id author title date pages extension mime words sentences flesch summary cache txt cord-295274-gzkfy70s Mecham, Jeffrey C. Utility of Tracheostomy in Patients With COVID‐19 and Other Special Considerations 2020-05-12 .txt text/plain 2901 160 37 METHODS: We explore current literature and recommendations for tracheostomy in patients with COVID‐19 and look back at previous data from severe acute respiratory syndrome coronavirus 1 (SARS‐CoV‐1), the virus responsible for the SARS outbreak of 2003. RESULTS: Given the severity and clinical uncertainty of patients with COVID‐19 and the increased risk of transmission to clinicians, careful consideration should be taken prior to performing tracheostomy. One concern for healthcare professionals managing the airways of COVID-19 patients is the risk of viral exposure during aerosol-generating procedures, including intubation and tracheostomy. There is a plausible risk for increased intraprocedural viral exposure via secretions and aerosolized particles when tracheostomy is performed percutaneously because this technique requires additional manipulation of the airway with multiple, repetitive dilations. Given the severity and uncertain clinical outcome of patients with COVID-19, in addition to the increased risk of transmission to clinicians during aerosol generating procedures, careful consideration should be taken prior to performing tracheostomy. ./cache/cord-295274-gzkfy70s.txt ./txt/cord-295274-gzkfy70s.txt