French consensus regarding precautions during tracheostomy and post-tracheostomy care in the context of COVID-19 pandemic
Identifieur interne : 000B64 ( Pmc/Curation ); précédent : 000B63; suivant : 000B65French consensus regarding precautions during tracheostomy and post-tracheostomy care in the context of COVID-19 pandemic
Auteurs : P. Schultz [France] ; J.-B. Morvan [France] ; N. Fakhry [France] ; S. Morinière [France] ; S. Vergez [France] ; C. Lacroix [France] ; S. Bartier [France] ; B. Barry [France] ; E. Babin [France] ; V. Couloigner [France] ; I. Atallah [France]Source :
- European Annals of Otorhinolaryngology, Head and Neck Diseases [ 1879-7296 ] ; 2020.
Abstract
Tracheostomy post-tracheostomy care are regarded as at high risk for contamination of health care professionals with the new coronavirus (SARS-CoV-2). Considering the rapid spread of the infection, all patients in France must be considered as potentially infected by the virus. Nevertheless, patients without clinical or radiological (CT scan) markers of COVID-19, and with negative nasopharyngeal sample within 24 h of surgery, are at low risk of being infected. Instructions for personal protection include specific wound dressings and decontamination of all material used. The operating room should be ventilated after each tracheostomy and the pressure of the room should be neutral or negative. Percutaneous tracheostomy is to be preferred over surgical cervicotomy in order to reduce aerosolization and to avoid moving patients from the intensive care unit to the operating room. Ventilation must be optimized during the procedure, to limit patient oxygen desaturation. Drug assisted neuromuscular blockage is advised to reduce coughing during tracheostomy tube insertion. An experienced team is mandatory to secure and accelerate the procedure as well as to reduce risk of contamination.
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DOI: 10.1016/j.anorl.2020.04.006
PubMed: NONE
PubMed Central: 7144608
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Schultz</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Service d’ORL et de chirurgie cervico-faciale, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service d’ORL et de chirurgie cervico-faciale, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg</wicri:regionArea></affiliation></author><author><name sortKey="Morvan, J B" sort="Morvan, J B" uniqKey="Morvan J" first="J.-B." last="Morvan">J.-B. Morvan</name><affiliation wicri:level="1"><nlm:aff id="aff0010">Service d’ORL et de chirurgie cervico-faciale, hôpital d’instruction des armées Saint-Anne, 2, boulevard Sainte-Anne, 83000 Toulon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service d’ORL et de chirurgie cervico-faciale, hôpital d’instruction des armées Saint-Anne, 2, boulevard Sainte-Anne, 83000 Toulon</wicri:regionArea></affiliation></author><author><name sortKey="Fakhry, N" sort="Fakhry, N" uniqKey="Fakhry N" first="N." last="Fakhry">N. Fakhry</name><affiliation wicri:level="1"><nlm:aff id="aff0015">Service d’ORL et de chirurgie cervico-faciale, hôpital de la Conception, 147, boulevard Baille, 13005 Marseille, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service d’ORL et de chirurgie cervico-faciale, hôpital de la Conception, 147, boulevard Baille, 13005 Marseille</wicri:regionArea></affiliation></author><author><name sortKey="Moriniere, S" sort="Moriniere, S" uniqKey="Moriniere S" first="S." last="Morinière">S. Morinière</name><affiliation wicri:level="1"><nlm:aff id="aff0020">Service d’ORL et de chirurgie cervico-faciale, CHRU Bretonneau-Tours, 2, boulevard Tonnellé, 37044 Tours, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service d’ORL et de chirurgie cervico-faciale, CHRU Bretonneau-Tours, 2, boulevard Tonnellé, 37044 Tours</wicri:regionArea></affiliation></author><author><name sortKey="Vergez, S" sort="Vergez, S" uniqKey="Vergez S" first="S." last="Vergez">S. Vergez</name><affiliation wicri:level="1"><nlm:aff id="aff0025">Service d’ORL et de chirurgie cervico-faciale, CHU Rangueil-Larrey, 24, chemin de Pourvourville, 31400 Toulouse, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service d’ORL et de chirurgie cervico-faciale, CHU Rangueil-Larrey, 24, chemin de Pourvourville, 31400 Toulouse</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0030">Service de chirurgie, Institut