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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

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
1.
Dong  E, Du  H, Gardner  L.  An interactive web-based dashboard to track COVID-19 in real time  [published online February 19, 2020].  Lancet Infect Dis. doi:10.1016/S1473-3099(20)30120-1PubMedGoogle Scholar
2.
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.2020.2648PubMedGoogle Scholar
3.
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)30183-5PubMedGoogle ScholarCrossref
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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.2020.1585PubMedGoogle ScholarCrossref
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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:10.1097/00000542-200406000-00010PubMedGoogle ScholarCrossref
6.
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.PubMedGoogle Scholar
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Wei  WI, Tuen  HH, Ng  RW, Lam  LK.  Safe tracheostomy for patients with severe acute respiratory syndrome.  Laryngoscope. 2003;113(10):1777-1779. doi:10.1097/00005537-200310000-00022PubMedGoogle ScholarCrossref
8.
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.PubMedGoogle Scholar
9.
Kwan  A, Fok  WG, Law  KI, Lam  SH.  Tracheostomy in a patient with severe acute respiratory syndrome.  Br J Anaesth. 2004;92(2):280-282. doi:10.1093/bja/aeh035PubMedGoogle ScholarCrossref
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