Wei William I, Tuen Henry H, Ng Raymond W M, Lam Lai Kun
Department of Surgery, University of Hong Kong Medical Center, Queen Mary Hospital, Hong Kong, Republic of China.
Laryngoscope. 2003 Oct;113(10):1777-9. doi: 10.1097/00005537-200310000-00022.
OBJECTIVES/HYPOTHESIS: Severe acute respiratory syndrome (SARS) caused by coronavirus has become an epidemic affecting many regions worldwide. Fourteen percent to 20% of patients require endotracheal intubation and ventilator support. Some of these patients may require tracheostomy subsequently. This procedure, when performed without protection, may lead to infection of the medical and nursing staff taking care of the patient.
Based on clinical information of three patients.
The authors carried out an emergency tracheostomy and changed the tracheostomy tube for one patient and performed elective tracheostomy in another two patients.
No medical or nursing staff member was infected after carrying out the procedure while taking all the precautions and wearing the appropriate protective apparel.
The authors have prepared guidelines for performing a safe tracheostomy under both elective and emergency conditions. Surgeons who might be involved in performing the tracheostomy should become familiar with these guidelines and the appropriate protective apparel.
目的/假设：由冠状病毒引起的严重急性呼吸综合征（SARS）已成为一种在全球许多地区流行的疾病。14%至20%的患者需要气管插管和呼吸机支持。其中一些患者随后可能需要气管切开术。如果在没有防护措施的情况下进行此操作，可能会导致照顾该患者的医护人员感染。
基于三名患者的临床信息。
作者为一名患者实施了紧急气管切开术并更换了气管套管，为另外两名患者实施了择期气管切开术。
在采取所有预防措施并穿着适当防护服装进行手术后，没有医护人员被感染。
作者制定了在择期和紧急情况下进行安全气管切开术的指南。可能参与实施气管切开术的外科医生应熟悉这些指南和适当的防护服装。
