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Otolaryngology

Surgical Considerations for Tracheostomy During the COVID-19 PandemicLessons Learned From the Severe Acute Respiratory Syndrome Outbreak

Educational Objective
To understand surgical considerations during COVID-19

1 Credit CME

JAMA Otolaryngology–Head & Neck Surgery

Published Online: March 31, 2020

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Article Information and Disclosures

Joshua K. Tay, MBBS, PhD^1,2;

Mark Li-Chung Khoo, MBBS^3,4;

Woei Shyang Loh, MBBS^1,2

Author Affiliations

¹Department of Otolaryngology–Head and Neck Surgery, National University Hospital, Singapore
²Department of Otolaryngology–Head and Neck Surgery, National University of Singapore, Singapore
³Department of Otolaryngology–Head and Neck Surgery, Tan Tock Seng Hospital, Singapore
⁴Amandela ENT Head and Neck Centre, Mount Elizabeth Novena Specialist Centre, Singapore

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Since the emergence of the coronavirus disease 2019 (COVID-19) in December, 155 countries have reported cases of COVID-19, including sustained community transmission in several countries, such as China, Italy, and Iran. As of March 21, 2020, there have been 275 434 cases confirmed globally, including 11 399 deaths.¹ While the situation in China has improved, many countries continue to struggle with escalating case numbers and strained health care systems that are threatened to be overwhelmed by the pandemic.

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Article Information

Corresponding Author: Woei Shyang Loh, MBBS, Department of Otolaryngology–Head and Neck Surgery, National University of Singapore, Singapore, 1E Kent Ridge Rd, Level 7, Singapore 119228 (entlws@nus.edu.sg).

Published Online: March 31, 2020. doi:10.1001/jamaoto.2020.0764

Conflict of Interest Disclosures: None reported.

References

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Wu Z , McGoogan JM . Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention [published online February 24, 2020]. JAMA. doi:10.1001/jama.2020.2648 PubMed Google Scholar

Huang C , Wang Y , Li X , et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. doi:10.1016/S0140-6736(20)30183-5 PubMed Google Scholar Crossref

Wang D , Hu B , Hu C , et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan. JAMA. 2020;323(11):1061-1069. doi:10.1001/jama.2020.1585 PubMed Google Scholar Crossref

Chee VW , Khoo ML , Lee SF , Lai YC , Chin NM . Infection control measures for operative procedures in severe acute respiratory syndrome–related patients. Anesthesiology. 2004;100(6):1394-1398. doi:10.1097/00000542-200406000-00010 PubMed Google Scholar Crossref

Tien HC , Chughtai T , Jogeklar A , Cooper AB , Brenneman F . Elective and emergency surgery in patients with severe acute respiratory syndrome (SARS). Can J Surg. 2005;48(1):71-74.PubMed Google Scholar

Wei WI , Tuen HH , Ng RW , Lam LK . Safe tracheostomy for patients with severe acute respiratory syndrome. Laryngoscope. 2003;113(10):1777-1779. doi:10.1097/00005537-200310000-00022 PubMed Google Scholar Crossref

Ahmed N , Hare GM , Merkley J , Devlin R , Baker A . Open tracheostomy in a suspect severe acute respiratory syndrome (SARS) patient: brief technical communication. Can J Surg. 2005;48(1):68-71.PubMed Google Scholar

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AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.