Standardization of elective tracheostomies at the Central Institute of the Hospital das Clínicas in São Paulo during the COVID-19 pandemic.
Carlos Augusto Metidieri MenegozzoSÉrgio Samir ArapAlessandro Wasum MarianiHÉlio MinamotoRui ImamuraRicardo Ferreira BentoPaulo Manoel PÊgo-FernandesLuiz Paulo KowalskiEdivaldo Massazo UtiyamaPublished in: Revista do Colegio Brasileiro de Cirurgioes (2020)
The COVID-19 Pandemic has resulted in a high number of hospital admissions and some of those patients need ventilatory support in intensive care units. The viral pneumonia secondary to Sars-cov-2 infection may lead to acute respiratory distress syndrome (ARDS) and longer mechanical ventilation needs, resulting in a higher demand for tracheostomies. Due to the high aerosolization potential of such procedure, and the associated risks of staff and envoirenment contamination, it is necesseray to develop a specific standardization of the of the whole process involving tracheostomies. This manuscript aims to demonstrate the main steps of the standardization created by a tracheostomy team in a tertiary hospital dedicated to providing care for patients with COVID-19.
Keyphrases
- chronic pain
- mechanical ventilation
- acute respiratory distress syndrome
- intensive care unit
- extracorporeal membrane oxygenation
- pain management
- respiratory failure
- end stage renal disease
- healthcare
- palliative care
- human health
- ejection fraction
- chronic kidney disease
- newly diagnosed
- quality improvement
- risk assessment
- peritoneal dialysis
- sars cov
- drinking water
- rheumatoid arthritis
- prognostic factors
- systemic lupus erythematosus
- disease activity
- health insurance
- heavy metals
- respiratory syndrome coronavirus