Evidence map›Paper›PMID 32514605›Full record

ReviewHNO2020

[Management of tracheostomy patients during the COVID-19 pandemic: review of the literature and demonstration].

J S Kempfle, H Löwenheim, M J Huebner, H Iro, S K Mueller

Open access · hybridAbstract readReview
In one paragraph

Review in HNO, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 22% 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.

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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

5 authors at 3 institutions in 2 countries.

J S KempfleAbteilung für Hals-Nasen-Ohren-Heilkunde, Universitätsklinikum Tübingen, Tübingen, Deutschland.
H LöwenheimAbteilung für Hals-Nasen-Ohren-Heilkunde, Universitätsklinikum Tübingen, Tübingen, Deutschland.
M J HuebnerAbteilung für Kinderkardiologie, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Deutschland.
H IroAbteilung für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Waldstraße 1, 1054, Erlangen, Deutschland.
S K MuellerAbteilung für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Waldstraße 1, 1054, Erlangen, Deutschland. sarina.mueller@uk-erlangen.de.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEMassachusetts Eye and Ear Infirmary · USUniversitätsklinikum Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince emergence of the new coronavirus in China in December 2019, many countries have been struggling to control skyrocketing numbers of infections, including among healthcare personnel. It has now been clearly demonstrated that SARS-CoV‑2 resides in the upper airways and transmits easily via aerosols and droplets, which significantly increases the risk of infection when performing upper airway procedures. Ventilated COVID-19 patients in a critical condition in the intensive care unit may require tracheotomy for long-term ventilation and to improve weaning. However, the risk of secondary infection of medical personnel performing subsequent tracheostomy care remains unclear.

objectiveThis study aimed to evaluate the risk of droplet dispersion during tracheostomy tube change and overview tracheostomy tube change in COVID-19 patients. MATERIALS AND

methodsThe current literature was reviewed, quantitative and qualitative analyses of droplet formation during tracheostomy tube change in n = 8 patients were performed, and an overview of and checklist for tracheostomy tube change were compiled.

resultsThis study demonstrates that tracheostomy tube change, in particular insertion of the new tube, may cause significant droplet formation. The aerosolization of particles smaller than 5 µm was not analyzed.

conclusionOur data, together with the current literature, clearly emphasize that tracheostomy care is associated with a high infection risk and should only be performed by a small group of well-trained, maximally protected healthcare personnel.

Indexed as

TracheostomyAerosolsBetacoronavirusCoronavirus InfectionsCOVID-19HumansInfectious Disease Transmission, Patient-to-ProfessionalIntubation, IntratrachealPandemicsPneumonia, ViralSARS-CoV-2AerosolsAerosolsCOVID-19DropletsPPETracheostomy tube change

Identifiers

PMID32514605
PMCPMC7278214
OpenAlexW3033757348

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.