
<term>Humans</term>
<term>Interdisciplinary Communication</term>
<term>International Cooperation</term>
<term>Pandemics</term>
<term>Practice Guidelines as Topic</term>
<term>SARS-CoV-2</term>
</keywords>
<keywords scheme="MESH" qualifier="transmission" xml:lang="fr"><term>Betacoronavirus</term>
<term>Communication interdisciplinaire</term>
<term>Consensus</term>
<term>Coopération internationale</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Humains</term>
<term>Infections à coronavirus</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Purpose As the COVID-19 pandemic has unfolded, there has been growing recognition of risks to frontline health care workers. When caring for patients with tracheostomy, speech-language pathologists have significant exposure to mucosal surfaces, secretions, and aerosols that may harbor the SARS-CoV-2 virus. This tutorial provides guidance on practices for safely performing patient evaluation and procedures, thereby reducing risk of infection. Method Data were collated through review of literature, guidelines, and consensus statements relating to COVID-19 and similar high-consequent infections, with a focus on mitigating risk of transmission to health care workers. Particular emphasis was placed on speech-language pathologists, nurses, and other allied health professionals. A multinational interdisciplinary team then analyzed findings, arriving at recommendations through consensus via electronic communications and video conference. Results Reports of transmission of infection to health care workers in the current COVID-19 pandemic and previous outbreaks substantiate the need for safe practices. Many procedures routinely performed by speech-language pathologists have a significant risk of infection due to aerosol generation. COVID-19 testing can inform level of protective equipment, and meticulous hygiene can stem spread of nosocomial infection. Modifications to standard clinical practice in tracheostomy are often required. Personal protective equipment, including either powered air-purifying respirator or N95 mask, gloves, goggles, and gown, are needed when performing aerosol-generating procedures in patients with known or suspected COVID-19 infection. Conclusions Speech-language pathologists are often called on to assist in the care of patients with tracheostomy and known or suspected COVID-19 infection. Appropriate care of these patients is predicated on maintaining the health and safety of the health care team. Careful adherence to best practices can significantly reduce risk of infectious transmission.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32525695</PMID>
<DateCompleted><Year>2020</Year>
<Month>08</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>12</Month>
<Day>18</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1558-9110</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>29</Volume>
<Issue>3</Issue>
<PubDate><Year>2020</Year>
<Month>08</Month>
<Day>04</Day>
</PubDate>
</JournalIssue>
<Title>American journal of speech-language pathology</Title>
<ISOAbbreviation>Am J Speech Lang Pathol</ISOAbbreviation>
</Journal>
<ArticleTitle>Speech-Language Pathology Guidance for Tracheostomy During the COVID-19 Pandemic: An International Multidisciplinary Perspective.</ArticleTitle>
<Pagination><MedlinePgn>1320-1334</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1044/2020_AJSLP-20-00089</ELocationID>
<Abstract><AbstractText>Purpose As the COVID-19 pandemic has unfolded, there has been growing recognition of risks to frontline health care workers. When caring for patients with tracheostomy, speech-language pathologists have significant exposure to mucosal surfaces, secretions, and aerosols that may harbor the SARS-CoV-2 virus. This tutorial provides guidance on practices for safely performing patient evaluation and procedures, thereby reducing risk of infection. Method Data were collated through review of literature, guidelines, and consensus statements relating to COVID-19 and similar high-consequent infections, with a focus on mitigating risk of transmission to health care workers. Particular emphasis was placed on speech-language pathologists, nurses, and other allied health professionals. A multinational interdisciplinary team then analyzed findings, arriving at recommendations through consensus via electronic communications and video conference. Results Reports of transmission of infection to health care workers in the current COVID-19 pandemic and previous outbreaks substantiate the need for safe practices. Many procedures routinely performed by speech-language pathologists have a significant risk of infection due to aerosol generation. COVID-19 testing can inform level of protective equipment, and meticulous hygiene can stem spread of nosocomial infection. Modifications to standard clinical practice in tracheostomy are often required. Personal protective equipment, including either powered air-purifying respirator or N95 mask, gloves, goggles, and gown, are needed when performing aerosol-generating procedures in patients with known or suspected COVID-19 infection. Conclusions Speech-language pathologists are often called on to assist in the care of patients with tracheostomy and known or suspected COVID-19 infection. Appropriate care of these patients is predicated on maintaining the health and safety of the health care team. Careful adherence to best practices can significantly reduce risk of infectious transmission.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zaga</LastName>
