HomeArchiveVolume 5Volume 5, issue 1Emergency tracheostomy protocols in Coltea Clinical Hospital in patients with SARS-CoV-2 infection
Bogdan Popescu1,2, Irina D. Oașă1, Vifor G. Bertesteanu Serban1,2, Cristian Balalau1,3, Razvan V. Scaunasu1,4, Felicia Manole5, Maria Domuta5, Alina L. Oancea1,2
1CAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, BUCHAREST, ROMANIA
2COLTEA CLINICAL HOSPITAL, ENT DEPARTMENT, BUCHAREST, ROMANIA
3ST. PANTELIMON EMERGENCY HOSPITAL, DEPARTMENT OF GENERAL SURGERY, BUCHAREST, ROMANIA
4COLTEA CLINICAL HOSPITAL, DEPARTMENT OF GENERAL SURGERY, BUCHAREST, ROMANIA
5FACULTY OF MEDICINE AND PHRAMACY, ORADEA, ROMANIA
Abstract

Since the outbreak of the COVID-19 pandemic in December 2019 there has been an array have studies regarding otolaryngologist and head and neck surgeons considering the exceptionally high risk of exposure. The purpose of this article is to evaluate the current practice in an oncology ENT Department, which ensures health care services for upper aero digestive tract cancer patients. It is of outmost importance that all the health care providers are aware of good clinical practice recommendations and training, according to the current guidelines that needs to be performed as often as possible, so that the implementation of the institution specific guidelines to be optimal. Performing a tracheostomy for an ENT emergency in a patient with suspected or confirmed COVID-19 disease requires preparation from the health care provider so, after reviewing the international literature, we have elaborated a protocol and guidelines in Colțea Clinical Hospital to ensure the possibility of performing emergency surgical interventions for oncology patients. Testing for SARS-CoV-2 is mandatory prior to surgery since opening the trachea and operating on the upper respiratory tract leads to aerosol particles that can infect the surrounding environment and health care providers. Limitations are predictable as long as health care systems are being under tremendous pressure from the general condition and by patients with life threatening disease.

Cite this article:
Vancouver
Popescu B, Oașă ID, Bertesteanu Serban VG, Balalau C, Scaunasu RV, Manole F, Domuta M, Oancea AL. Emergency tracheostomy protocols in Coltea Clinical Hospital in patients with SARS-CoV-2 infection. J Clin Investig Surg. 2020 May 25;5(1):34-38. Available from: https://www.proscholar.org/jcis/archive/vol.5/iss.1/7/ doi: 10.25083/2559.5555/5.1/34.38
NLM
Popescu B, Oașă ID, Bertesteanu Serban VG, Balalau C, Scaunasu RV, Manole F, Domuta M, Oancea AL. Emergency tracheostomy protocols in Coltea Clinical Hospital in patients with SARS-CoV-2 infection. J Clin Investig Surg. 2020 May;5(1):34-38. doi: 10.25083/2559.5555/5.1/34.38.
AMA
Popescu B, Oașă ID, Bertesteanu Serban VG, Balalau C, Scaunasu RV, Manole F, Domuta M, Oancea AL. Emergency tracheostomy protocols in Coltea Clinical Hospital in patients with SARS-CoV-2 infection. J Clin Investig Surg. 2020;5(1):34-38.
MLA
Popescu, Bogdan, et al. “Emergency tracheostomy protocols in Coltea Clinical Hospital in patients with SARS-CoV-2 infection.” Journal of Clinical and Investigative Surgery 5.1 (2020): 34-38. doi:10.25083/2559.5555/5.1/34.38.
APA
Popescu, B., Oașă, I. D., Bertesteanu Serban, V. G., Balalau, C., Scaunasu, R. V., Manole, F., Domuta, M., & Oancea, A. L. (2020). Emergency tracheostomy protocols in Coltea Clinical Hospital in patients with SARS-CoV-2 infection. Journal of Clinical and Investigative Surgery, 5(1), 34-38.
ISO 690
Popescu
, Bogdan, et al. Emergency tracheostomy protocols in Coltea Clinical Hospital in patients with SARS-CoV-2 infection. Journal of Clinical and Investigative Surgery, 2020, 5.1: 34-38.