Department of Otolaryngology Head and Neck Surgery, Head and Neck Oncology Division, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.
Head Neck. 2020 Jun;42(6):1282-1290. doi: 10.1002/hed.26166. Epub 2020 Apr 20.
The rapid spread of SARS-CoV-2 in 2019 and 2020 has resulted in a worldwide pandemic characterized by severe pulmonary inflammation, effusions, and rapid respiratory compromise. The result of this pandemic is a large and increasing number of patients requiring endotracheal intubation and prolonged ventilator support. The rapid rise in endotracheal intubations coupled with prolonged ventilation requirements will certainly lead to an increase in tracheostomy procedures in the coming weeks and months. Performing tracheostomy in the setting of active SARS-CoV-2, when necessary, poses a unique situation, with unique risks and benefits for both the patient and the health care providers. The New York Head and Neck Society has collaborated on this document to provide guidance on the performance of tracheostomies during the SARS-CoV-2 pandemic.
2019 年和 2020 年，SARS-CoV-2 的迅速传播导致了一种以严重肺部炎症、渗出和呼吸迅速恶化为特征的全球大流行。这一大流行的结果是越来越多的患者需要气管插管和长时间的呼吸机支持。气管插管的迅速增加加上长时间的通气需求，肯定会导致在未来几周和几个月内气管切开术的数量增加。在 SARS-CoV-2 活跃的情况下，如有必要进行气管切开术，对患者和医护人员来说都是一个独特的情况，存在独特的风险和益处。纽约头颈部学会合作撰写了这份文件，为 SARS-CoV-2 大流行期间进行气管切开术提供指导。