<ForeName>Charissa J</ForeName>
<Initials>CJ</Initials>
<AffiliationInfo><Affiliation>Department of Speech Pathology, Austin Health, Melbourne, Victoria, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Centre for Neuroscience of Speech, University of Melbourne, Victoria, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Tracheostomy Review and Management Service, Austin Health, Melbourne, Victoria, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pandian</LastName>
<ForeName>Vinciya</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Department of Nursing Faculty, Johns Hopkins University, Baltimore, MD.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Outcomes After Critical Illness and Surgery (OACIS) Research Group, Johns Hopkins University, Baltimore, MD.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Brodsky</LastName>
<ForeName>Martin B</ForeName>
<Initials>MB</Initials>
<AffiliationInfo><Affiliation>Outcomes After Critical Illness and Surgery (OACIS) Research Group, Johns Hopkins University, Baltimore, MD.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Physical Medicine & Rehabilitation, Johns Hopkins University, Baltimore, MD.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Medicine, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD.</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, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cameron</LastName>
<ForeName>Tanis S</ForeName>
<Initials>TS</Initials>
<AffiliationInfo><Affiliation>Tracheostomy Review and Management Service, Austin Health, Melbourne, Victoria, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chao</LastName>
<ForeName>Caroline</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Tracheostomy Review and Management Service, Austin Health, Melbourne, Victoria, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Physiotherapy, Austin Health, Melbourne, Victoria, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Orloff</LastName>
<ForeName>Lisa Ann</ForeName>
<Initials>LA</Initials>
<AffiliationInfo><Affiliation>Department of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine, CA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Atkins</LastName>
<ForeName>Naomi E</ForeName>
<Initials>NE</Initials>
<AffiliationInfo><Affiliation>Department of Respiratory Medicine, Austin Health, Melbourne, Victoria, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>McGrath</LastName>
<ForeName>Brendan A</ForeName>
<Initials>BA</Initials>
<AffiliationInfo><Affiliation>Anaesthetics & Intensive Care Medicine, Manchester University NHS Foundation Trust, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lazarus</LastName>
<ForeName>Cathy L</ForeName>
<Initials>CL</Initials>
<AffiliationInfo><Affiliation>Department of Otolaryngology-Head & Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Vogel</LastName>
<ForeName>Adam P</ForeName>
<Initials>AP</Initials>
<AffiliationInfo><Affiliation>Centre for Neuroscience of Speech, University of Melbourne, Victoria, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Neurodegeneration, Hertie Institute for Clinical Brain Research, Tübingen, Germany.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Redenlab, Melbourne, Victoria, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Brenner</LastName>
<ForeName>Michael J</ForeName>
<Initials>MJ</Initials>
<AffiliationInfo><Affiliation>Department of Otolaryngology-Head & Neck Surgery, University of Michigan Medical School, Ann Arbor.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>06</Month>
<Day>11</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Am J Speech Lang Pathol</MedlineTA>
<NlmUniqueID>9114726</NlmUniqueID>
<ISSNLinking>1058-0360</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName>
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<MeshHeading><DescriptorName UI="D032921" MajorTopicYN="N">Consensus</DescriptorName>
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<MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
<QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D017758" MajorTopicYN="N">Infectious Disease Transmission, Patient-to-Professional</DescriptorName>
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</MeshHeading>
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<MeshHeading><DescriptorName UI="D013066" MajorTopicYN="N">Speech-Language Pathology</DescriptorName>
<QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName>
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<MeshHeading><DescriptorName UI="D014139" MajorTopicYN="N">Tracheostomy</DescriptorName>
<QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<Month>6</Month>
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<Hour>6</Hour>
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Speech-Language Pathology Guidance for Tracheostomy During the COVID-19 Pandemic: An International Multidisciplinary Perspective.

Speech-Language Pathology Guidance for Tracheostomy During the COVID-19 Pandemic: An International Multidisciplinary Perspective.

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