id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-266120-bcya8jrs	D'Ascanio, Luca	Letter to the editor regarding “corona-steps for tracheotomy in codid-19 patients: a staff-safe method for airway management”	2020-04-20		.txt	text/plain	821	50	54	This procedure, as already described by Wei et al, 2 prevents the expired infected air to come out under pressure ("champagne effect") from the patient's lower airways through the tracheostomy site after deflation of the endotracheal tube cuff with a consequent reduction of HCWs' risk of contamination. (3) In order to minimize HCWs' intraoperative time exposure to patients' aerosolized secretions, we connect the tracheostomy cannula with a Halyard closed suction system ® (which is attached to the ventilator at the end of the procedure) before trachea opening and cannula insertion into the trachea (Figure 1) . The time interval between deflation of the endotracheal tube cuff and connection of the cuffed tracheostomy cannula-Halyard closed suction system ® to the ventilator ("air exposure time", AET) is one of the most risky phases 2 for HCWs' contamination since the patient's lower airways are not totally "excluded" (not connected to the ventilator system) from the external environment.	./cache/cord-266120-bcya8jrs.txt	./txt/cord-266120-bcya8jrs.txt