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Managing head and neck cancer patients with tracheostomy or laryngectomy during the COVID-19 pandemic.

ABSTRACT: Head and neck cancer patients with tracheostomies and laryngectomies, as well as their healthcare providers, face unique challenges in the context of the current COVID-19 pandemic. This document consolidates best available evidence to date and presents recommendations to minimize the risks of aerosolization and SARS-CoV-2 exposures in both the inpatient and outpatient settings. The cornerstones of these recommendations include the use of closed-circuit ventilation whenever possible, cuffed tracheostomy tubes, judicious use of heat moisture exchange units, appropriate personal protective equipment for providers and patients, meticulous hand hygiene, and minimal manipulation of tracheostomy tubes.

SUBMITTER: Kligerman MP 

PROVIDER: S-EPMC7262107 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Managing head and neck cancer patients with tracheostomy or laryngectomy during the COVID-19 pandemic.

Kligerman Maxwell P MP   Vukkadala Neelaysh N   Tsang Raymond K Y RKY   Sunwoo John B JB   Holsinger F Christopher FC   Chan Jason Y K JYK   Damrose Edward J EJ   Kearney Ann A   Starmer Heather M HM  

Head & neck 20200423 6

Head and neck cancer patients with tracheostomies and laryngectomies, as well as their healthcare providers, face unique challenges in the context of the current COVID-19 pandemic. This document consolidates best available evidence to date and presents recommendations to minimize the risks of aerosolization and SARS-CoV-2 exposures in both the inpatient and outpatient settings. The cornerstones of these recommendations include the use of closed-circuit ventilation whenever possible, cuffed trach  ...[more]

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