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气管切开术暂停:COVID-19 环境下的新安全工具。

Tracheostomy time-out: New safety tool in the setting of COVID-19.

机构信息

Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

出版信息

Head Neck. 2020 Jul;42(7):1397-1402. doi: 10.1002/hed.26253. Epub 2020 May 8.

Abstract

Tracheostomy procedures have a high risk of aerosol generation. Airway providers have reflected on ways to mitigate the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission risks when approaching a surgical airway. To standardize institutional safety measures with tracheostomy, we advocate using a dedicated tracheostomy time-out applicable to all patients including those suspected of having COVID-19. The aim of the tracheostomy time-out is to reduce preventable errors that may increase the risk of transmission of SARS-CoV-2.

摘要

气管切开术有很高的气溶胶生成风险。当涉及到手术气道时,气道提供者已经在思考如何减轻严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)的传播风险。为了使气管切开术的机构安全措施标准化,我们提倡对所有患者(包括疑似 COVID-19 患者)使用专用的气管切开术暂停时间。气管切开术暂停时间的目的是减少可能增加 SARS-CoV-2 传播风险的可预防错误。

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Tracheostomy during COVID-19 pandemic-Novel approach.COVID-19 大流行期间的气管切开术-新方法。
Head Neck. 2020 Jul;42(7):1367-1373. doi: 10.1002/hed.26234. Epub 2020 May 6.

本文引用的文献

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Preventing surgical mishaps: using surgical checklists.预防手术差错:使用手术核对清单。
Clin Plast Surg. 2013 Jul;40(3):475-87. doi: 10.1016/j.cps.2013.04.011.
6
Perspectives in quality: designing the WHO Surgical Safety Checklist.质量视角:世卫组织手术安全核对表的设计。
Int J Qual Health Care. 2010 Oct;22(5):365-70. doi: 10.1093/intqhc/mzq039. Epub 2010 Aug 11.

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