ArticleThe British journal of oral & maxillofacial surgery2020
Surgical tracheostomies in Covid-19 patients: important considerations and the "5Ts" of safety.
Article in The British journal of oral & maxillofacial surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- Multidisciplinary guidance for safe tracheostomy care during the COVID-19 pandemic: the NHS National Patient Safety Improvement Programme (NatPatSIP).Anaesthesia · 2020Guideline
- An Inexpensive Training Model for Securing an Emergency Airway.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025Article
- "A Systematic Review on Guidelines and Recommendations for Tracheostomy During COVID-19 Pandemic".Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022Article
- Novel Use of Tracheostomy Shield for Emergency Tracheostomy in Covid 19 Era.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022Article
- Elective open "Shield Tracheostomy" in patients with COVID-19.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022Article
- Different variants of pandemic and prevention strategies: A prioritizing framework in fuzzy environment.Results in physics · 2021Article
- Tracheostomy for COVID-19: evolving best practice.Critical care (London, England) · 2021Review
- Tracheostomy in Patients with Coronavirus Disease 2019: An Overview.Turkish journal of anaesthesiology and reanimation · 2021Article
- Emergent tracheostomy during the pandemic of COVID-19: Slovenian National Recommendations.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021Review
- Increasing the Safety of Percutaneous Dilatational Tracheostomy in COVID-19 Patients.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021Article
- Early Tracheostomy in Morbidly Obese COVID-19 Patients: A Case Series and Discussion of Institutional Practices.Cureus · 2021Article
- Safe surgical tracheostomy in patients with COVID-19: key clinical considerations.Annals of the Royal College of Surgeons of England · 2021Article
- Tracheostomy in COVID-19 acute respiratory distress syndrome patients and follow-up: A parisian bicentric retrospective cohort.PloS one · 2021Article
- Severe parapharyngeal abscess that developed significant complications: management during the COVID-19 pandemic.BMJ case reports · 2020Article
- Article
- Safe percutaneous dilational tracheostomy in 5 patients with ARDS by Covid-19.Journal of clinical anesthesia · 2020Article
- Development and implementation of an end-of-shift clinical debriefing method for emergency departments during COVID-19.Advances in simulation (London, England) · 2020Article
- You Have Control: aviation communication application for safety-critical times in surgery.The British journal of oral & maxillofacial surgery · 2020Review
- Head and neck oncological ablation and reconstruction in the COVID-19 era - our experience to date.The British journal of oral & maxillofacial surgery · 2020Article
- Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review.International archives of otorhinolaryngology · 2020Review
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The coronavirus disease (covid19) pandemic (caused by the SARS-CoV-2 virus) is the greatest healthcare challenge in a generation. Clinicians are modifying the way they approach day-to-day procedures. Safety and reduction of transmission risk is paramount. Surgical tracheostomies in covid19 patients are aerosol generating procedures linked with a significant risk of viral contamination. Here, we describe our local approach for these procedures, introducing the "5Ts" of safe tracheostomy practice: Theatre set-up, Team Briefing, Transfer of patient, Tracheostomy Procedure, Team Doffing and De-brief. We identify the critical steps of the procedure and explain how we overcome the risks associated with breaking the transfer circuit to attach the patient to the theatre ventilator. We explain our technique to reduce secretion spillage when opening the trachea. We emphasise the importance of closed tracheal suctioning and mouth suctioning prior to patient transfer. We highlight the importance of maintaining a closed circuit throughout the procedure and describe tips on how to achieve this. We summarise the steps of our protocol in an "easy to reproduce" way. Finally, we emphasise the importance of communication in a constantly changing environment and challenging circumstances.
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