Evidence map›Paper›PMID 32960148›Full record

ReviewOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2021

Multidisciplinary Safety Recommendations After Tracheostomy During COVID-19 Pandemic: State of the Art Review.

Kara D Meister, Vinciya Pandian, Alexander T Hillel, Brian K Walsh, Martin B Brodsky, Karthik Balakrishnan, Simon R Best, Steven B Chinn, John D Cramer, Evan M Graboyes and 4 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
7.1field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 73 citations in OpenAlex.

  1. 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
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  4. Predictors of Decannulation Success in Tracheostomy: A 10-Year Analysis of the Global Tracheostomy Collaborative Database.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Observational
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  6. Effect of AvTrachTracheostomy (Warrenville, Ill.) · 2025
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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 at 10 institutions in 2 countries.

Kara D MeisterAerodigestive and Airway Reconstruction Center, Lucile Packard Children's Hospital, Stanford Children's Health, Palo Alto, California, USA.
Vinciya PandianDepartment of Nursing Faculty, Johns Hopkins University, Baltimore, Maryland, USA.
Alexander T HillelDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland, USA.
Brian K WalshDepartment of Health Sciences, Liberty University, Lynchburg, Virginia, USA.
Martin B BrodskyOutcomes After Critical Illness and Surgery Research Group, Johns Hopkins University, Baltimore, Maryland, USA.
Karthik BalakrishnanAerodigestive and Airway Reconstruction Center, Lucile Packard Children's Hospital, Stanford Children's Health, Palo Alto, California, USA.
Simon R BestDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland, USA.
Steven B ChinnDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Michigan, USA.
John D CramerDepartment of Otolaryngology-Head and Neck Surgery, School of Medicine, Wayne State University, Detroit, Michigan, USA.
Evan M GraboyesDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Brendan A McGrathUniversity of Manchester, NHS Foundation Trust, National Tracheostomy Safety Project, Manchester, UK.
Christopher H RassekhDepartment of Otolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Joshua R BedwellBaylor College of Medicine, Houston, Texas, USA.
Michael J BrennerDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA; Global Tracheostomy Collaborative, Raleigh, North Carolina, USA.
Johns Hopkins University · USLucile Packard Children's Hospital · USBaylor College of Medicine · USCollaborative Group (United States) · USLiberty University · USMUSC Hollings Cancer Center · USUniversity of Manchester · GBUniversity of Michigan–Ann Arbor · USUniversity of Pennsylvania · USWayne State University · US

Funding

Targeting mTOR regulation of T-lymphocytes and fibroblasts in Laryngotracheal StenosisR01DC018567 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI HILLEL, ALEXANDER · 2020 to 2024
$3.8M
Symptoms Assessment and Screening for Laryngeal Injury Post-extubation in ICUR01NR017433 · NINR · JOHNS HOPKINS UNIVERSITY · PI BRODSKY, MARTIN BRUCE, NEEDHAM, DALE MURRAY · 2018 to 2022
$3.2M
Therapeutic DNA vaccine for Recurrent Respiratory PapillomatosisK23DC014758 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI BEST, SIMON R · 2016 to 2021
$1.0M
NIDCD NIH HHS K23 DC014758NIDCD NIH HHS R01 DC018567NIH HHS 1K23DC014758NIH HHS R01 5-R017433NINR NIH HHS R01 NR017433
6 · The paper itself

Abstract

objectiveIn the chronic phase of the COVID-19 pandemic, questions have arisen regarding the care of patients with a tracheostomy and downstream management. This review addresses gaps in the literature regarding posttracheostomy care, emphasizing safety of multidisciplinary teams, coordinating complex care needs, and identifying and managing late complications of prolonged intubation and tracheostomy. DATA SOURCES: PubMed, Cochrane Library, Scopus, Google Scholar, institutional guidance documents. REVIEW

methodsLiterature through June 2020 on the care of patients with a tracheostomy was reviewed, including consensus statements, clinical practice guidelines, institutional guidance, and scientific literature on COVID-19 and SARS-CoV-2 virology and immunology. Where data were lacking, expert opinions were aggregated and adjudicated to arrive at consensus recommendations.

conclusionsBest practices in caring for patients after a tracheostomy during the COVID-19 pandemic are multifaceted, encompassing precautions during aerosol-generating procedures; minimizing exposure risks to health care workers, caregivers, and patients; ensuring safe, timely tracheostomy care; and identifying and managing laryngotracheal injury, such as vocal fold injury, posterior glottic stenosis, and subglottic stenosis that may affect speech, swallowing, and airway protection. We present recommended approaches to tracheostomy care, outlining modifications to conventional algorithms, raising vigilance for heightened risks of bleeding or other complications, and offering recommendations for personal protective equipment, equipment, care protocols, and personnel. IMPLICATIONS FOR PRACTICE: Treatment of patients with a tracheostomy in the COVID-19 pandemic requires foresight and may rival procedural considerations in tracheostomy in their complexity. By considering patient-specific factors, mitigating transmission risks, optimizing the clinical environment, and detecting late manifestations of severe COVID-19, clinicians can ensure due vigilance and quality care.

Indexed as

Postoperative CareTracheostomyCOVID-19Cross InfectionHumansInfection ControlInfectious Disease Transmission, Patient-to-ProfessionalPandemicsPersonal Protective EquipmentPostoperative ComplicationsSARS-CoV-2aerosol generating procedureCOVID-19deep venous thrombosisDVTFFP3health care worker safetylaryngectomylaryngotracheal injuryN95pandemicpatient safety and quality improvementPEpulmonary embolismrespiratorySARSSARS-CoV-2subglottic stenosissuctiontracheal stenosis; tracheocutaneous fistulatracheostomytracheotomyvenous thromboembolismVTE

Identifiers

PMID32960148
PMCPMC8198753
OpenAlexW3087379844

What OpenQuestion holds

Textmetadata
LicenceTDM
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.