id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-287847-rmhvc5n5	Miles, Brett A.	Tracheostomy during SARS‐CoV‐2 pandemic: Recommendations from the New York Head and Neck Society	2020-04-20		.txt	text/plain	3458	166	38	Patients with significant medical comorbidities, acute respiratory distress syndrome/severe respiratory failure and a low chance of recovery who are infected with SARS-CoV-2 should be carefully evaluated, and discussions with family members, consultants, institutional ethics committees and the treating team should focus on overall prognosis and goals of care prior to performing tracheostomy as a routine matter of care. Although there are limited data on the current pandemic to fully inform personal protective equipment (PPE) recommendations, performing tracheostomy in an actively infected SARS-CoV-2 patient is certainly a high-risk procedure for health care workers. Techniques to manage the acute airway with endotracheal intubation, video laryngoscope for example, should be utilized if possible to avoid emergent tracheostomy in SARS-CoV-2 patients due to the high risk of unsafe conditions and health care worker contaminations. • When clinically appropriate, delay of tracheostomy procedures is recommended to allow for reduced viral load and to decrease the risk of nosocomial infection to critical health care providers.	./cache/cord-287847-rmhvc5n5.txt	./txt/cord-287847-rmhvc5n5.txt