Evidence map›Paper›PMID 34670607›Full record

ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale2021

Revised recommendations from the CSO-HNS taskforce on performance of tracheotomy during the COVID-19 pandemic - what a difference a year makes.

D D Sommer, D Cote, T McHugh, M Corsten, M A Tewfik, S Khalili, K Fung, M Gupta, N Sne, P T Engels and 8 more

Abstract read
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In one paragraph

Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

18 authors.

D D SommerDivision of Otolaryngology - Head & Neck Surgery - Department of Surgery, McMaster University, Hamilton, ON, Canada. cso.hns@sympatico.ca.ORCID http://orcid.org/0000-0001-9692-7414
D CoteDivision of Otolaryngology - Head and Neck Surgery, University of Alberta, Edmonton, AB, Canada.
T McHughDivision of Otolaryngology - Head & Neck Surgery - Department of Surgery, McMaster University, Hamilton, ON, Canada.
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.
S KhaliliAurora Neuroscience Innovation Institute, Milwaukee, WI, USA.
K FungDepartment of Otolaryngology - Head and Neck Surgery, Western University, London, ON, Canada.
M GuptaDivision of Otolaryngology - Head & Neck Surgery - Department of Surgery, McMaster University, Hamilton, ON, Canada.
N SneDepartment of Surgery and Critical Care, McMaster University, Hamilton, ON, Canada.
P T EngelsDepartment of Surgery and Critical Care, McMaster University, Hamilton, ON, Canada.
E WeitzelDepartment of Otolaryngology Head and Neck Surgery, Lackland Air Force Base, Wilford Hall Medical Center, San Antonio, TX, USA.
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.
J A AndersonDepartment of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.
L SowerbyDepartment of Otolaryngology - Head and Neck Surgery, Western University, London, ON, Canada.
D MertzDivision of Infectious Disease, Department of Medicine, McMaster University, Hamilton, ON, 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

backgroundDuring the early part of the COVID-19 pandemic, the Canadian Society of Otolaryngology - Head & Neck Surgery (CSO-HNS) task force published recommendations on performance of tracheotomy. Since then, our understanding of the virus has evolved with ongoing intensive research efforts. New literature has helped us better understand various aspects including patient outcomes and health care worker (HCW) risks associated with tracheotomy during the COVID-19 pandemic. Accordingly, the task force has re-evaluated and revised some of the previous recommendations. MAIN BODY: Based on recent evidence, a negative reverse transcription polymerase chain reaction (RT-PCR) COVID-19 swab status is no longer the main deciding factor in the timing of tracheotomy. Instead, tracheotomy may be considered as soon as COVID-19 swab positive patients are greater than 20 days beyond initial symptoms and 2 weeks of mechanical ventilation. Furthermore, both open and percutaneous surgical techniques may be considered with both techniques showing similar safety and outcome profiles. Additional recommendations with discussion of current evidence are presented.

conclusionThese revised recommendations apply new evidence in optimizing patient and health care system outcomes as well as minimizing risks of COVID-19 transmission during aerosol-generating tracheotomy procedures. As previously noted, additional evidence may lead to further evolution of these and other similar recommendations.

Indexed as

Infection ControlOtolaryngologyTracheotomyCanadaCOVID-19Critical CareHumansInfectious Disease Transmission, Patient-to-ProfessionalPatient SelectionPractice Guidelines as TopicAerosol Generating Medical Procedure/AGMPCoronavirusCOVID-19Critical CareIntensive Care Unit/ICUMechanical VentilationPercutaneousSARS-CoV-2TracheostomyTracheotomyVentilator Weaning

Identifiers

PMID34670607
PMCPMC8527441

What OpenQuestion holds

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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.