universitaire du cancer de Toulouse, 1, avenue Irène Joliot-Curie, 31100 Toulouse, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service de chirurgie, Institut universitaire du cancer de Toulouse, 1, avenue Irène Joliot-Curie, 31100 Toulouse</wicri:regionArea></affiliation></author><author><name sortKey="Lacroix, C" sort="Lacroix, C" uniqKey="Lacroix C" first="C." last="Lacroix">C. Lacroix</name><affiliation wicri:level="1"><nlm:aff id="aff0035">Service d’ORL et de chirurgie cervico-faciale, hôpital européen Georges-Pompidou, Assistance publique–Hôpitaux de Paris, 20, rue Leblanc, 75015 Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service d’ORL et de chirurgie cervico-faciale, hôpital européen Georges-Pompidou, Assistance publique–Hôpitaux de Paris, 20, rue Leblanc, 75015 Paris</wicri:regionArea></affiliation></author><author><name sortKey="Bartier, S" sort="Bartier, S" uniqKey="Bartier S" first="S." last="Bartier">S. Bartier</name><affiliation wicri:level="1"><nlm:aff id="aff0040">Service d’ORL et de chirurgie cervico-faciale, centre hospitalier intercommunal de Créteil, 40, avenue de Verdun, 94010 Créteil, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service d’ORL et de chirurgie cervico-faciale, centre hospitalier intercommunal de Créteil, 40, avenue de Verdun, 94010 Créteil</wicri:regionArea></affiliation></author><author><name sortKey="Barry, B" sort="Barry, B" uniqKey="Barry B" first="B." last="Barry">B. Barry</name><affiliation wicri:level="1"><nlm:aff id="aff0045">Service d’ORL et de chirurgie cervico-faciale, hôpital Bichat-Claude-Bernard, 46, rue Henri-Huchard, 75018 Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service d’ORL et de chirurgie cervico-faciale, hôpital Bichat-Claude-Bernard, 46, rue Henri-Huchard, 75018 Paris</wicri:regionArea></affiliation></author><author><name sortKey="Babin, E" sort="Babin, E" uniqKey="Babin E" first="E." last="Babin">E. Babin</name><affiliation wicri:level="1"><nlm:aff id="aff0050">Service d’ORL et de chirurgie cervico-faciale, CHU Caen Normandie, avenue Côte de Nacre, 14000 Caen, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service d’ORL et de chirurgie cervico-faciale, CHU Caen Normandie, avenue Côte de Nacre, 14000 Caen</wicri:regionArea></affiliation></author><author><name sortKey="Couloigner, V" sort="Couloigner, V" uniqKey="Couloigner V" first="V." last="Couloigner">V. Couloigner</name><affiliation wicri:level="1"><nlm:aff id="aff0055">Service d’ORL et de chirurgie cervico-faciale pédiatriques, hôpital Necker-Enfants–Malades, Assistance publique–Hôpitaux de Paris, 149, rue de Sèvres, 75743 Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service d’ORL et de chirurgie cervico-faciale pédiatriques, hôpital Necker-Enfants–Malades, Assistance publique–Hôpitaux de Paris, 149, rue de Sèvres, 75743 Paris</wicri:regionArea></affiliation></author><author><name sortKey="Atallah, I" sort="Atallah, I" uniqKey="Atallah I" first="I." last="Atallah">I. Atallah</name><affiliation wicri:level="1"><nlm:aff id="aff0060">Service d’ORL et de chirurgie cervico-faciale, CHU Grenoble Alpes, boulevard de la Chantourne, 38700 La Tronche, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service d’ORL et de chirurgie cervico-faciale, CHU Grenoble Alpes, boulevard de la Chantourne, 38700 La Tronche</wicri:regionArea></affiliation></author></analytic><series><title level="j">European Annals of Otorhinolaryngology, Head and Neck Diseases</title><idno type="ISSN">1879-7296</idno><idno type="eISSN">1879-730X</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Tracheostomy post-tracheostomy care are regarded as at high risk for contamination of health care professionals with the new coronavirus (SARS-CoV-2). Considering the rapid spread of the infection, all patients in France must be considered as potentially infected by the virus. Nevertheless, patients without clinical or radiological (CT scan) markers of COVID-19, and with negative nasopharyngeal sample within 24 h of surgery, are at low risk of being infected. Instructions for personal protection include specific wound dressings and decontamination of all material used. The operating room should be ventilated after each tracheostomy and the pressure of the room should be neutral or negative. Percutaneous tracheostomy is to be preferred over surgical cervicotomy in order to reduce aerosolization and to avoid moving patients from the intensive care unit to the operating room. Ventilation must be optimized during the procedure, to limit patient oxygen desaturation. Drug assisted neuromuscular blockage is advised to reduce coughing during tracheostomy tube insertion. An experienced team is mandatory to secure and accelerate the procedure as well as to reduce risk of contamination.