Evidence map›Paper›PMID 32422180›Full record

ReviewThe Lancet. Respiratory medicine2020

Tracheostomy in the COVID-19 era: global and multidisciplinary guidance.

Brendan A McGrath, Michael J Brenner, Stephen J Warrillow, Vinciya Pandian, Asit Arora, Tanis S Cameron, José Manuel Añon, Gonzalo Hernández Martínez, Robert D Truog, Susan D Block and 20 more

Registry-linked trialOpen access · bronzeAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in The Lancet. Respiratory medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04654754 (Aerosol Particle Concentrations Among Different Oxygen Devices for Spontaneous Breathing Patients With Tracheostomy), which is not on this map. Cited by 221 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
221citing papers in PubMed, 10 pooled it
51.4field-weighted citation impact, top 1% of its field
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.

NCT04654754 nacompletednot on this map

Aerosol Particle Concentrations Among Different Oxygen Devices for Spontaneous Breathing Patients With Tracheostomy: a Randomized Cross-over Trial

TypeinterventionalSponsorJie LiRan2020 to 2021Enrolled12ConditionsTransmission, Patient-ProfessionalArmshigh-flow high humidity oxygen device with tracheostomy adapter
3 · Its place in the literature

Who cites it

221 citing papers in PubMed, 10 syntheses or guidelines pooled it, 462 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Guideline
  6. Guideline
  7. Systematic review and meta-analysis of tracheostomy outcomes in COVID-19 patients.The British journal of oral & maxillofacial surgery · 2021
    Pooled it
  8. Pooled it
  9. Guideline
  10. Guideline
  11. Trial
  12. Article
  13. The safety and clinical outcomes of open tracheostomy performed by residents in an academic center: A retrospective cohort study.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 · 2026
    Article
  14. Article
  15. Review
  16. Article
  17. Redefining Nursing in Otorhinolaryngology-Head & Neck Care: Implications of the ICN's 2025 Definitions for an Evolving Specialty.ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · 2026
    Article
  18. Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 20 institutions in 9 countries.

Brendan A McGrathManchester University NHS Foundation Trust, Manchester, UK; Manchester Academic Critical Care, Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester Academic Health Sciences Centre, Manchester, UK.
Michael J BrennerUniversity of Michigan, Ann Arbor, USA.
Stephen J WarrillowAustin Health, Melbourne, VIC, Australia.
Vinciya PandianJohns Hopkins University, Baltimore, MD, USA.
Asit AroraGuy's and St Thomas' NHS Foundation Trust, London, UK.
Tanis S CameronAustin Health, Melbourne, VIC, Australia.
José Manuel AñonLa Paz-Carlos III University Hospital, IdiPAZ, Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain.
Gonzalo Hernández MartínezVirgen de la Salud Hospital, Health Service of Castilla-La Mancha, Toledo, Spain.
Robert D TruogCenter for Bioethics, Harvard Medical School, Boston, MA, USA; Department of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, MA, USA.
Susan D BlockDepartment of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Grace C Y LuiThe Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Christine McDonaldAustin Health, Institute for Breathing and Sleep (IBAS), Melbourne, VIC, Australia.
Christopher H RassekhUniversity of Pennsylvania, Philadelphia, PA, USA.
Joshua AtkinsUniversity of Pennsylvania, Philadelphia, PA, USA.
Li QiangEast Hospital of Shanghai, TongJi University, Shanghai, China.
Sébastien VergezUniversity Hospital Rangueil-Larrey, Toulouse, France.
Pavel DulguerovHôpital de la Tour, Meyrin, Geneva University, Geneva, Switzerland.
Johannes ZenkUniversitätsklinikum Augsburg Klinik für HNO-Heilkunde, Augsburg, Germany.
Massimo AntonelliDipartimento di Scienze dell' Emergenza Anestesiologiche e della Rianimazione, Fondazione Policlinico Universitario A. Gemelli Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy.
Paolo PelosiDepartment of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy; Anesthesia and Intensive Care, San Martino Policlinico Hospital, Genoa, Italy.
Brian K WalshLiberty University, Lynchburg, VA, USA.
Erin WardTracheostomy Team, Institute for Professionalism and Ethical Practice, Boston Children's Hospital, Boston, MA, USA.
You ShangDepartment of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Stefano GaspariniDepartment of Biomedical Sciences and Public Health, Polytechnic University of Marche Region - Azienda Ospedali Riuniti, Ancona, Italy.
Abele DonatiDepartment of Biomedical Sciences and Public Health, Polytechnic University of Marche Region - Azienda Ospedali Riuniti, Ancona, Italy.
Mervyn SingerUniversity College London, London, UK.
Peter J M OpenshawNational Heart and Lung Institute, Imperial College of London, London, UK.
Neil TolleyImperial College Healthcare NHS Trust, London, UK.
Howard MarkelUniversity of Michigan, Ann Arbor, USA.
David J Feller-KopmanJohns Hopkins University, Baltimore, MD, USA. Electronic address: dfk@jhmi.edu.
Austin Health · AUBoston Children's Hospital · USJohns Hopkins University · USMarche Polytechnic University · ITUniversity of Michigan–Ann Arbor · USUniversity of Pennsylvania · USCentro de Investigación Biomédica en Red de Enfermedades Respiratorias · ESChinese University of Hong Kong · CNDana-Farber Brigham Cancer Center · USGuy's and St Thomas' NHS Foundation Trust · GBHôpital de la Tour · CHHôpital Larrey · FRHospital Virgen de la Salud · ESHuazhong University of Science and Technology · CNImperial College Healthcare NHS Trust · GBImperial College London · GBInstitute for Breathing and Sleep · AUIstituti di Ricovero e Cura a Carattere Scientifico · ITLiberty University · USShanghai East Hospital · CN

Funding

Medical Research Council MR/T50256X/1
6 · The paper itself

Abstract

Global health care is experiencing an unprecedented surge in the number of critically ill patients who require mechanical ventilation due to the COVID-19 pandemic. The requirement for relatively long periods of ventilation in those who survive means that many are considered for tracheostomy to free patients from ventilatory support and maximise scarce resources. COVID-19 provides unique challenges for tracheostomy care: health-care workers need to safely undertake tracheostomy procedures and manage patients afterwards, minimising risks of nosocomial transmission and compromises in the quality of care. Conflicting recommendations exist about case selection, the timing and performance of tracheostomy, and the subsequent management of patients. In response, we convened an international working group of individuals with relevant expertise in tracheostomy. We did a literature and internet search for reports of research pertaining to tracheostomy during the COVID-19 pandemic, supplemented by sources comprising statements and guidance on tracheostomy care. By synthesising early experiences from countries that have managed a surge in patient numbers, emerging virological data, and international, multidisciplinary expert opinion, we aim to provide consensus guidelines and recommendations on the conduct and management of tracheostomy during the COVID-19 pandemic.

Indexed as

BetacoronavirusInternationalityPractice Guidelines as TopicCoronavirus InfectionsCOVID-19Critical CareHumansInfectious Disease Transmission, Patient-to-ProfessionalPandemicsPneumonia, ViralSARS-CoV-2Tracheostomy

Identifiers

PMID32422180
PMCPMC7228735
OpenAlexW3025817904

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.