COVID-19大流行期间的气管切开术和个人防护装备

IF 1.1 4区农林科学 Q3 ENTOMOLOGY

Canadian Entomologist Pub Date : 2020-01-01 DOI:10.5152/b-ent.2020.20128

C. Faris, K. Deben, G. V. Haesendonck, C. Laer, R. Puxeddu, K. Verbruggen, S. Mariën, F. Gordts, N. Mani, O. Vanderveken

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引用次数: 5

摘要

主要目的是审查耳鼻喉学会发布的在COVID-19大流行期间实施气管切开术的指南。第二个目的是简要回顾有关外科口罩、N-95和FFP-3呼吸器以及动力空气净化呼吸器(papr)在进行气管切开术时减少呼吸道病毒感染传播给卫生保健工作者的有效性的文献。建议主要来自2003/2004年SARS暴发的临床病例系列/回顾性观察研究或N-95/FFP-3呼吸器和papr有效性的实验证据。由于缺乏COVID-19的证据，关于N-95和FFP-3呼吸器是否足够，或者应该建议使用papr进行气管切开术，确实会出现差异。我们建议医护人员在进行气管切开术时采用保守(保护性)方法，常规使用额外的个人防护装备，如papr。对气管切开术时机的建议也各不相同，然而，几乎都建议推迟一段时间。其最佳持续时间尚不清楚。

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Tracheostomy and Personal Protective Equipment (PPE) in the midst of the COVID-19 Pandemic

The primary aim was to review the guidelines published by Otolaryngology Societies for performing tracheostomies in the COVID-19 pandemic. A secondary aim was to briefly review the literature for the effectiveness of surgical masks, N-95 and FFP-3 respirators, and power air purifying respirators (PAPRs) in reducing transmission of respiratory viral infections to health care workers while performing tracheostomy. Recommendations are mainly derived from clinical case series/retrospective observational studies from the SARS 2003/2004 outbreaks or experimental evidence for effectiveness for N-95/FFP-3 respirators and PAPRs. Differences do occur due to lack of evidence for COVID-19 as to whether N-95 and FFP-3 respirators are sufficient, or PAPRs should be recommended for tracheostomy. We would recommend adopting a conservative (protective) approach for HCWs teams performing tracheostomies, by routinely utilizing additional PPE such as PAPRs. Recommendations for the timing of tracheostomy also varied, however, almost all recommend a period of delay. The optimum duration of which is still unclear.

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来源期刊

Canadian Entomologist 生物-昆虫学

CiteScore

2.20

自引率

11.10%

发文量

审稿时长

6-12 weeks

期刊介绍： French translation follows/le français suit Published since 1868, this peer-reviewed bimonthly publication is the official journal of the Entomological Society of Canada. Available via the internet and with hardcopy distribution to 55 countries, its research papers and notes are relevant to entomologists and other biologists around the world. In addition to being a venue for topical reviews and forum discussion, The Canadian Entomologist publishes current research in all facets of entomology, including systematics and morphology, molecular and developmental biology, ecology and behaviour, biodiversity and evolution, insect management, entomological techniques, and other relevant subject areas. Contributions are published in English or French. Authors will not pay page charges, and will experience fast, high quality reviews of their papers.Publiée depuis 1868, cette publication bimestrielle avec comité de lecture est la revue officielle de la Société d’entomologie du Canada. Disponible sur Internet et distribuée en format papier dans 55 pays, ses articles de recherche et ses notes sont pertinents pour les entomologistes et autres biologistes de par le monde. En plus d’être une plate-forme pour des revues thématiques et un forum de discussion, The Canadian Entomologist publie la recherche actuelle sur toutes les facettes de l’entomologie, incluant la systématique et la morphologie, la biologie moléculaire et développementale, l’écologie et le comportement, la biodiversité et l’évolution, la gestion des insectes, les techniques entomologiques et d’autres domaines pertinents. Les contributions sont publiées en français ou en anglais. Les auteurs ne paient aucun frais de publication, et recevront une révision rapide et de grande qualité de leurs articles.