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wei, W I" uniqKey="Wei W">W.I. Wei</name></author><author><name sortKey="Tuen, H H" uniqKey="Tuen H">H.H. Tuen</name></author><author><name sortKey="Ng, R W" uniqKey="Ng R">R.W. Ng</name></author><author><name sortKey="Lam, L K" uniqKey="Lam L">L.K. Lam</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="To, K K W" uniqKey="To K">K.K.-W. To</name></author><author><name sortKey="Tsang, O T Y" uniqKey="Tsang O">O.T.-Y. Tsang</name></author><author><name sortKey="Leung, W S" uniqKey="Leung W">W.-S. Leung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abe, T" uniqKey="Abe T">T. Abe</name></author><author><name sortKey="Madotto, T" uniqKey="Madotto T">T. Madotto</name></author><author><name sortKey="Pham, T" uniqKey="Pham T">T. Pham</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Phua, G C" uniqKey="Phua G">G.C. Phua</name></author><author><name sortKey="Govert, J" uniqKey="Govert J">J. Govert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Morvan, J B" uniqKey="Morvan J">J.B. Morvan</name></author><author><name sortKey="Pasquier, Y" uniqKey="Pasquier Y">Y. Pasquier</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="other"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Eur Ann Otorhinolaryngol Head Neck Dis</journal-id><journal-id journal-id-type="iso-abbrev">Eur Ann Otorhinolaryngol Head Neck Dis</journal-id><journal-title-group><journal-title>European Annals of Otorhinolaryngology, Head and Neck Diseases</journal-title></journal-title-group><issn pub-type="ppub">1879-7296</issn><issn pub-type="epub">1879-730X</issn><publisher><publisher-name>Published by Elsevier Masson SAS.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">7144608</article-id><article-id pub-id-type="publisher-id">S1879-7296(20)30096-X</article-id><article-id pub-id-type="doi">10.1016/j.anorl.2020.04.006</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>French consensus regarding precautions during tracheostomy and post-tracheostomy care in the context of COVID-19 pandemic</article-title></title-group><contrib-group><contrib contrib-type="author" id="aut0005"><name><surname>Schultz</surname><given-names>P.</given-names></name><email>philippe.schultz@chru-strasbourg.fr</email><xref rid="aff0005" ref-type="aff">a</xref><xref rid="cor0005" ref-type="corresp">*</xref></contrib><contrib contrib-type="author" id="aut0010"><name><surname>Morvan</surname><given-names>J.-B.</given-names></name><xref rid="aff0010" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="aut0015"><name><surname>Fakhry</surname><given-names>N.</given-names></name><xref rid="aff0015" ref-type="aff">c</xref></contrib><contrib contrib-type="author" id="aut0020"><name><surname>Morinière</surname><given-names>S.</given-names></name><xref rid="aff0020" ref-type="aff">d</xref></contrib><contrib contrib-type="author" id="aut0025"><name><surname>Vergez</surname><given-names>S.</given-names></name><xref rid="aff0025" ref-type="aff">e</xref><xref rid="aff0030" ref-type="aff">f</xref></contrib><contrib contrib-type="author" id="aut0030"><name><surname>Lacroix</surname><given-names>C.</given-names></name><xref rid="aff0035" ref-type="aff">g</xref></contrib><contrib contrib-type="author" id="aut0035"><name><surname>Bartier</surname><given-names>S.</given-names></name><xref rid="aff0040" ref-type="aff">h</xref></contrib><contrib contrib-type="author" id="aut0040"><name><surname>Barry</surname><given-names>B.</given-names></name><xref rid="aff0045" ref-type="aff">i</xref></contrib><contrib contrib-type="author" id="aut0045"><name><surname>Babin</surname><given-names>E.</given-names></name><xref rid="aff0050" ref-type="aff">j</xref></contrib><contrib contrib-type="author" id="aut0050"><name><surname>Couloigner</surname><given-names>V.</given-names></name><xref rid="aff0055" ref-type="aff">k</xref></contrib><contrib contrib-type="author" id="aut0055"><name><surname>Atallah</surname><given-names>I.