Managing head and neck cancer patients with tracheostomy or laryngectomy during the COVID‐19 pandemic

Head and neck cancer patients with tracheostomies and laryngectomies, as well as their healthcare providers, face unique challenges in the context of the current COVID‐19 pandemic. This document consolidates best available evidence to date and presents recommendations to minimize the risks of aeroso...

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Bibliographic Details
Published in:Head & neck 2020-06, Vol.42 (6), p.1209-1213
Main Authors: Kligerman, Maxwell P., Vukkadala, Neelaysh, Tsang, Raymond K. Y., Sunwoo, John B., Holsinger, F. Christopher, Chan, Jason Y. K., Damrose, Edward J., Kearney, Ann, Starmer, Heather M.
Format: Article
Language:English
Subjects:
Aerosolization
Communicable Disease Control - methods
Coronavirus Infections - epidemiology
Coronavirus Infections - prevention & control
COVID-19
Disease Transmission, Infectious - prevention & control
Evidence-Based Medicine
Female
Head & neck cancer
Head and Neck Cancer
Head and Neck Neoplasms - pathology
Head and Neck Neoplasms - surgery
Humans
Laryngectomy
Laryngectomy - methods
Male
Occupational Health
Ostomy
Pandemics
Pandemics - prevention & control
Pandemics - statistics & numerical data
Patient Safety
Personal Protective Equipment - supply & distribution
Pneumonia, Viral - epidemiology
Pneumonia, Viral - prevention & control
Practice Guidelines as Topic
Risk Assessment
SARS‐CoV‐2
Special Issue
Surgical Oncology - standards
Tracheostomy
Tracheostomy - methods
United States
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Description
Summary:Head and neck cancer patients with tracheostomies and laryngectomies, as well as their healthcare providers, face unique challenges in the context of the current COVID‐19 pandemic. This document consolidates best available evidence to date and presents recommendations to minimize the risks of aerosolization and SARS‐CoV‐2 exposures in both the inpatient and outpatient settings. The cornerstones of these recommendations include the use of closed‐circuit ventilation whenever possible, cuffed tracheostomy tubes, judicious use of heat moisture exchange units, appropriate personal protective equipment for providers and patients, meticulous hand hygiene, and minimal manipulation of tracheostomy tubes.
ISSN:1043-3074
1097-0347
1097-0347
DOI:10.1002/hed.26171