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About:
Consensus français sur la réalisation de trachéotomies et les soins de trachéotomies pendant la pandémie de COVID-19
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An Entity of Type :
schema:ScholarlyArticle
, within Data Space :
wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Consensus français sur la réalisation de trachéotomies et les soins de trachéotomies pendant la pandémie de COVID-19
Creator
Couloigner, V
Atallah, I
Babin, E
Barry, Beatrix
Bartier, S
Fakhry, N
Lacroix, C
Morinière, S
Morvan, J.-B
Schultz, P
Vergez, S
Morvan, J
Source
Elsevier; PMC
abstract
ABSTRACT Tracheostomy post-tracheostomy care are regarded as at high risk for contamination of health care professionals with the new coronavirus (SARS-CoV-2). Considering the rapid spread of the infection, all patients in France must be considered as potentially infected by the virus. Nevertheless, patients without clinical or radiological (CT scan) markers of COVID-19, and with negative nasopharyngeal sample within 24h of surgery, are at low risk of being infected. Instructions for personal protection include specific wound dressings and decontamination of all material used. The operating room should be ventilated after each tracheostomy and the pressure of the room should be neutral or negative. Percutaneous tracheostomy is to be preferred over surgical cervicotomy in order to reduce aerosolization and to avoid moving patients from the intensive care unit to the operating room. Ventilation must be optimized during the procedure, to limit patient oxygen desaturation. Drug assisted neuromuscular blockage is advised to reduce coughing during tracheostomy tube insertion. An experienced team is mandatory to secure and accelerate the procedure as well as to reduce risk of contamination.
has issue date
2020-04-18
(
xsd:dateTime
)
bibo:doi
10.1016/j.aforl.2020.04.008
has license
els-covid
sha1sum (hex)
4bff724186c0d91e6bf92c560f32923147b4ce5f
schema:url
https://doi.org/10.1016/j.aforl.2020.04.008
resource representing a document's title
Consensus français sur la réalisation de trachéotomies et les soins de trachéotomies pendant la pandémie de COVID-19
has PubMed Central identifier
PMC7166014
resource representing a document's body
covid:4bff724186c0d91e6bf92c560f32923147b4ce5f#body_text
is
schema:about
of
named entity 'Le port'
named entity 'paroi'
named entity 'la cagoule'
named entity 'sondes'
named entity 'à la'
named entity 'SUR'
named entity 'LES'
named entity 'Consensus'
named entity 'COVID-19'
named entity 'les'
named entity 'pendant'
named entity 'SOINS'
named entity 'CONSENSUS'
named entity 'PENDANT'
named entity 'TRACH'
named entity 'COVID-19'
named entity 'PAND'
is
part of
of
covid:4bff724186c0d91e6bf92c560f32923147b4ce5f#body_text
Consensus français sur la réalisation de trachéotomies et les soins de trachéotomies pendant la pandémie de COVID-19
ABSTRACT Tracheostomy post-tracheostomy care are regarded as at high risk for contamination of health care professionals with the new coronavirus (SARS-CoV-2). Considering the rapid spread of the infection, all patients in France must be considered as potentially infected by the virus. Nevertheless, patients without clinical or radiological (CT scan) markers of COVID-19, and with negative nasopharyngeal sample within 24h of surgery, are at low risk of being infected. Instructions for personal protection include specific wound dressings and decontamination of all material used. The operating room should be ventilated after each tracheostomy and the pressure of the room should be neutral or negative. Percutaneous tracheostomy is to be preferred over surgical cervicotomy in order to reduce aerosolization and to avoid moving patients from the intensive care unit to the operating room. Ventilation must be optimized during the procedure, to limit patient oxygen desaturation. Drug assisted neuromuscular blockage is advised to reduce coughing during tracheostomy tube insertion. An experienced team is mandatory to secure and accelerate the procedure as well as to reduce risk of contamination.
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