</given-names></name><xref rid="aff0060" ref-type="aff">l</xref></contrib><contrib contrib-type="author"><collab>French Society of Otorhinolaryngology, Head, Neck Surgery (SFORL)</collab></contrib><contrib contrib-type="author"><collab>French Society of Head, Neck Carcinology (SFCCF)</collab></contrib></contrib-group><aff id="aff0005"><label>a</label>Service d’ORL et de chirurgie cervico-faciale, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg, France</aff><aff id="aff0010"><label>b</label>Service d’ORL et de chirurgie cervico-faciale, hôpital d’instruction des armées Saint-Anne, 2, boulevard Sainte-Anne, 83000 Toulon, France</aff><aff id="aff0015"><label>c</label>Service d’ORL et de chirurgie cervico-faciale, hôpital de la Conception, 147, boulevard Baille, 13005 Marseille, France</aff><aff id="aff0020"><label>d</label>Service d’ORL et de chirurgie cervico-faciale, CHRU Bretonneau-Tours, 2, boulevard Tonnellé, 37044 Tours, France</aff><aff id="aff0025"><label>e</label>Service d’ORL et de chirurgie cervico-faciale, CHU Rangueil-Larrey, 24, chemin de Pourvourville, 31400 Toulouse, France</aff><aff id="aff0030"><label>f</label>Service de chirurgie, Institut universitaire du cancer de Toulouse, 1, avenue Irène Joliot-Curie, 31100 Toulouse, France</aff><aff id="aff0035"><label>g</label>Service d’ORL et de chirurgie cervico-faciale, hôpital européen Georges-Pompidou, Assistance publique–Hôpitaux de Paris, 20, rue Leblanc, 75015 Paris, France</aff><aff id="aff0040"><label>h</label>Service d’ORL et de chirurgie cervico-faciale, centre hospitalier intercommunal de Créteil, 40, avenue de Verdun, 94010 Créteil, France</aff><aff id="aff0045"><label>i</label>Service d’ORL et de chirurgie cervico-faciale, hôpital Bichat-Claude-Bernard, 46, rue Henri-Huchard, 75018 Paris, France</aff><aff id="aff0050"><label>j</label>Service d’ORL et de chirurgie cervico-faciale, CHU Caen Normandie, avenue Côte de Nacre, 14000 Caen, France</aff><aff id="aff0055"><label>k</label>Service d’ORL et de chirurgie cervico-faciale pédiatriques, hôpital Necker-Enfants–Malades, Assistance publique–Hôpitaux de Paris, 149, rue de Sèvres, 75743 Paris, France</aff><aff id="aff0060"><label>l</label>Service d’ORL et de chirurgie cervico-faciale, CHU Grenoble Alpes, boulevard de la Chantourne, 38700 La Tronche, France</aff><author-notes><corresp id="cor0005"><label>⁎</label>Corresponding author. <email>philippe.schultz@chru-strasbourg.fr</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>9</day><month>4</month><year>2020</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub"><day>9</day><month>4</month><year>2020</year></pub-date><permissions><copyright-statement>© 2020 Published by Elsevier Masson SAS.</copyright-statement><copyright-year>2020</copyright-year><copyright-holder></copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract id="abs0005"><p>Tracheostomy post-tracheostomy care are regarded as at high risk for contamination of health care professionals with the new coronavirus (SARS-CoV-2). Considering the rapid spread of the infection, all patients in France must be considered as potentially infected by the virus. Nevertheless, patients without clinical or radiological (CT scan) markers of COVID-19, and with negative nasopharyngeal sample within 24 h of surgery, are at low risk of being infected. Instructions for personal protection include specific wound dressings and decontamination of all material used. The operating room should be ventilated after each tracheostomy and the pressure of the room should be neutral or negative. Percutaneous tracheostomy is to be preferred over surgical cervicotomy in order to reduce aerosolization and to avoid moving patients from the intensive care unit to the operating room. Ventilation must be optimized during the procedure, to limit patient oxygen desaturation. Drug assisted neuromuscular blockage is advised to reduce coughing during tracheostomy tube insertion. An experienced team is mandatory to secure and accelerate the procedure as well as to reduce risk of contamination.</p></abstract><kwd-group id="kwd0005"><title>Keywords</title><kwd>COVID-19</kwd><kwd>SARS-Cov-2</kwd><kwd>Pandemic</kwd><kwd>Tracheostomy</kwd><kwd>Care</kwd><kwd>Percutaneous</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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