Anesthetic and surgical management of tracheostomy in a patient with COVID-19

Abstract The ongoing pandemic coronavirus disease-2019 (COVID-19) infection causes severe respiratory dysfunction and has become an emergent issue for worldwide healthcare. Since COVID-19 spreads through contact and droplet infection routes, careful attention to infection control and surgical management is important to prevent cross-contamination of patients and medical staff. Tracheostomy is an effective method to treat severe respiratory dysfunction with prolonged respiratory management and should be performed as a high-risk procedure. Strict precaution and sufficient use of muscle relaxants are essential during tracheostomy to minimize cross-contamination among healthcare workers in the hospital. Here, we describe the anesthetic and surgical management of tracheostomy in a patient with COVID-19.

[1]  Y. Hu,et al.  Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China , 2020, The Lancet.

[2]  G. Gao,et al.  A Novel Coronavirus from Patients with Pneumonia in China, 2019 , 2020, The New England journal of medicine.

[3]  Ting Yu,et al.  Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study , 2020, The Lancet.

[4]  Khai Tran,et al.  Aerosol Generating Procedures and Risk of Transmission of Acute Respiratory Infections to Healthcare Workers: A Systematic Review , 2012, PloS one.

[5]  W. Wei,et al.  Safe tracheostomy for patients with severe acute respiratory syndrome , 2003, The Laryngoscope.

[6]  M. Khoo,et al.  Infection Control Measures for Operative Procedures in Severe Acute Respiratory Syndrome–related Patients , 2004, Anesthesiology.

[7]  Marco Perino,et al.  Natural Ventilation for Infection Control in Health-Care Settings , 2009 .

[8]  L. Napolitano,et al.  Tracheostomy: Epidemiology, Indications, Timing, Technique, and Outcomes , 2014, Respiratory Care.

[9]  S. Walter,et al.  SARS among Critical Care Nurses, Toronto , 2004, Emerging infectious diseases.

[10]  J. Vincent,et al.  Timing of tracheotomy in ICU patients: a systematic review of randomized controlled trials , 2015, Critical Care.

[11]  P. Peng,et al.  Outbreak of a new coronavirus: what anaesthetists should know , 2020, British Journal of Anaesthesia.

[12]  Abigail Zuger,et al.  The SARS Epidemic , 2004 .

[13]  K. Law,et al.  Tracheostomy in a patient with severe acute respiratory syndrome , 2004, British Journal of Anaesthesia.

[14]  D. Hui Epidemic and Emerging Coronaviruses (Severe Acute Respiratory Syndrome and Middle East Respiratory Syndrome) , 2016, Clinics in Chest Medicine.