Evidence map›Paper›PMID 32340627›Full record

GuidelineJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale2020

Recommendations from the CSO-HNS taskforce on performance of tracheotomy during the COVID-19 pandemic.

D D Sommer, P T Engels, E K Weitzel, S Khalili, M Corsten, M A Tewfik, K Fung, D Cote, M Gupta, N Sne and 4 more

Abstract readPractice GuidelineReview
PubMed Full text at PMC Publisher
In one paragraph

Guideline in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2020
    Guideline
  6. Guideline
  7. Pooled it
  8. Article
  9. Article
  10. Article
  11. COVID-19 Related Tracheal Stenosis Requiring Tracheal Resection: A Case Series.The Annals of otology, rhinology, and laryngology · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. The Efficacy of Tracheotomy for Covid-19 Pneumonia: Impacts on Survival and Prognostic Factors.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  18. A 30-day Survival and Safety of Percutaneous Tracheostomy in Moderate-to-severe COVID-19 Pneumonia Patients: A Single-center Experience.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Article
  19. Article
  20. Tracheostomy in COVID-19 Patients: Experience at a Tertiary Center in the First 11 Months of the Pandemic.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article

24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

D D SommerDivision of Otolaryngology - Head & Neck Surgery - Department of Surgery, McMaster University Medical Centre, McMaster University, 3V1 Clinic, 1200 Main St West, Hamilton, ON, L8N 3Z5, Canada. cso.hns@sympatico.ca.
P T EngelsDepartment of Surgery and Critical Care, McMaster University, Hamilton, ON, Canada.
E K WeitzelUnited States Army Institute of Surgical Research, Fort Sam Houston, TX, USA.
S KhaliliAurora Neuroscience Innovation Institute, Milwaukee, WI, USA.
M CorstenDivision of Otolaryngology - Head & Neck Surgery, Dalhousie University, Halifax, NS, Canada.
M A TewfikDepartment of Otolaryngology - Head and Neck Surgery, McGill University, Montreal, QC, Canada.
K FungDepartment of Otolaryngology - Head and Neck Surgery, Western University, London, ON, Canada.
D CoteDivision of Otolaryngology - Head and Neck Surgery, University of Alberta, Edmonton, AB, Canada.
M GuptaDivision of Otolaryngology - Head & Neck Surgery - Department of Surgery, McMaster University Medical Centre, McMaster University, 3V1 Clinic, 1200 Main St West, Hamilton, ON, L8N 3Z5, Canada.
N SneDepartment of Surgery and Critical Care, McMaster University, Hamilton, ON, Canada.
T F E BrownDivision of Otolaryngology - Head & Neck Surgery, Dalhousie University, Halifax, NS, Canada.
J PaulDepartment of Anesthesia, McMaster University, Hamilton, ON, Canada.
K M KostDepartment of Otolaryngology - Head and Neck Surgery, McGill University, Montreal, QC, Canada.
I J WitterickDepartment of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe performance of tracheotomy is a common procedural request by critical care departments to the surgical services of general surgery, thoracic surgery and otolaryngology - head & neck surgery. A Canadian Society of Otolaryngology - Head & Neck Surgery (CSO-HNS) task force was convened with multi-specialty involvement from otolaryngology-head & neck surgery, general surgery, critical care and anesthesiology to develop a set of recommendations for the performance of tracheotomies during the COVID-19 pandemic. MAIN BODY: The tracheotomy procedure is highly aerosol generating and directly exposes the entire surgical team to the viral aerosol plume and secretions, thereby increasing the risk of transmission to healthcare providers. As such, we believe extended endotracheal intubation should be the standard of care for the entire duration of ventilation in the vast majority of patients. Pre-operative COVID-19 testing is highly recommended for any non-emergent procedure.

conclusionThe set of recommendations in this document highlight the importance of avoiding tracheotomy procedures in patients who are COVID-19 positive if at all possible. Recommendations for appropriate PPE and environment are made for COVID-19 positive, negative and unknown patients requiring consideration of tracheotomy. The safety of healthcare professionals who care for ill patients and who keep critical infrastructure operating is paramount.

Indexed as

PandemicsCanadaCoronavirus InfectionsCOVID-19HumansInfectious Disease Transmission, Patient-to-ProfessionalIntubation, IntratrachealPersonal Protective EquipmentPneumonia, ViralRespiration, ArtificialRespiratory InsufficiencyTime FactorsTracheostomyTracheotomyAerosolAerosol generating medical procedureAGMPAirwayCoronavirusCovid-19Global pandemicICUPersonal protective equipmentRecommendationsSARS-CoV-2TracheostomyTracheotomyVentilator

Identifiers

PMID32340627
PMCPMC7184547

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.