French consensus regarding precautions during tracheostomy and post-tracheostomy care in the context of COVID-19 pandemic.
Identifieur interne : 000021 ( PubMed/Corpus ); précédent : 000020; suivant : 000022French consensus regarding precautions during tracheostomy and post-tracheostomy care in the context of COVID-19 pandemic.
Auteurs : P. Schultz ; J-B Morvan ; N. Fakhry ; S. Morinière ; S. Vergez ; C. Lacroix ; S. Bartier ; B. Barry ; E. Babin ; V. Couloigner ; I. AtallahSource :
- European annals of otorhinolaryngology, head and neck diseases [ 1879-730X ] ; 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 24h 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.
DOI: 10.1016/j.anorl.2020.04.006
PubMed: 32307265
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Vergez</name><affiliation><nlm:affiliation>Service d'ORL et de chirurgie cervico-faciale, CHU Rangueil-Larrey, 24, chemin de Pourvourville, 31400 Toulouse, France; Service de chirurgie, Institut universitaire du cancer de Toulouse, 1, avenue Irène Joliot-Curie, 31100 Toulouse, France.</nlm:affiliation></affiliation></author><author><name sortKey="Lacroix, C" sort="Lacroix, C" uniqKey="Lacroix C" first="C" last="Lacroix">C. Lacroix</name><affiliation><nlm:affiliation>Service d'ORL et de chirurgie cervico-faciale, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris, 20, rue Leblanc, 75015 Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Bartier, S" sort="Bartier, S" uniqKey="Bartier S" first="S" last="Bartier">S. 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Couloigner</name><affiliation><nlm:affiliation>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:affiliation></affiliation></author><author><name sortKey="Atallah, I" sort="Atallah, I" uniqKey="Atallah I" first="I" last="Atallah">I. Atallah</name><affiliation><nlm:affiliation>Service d'ORL et de chirurgie cervico-faciale, CHU Grenoble Alpes, boulevard de la Chantourne, 38700 La Tronche, France.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32307265</idno><idno type="pmid">32307265</idno><idno type="doi">10.1016/j.anorl.2020.04.006</idno><idno type="wicri:Area/PubMed/Corpus">000021</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000021</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">French consensus regarding precautions during tracheostomy and post-tracheostomy care in the context of COVID-19 pandemic.</title><author><name sortKey="Schultz, P" sort="Schultz, P" uniqKey="Schultz P" first="P" last="Schultz">P. Schultz</name><affiliation><nlm:affiliation>Service d'ORL et de chirurgie cervico-faciale, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg, France. Electronic address: philippe.schultz@chru-strasbourg.fr.</nlm:affiliation></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><nlm:affiliation>Service d'ORL et de chirurgie cervico-faciale, hôpital d'instruction des armées Saint-Anne, 2, boulevard Sainte-Anne, 83000 Toulon, France.</nlm:affiliation></affiliation></author><author><name sortKey="Fakhry, N" sort="Fakhry, N" uniqKey="Fakhry N" first="N" last="Fakhry">N. Fakhry</name><affiliation><nlm:affiliation>Service d'ORL et de chirurgie cervico-faciale, hôpital de la Conception, 147, boulevard Baille, 13005 Marseille, France.</nlm:affiliation></affiliation></author><author><name sortKey="Moriniere, S" sort="Moriniere, S" uniqKey="Moriniere S" first="S" last="Morinière">S. Morinière</name><affiliation><nlm:affiliation>Service d'ORL et de chirurgie cervico-faciale, CHRU Bretonneau-Tours, 2, boulevard Tonnellé, 37044 Tours, France.</nlm:affiliation></affiliation></author><author><name sortKey="Vergez, S" sort="Vergez, S" uniqKey="Vergez S" first="S" last="Vergez">S. Vergez</name><affiliation><nlm:affiliation>Service d'ORL et de chirurgie cervico-faciale, CHU Rangueil-Larrey, 24, chemin de Pourvourville, 31400 Toulouse, France; Service de chirurgie, Institut universitaire du cancer de Toulouse, 1, avenue Irène Joliot-Curie, 31100 Toulouse, France.</nlm:affiliation></affiliation></author><author><name sortKey="Lacroix, C" sort="Lacroix, C" uniqKey="Lacroix C" first="C" last="Lacroix">C. Lacroix</name><affiliation><nlm:affiliation>Service d'ORL et de chirurgie cervico-faciale, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris, 20, rue Leblanc, 75015 Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Bartier, S" sort="Bartier, S" uniqKey="Bartier S" first="S" last="Bartier">S. Bartier</name><affiliation><nlm:affiliation>Service d'ORL et de chirurgie cervico-faciale, centre hospitalier intercommunal de Créteil, 40, avenue de Verdun, 94010 Créteil, France.</nlm:affiliation></affiliation></author><author><name sortKey="Barry, B" sort="Barry, B" uniqKey="Barry B" first="B" last="Barry">B. Barry</name><affiliation><nlm:affiliation>Service d'ORL et de chirurgie cervico-faciale, hôpital Bichat-Claude-Bernard, 46, rue Henri-Huchard, 75018 Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Babin, E" sort="Babin, E" uniqKey="Babin E" first="E" last="Babin">E. Babin</name><affiliation><nlm:affiliation>Service d'ORL et de chirurgie cervico-faciale, CHU Caen Normandie, avenue Côte de Nacre, 14000 Caen, France.</nlm:affiliation></affiliation></author><author><name sortKey="Couloigner, V" sort="Couloigner, V" uniqKey="Couloigner V" first="V" last="Couloigner">V. Couloigner</name><affiliation><nlm:affiliation>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:affiliation></affiliation></author><author><name sortKey="Atallah, I" sort="Atallah, I" uniqKey="Atallah I" first="I" last="Atallah">I. Atallah</name><affiliation><nlm:affiliation>Service d'ORL et de chirurgie cervico-faciale, CHU Grenoble Alpes, boulevard de la Chantourne, 38700 La Tronche, France.