• Rev Col Bras Cir · Jan 2020

    Standardization of elective tracheostomies at the Central Institute of the Hospital das Clínicas in São Paulo during the COVID-19 pandemic.

    • Carlos Augusto Metidieri Menegozzo, SÉrgio Samir Arap, Alessandro Wasum Mariani, HÉlio Minamoto, Rui Imamura, Ricardo Ferreira Bento, Paulo Manoel PÊgo-Fernandes, Luiz Paulo Kowalski, and Edivaldo Massazo Utiyama.
    • - Medical School of USP, Discipline of General Surgery and Trauma - São Paulo - SP - Brazil.
    • Rev Col Bras Cir. 2020 Jan 1; 47: e20202574.

    AbstractThe COVID-19 Pandemic has resulted in a high number of hospital admissions and some of those patients need ventilatory support in intensive care units. The viral pneumonia secondary to Sars-cov-2 infection may lead to acute respiratory distress syndrome (ARDS) and longer mechanical ventilation needs, resulting in a higher demand for tracheostomies. Due to the high aerosolization potential of such procedure, and the associated risks of staff and envoirenment contamination, it is necesseray to develop a specific standardization of the of the whole process involving tracheostomies. This manuscript aims to demonstrate the main steps of the standardization created by a tracheostomy team in a tertiary hospital dedicated to providing care for patients with COVID-19.

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