</nlm:affiliation></affiliation></author></analytic><series><title level="j">European annals of otorhinolaryngology, head and neck diseases</title><idno type="eISSN">1879-730X</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">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 24h 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.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32307265</PMID><DateRevised><Year>2020</Year><Month>04</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-730X</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Apr</Month><Day>09</Day></PubDate></JournalIssue><Title>European annals of otorhinolaryngology, head and neck diseases</Title><ISOAbbreviation>Eur Ann Otorhinolaryngol Head Neck Dis</ISOAbbreviation></Journal><ArticleTitle>French consensus regarding precautions during tracheostomy and post-tracheostomy care in the context of COVID-19 pandemic.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S1879-7296(20)30096-X</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.anorl.2020.04.006</ELocationID><Abstract><AbstractText>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 24h 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.</AbstractText><CopyrightInformation>Copyright © 2020. Published by Elsevier Masson SAS.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schultz</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Service d'ORL et de chirurgie cervico-faciale, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg, France. Electronic address: philippe.schultz@chru-strasbourg.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Morvan</LastName><ForeName>J-B</ForeName><Initials>JB</Initials><AffiliationInfo><Affiliation>Service d'ORL et de chirurgie cervico-faciale, hôpital d'instruction des armées Saint-Anne, 2, boulevard Sainte-Anne, 83000 Toulon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fakhry</LastName><ForeName>N</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Service d'ORL et de chirurgie cervico-faciale, hôpital de la Conception, 147, boulevard Baille, 13005 Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Morinière</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Service d'ORL et de chirurgie cervico-faciale, CHRU Bretonneau-Tours, 2, boulevard Tonnellé, 37044 Tours, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vergez</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Service d'ORL et de chirurgie cervico-faciale, CHU Rangueil-Larrey, 24, chemin de Pourvourville, 31400 Toulouse, France; Service de chirurgie, Institut universitaire du cancer de Toulouse, 1, avenue Irène Joliot-Curie, 31100 Toulouse, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lacroix</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Service d'ORL et de chirurgie cervico-faciale, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris, 20, rue Leblanc, 75015 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bartier</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Service d'ORL et de chirurgie cervico-faciale, centre hospitalier intercommunal de Créteil, 40, avenue de Verdun, 94010 Créteil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barry</LastName><ForeName>B</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Service d'ORL et de chirurgie cervico-faciale, hôpital Bichat-Claude-Bernard, 46, rue Henri-Huchard, 75018 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Babin</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Service d'ORL et de chirurgie cervico-faciale, CHU Caen Normandie, avenue Côte de Nacre, 14000 Caen, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Couloigner</LastName><ForeName>V</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>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.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Atallah</LastName><ForeName>I</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Service d'ORL et de chirurgie cervico-faciale, CHU Grenoble Alpes, boulevard de la Chantourne, 38700 La Tronche, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>French Society of Otorhinolaryngology, Head, Neck Surgery (SFORL)</CollectiveName></Author><Author ValidYN="Y"><CollectiveName>French Society of Head, Neck Carcinology (SFCCF)</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D017065">Practice Guideline</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>04</Month><Day>09</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Eur Ann Otorhinolaryngol Head Neck Dis</MedlineTA><NlmUniqueID>101531465</NlmUniqueID><ISSNLinking>1879-7296</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Care</Keyword><Keyword MajorTopicYN="N">Pandemic</Keyword><Keyword MajorTopicYN="N">Percutaneous</Keyword><Keyword MajorTopicYN="N">SARS-Cov-2</Keyword><Keyword MajorTopicYN="N">Tracheostomy</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>4</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>4</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>4</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32307265</ArticleId><ArticleId IdType="pii">S1879-7296(20)30096-X</ArticleId><ArticleId IdType="doi">10.1016/j.anorl.2020.04.006</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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