id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-253933-29tedkf8	David, Abel P.	Tracheostomy guidelines developed at a large academic medical center during the COVID‐19 pandemic	2020-04-27		.txt	text/plain	3038	163	42	1 As an aerosol-generating procedure (AGP), tracheostomy is associated with high droplet and particle generation, placing health care providers at increased risk for transmission of respiratory viral infections. Factors relevant to our review included optimal timing of tracheostomy, duration of viral shedding in patients with COVID-19, risk to procedural teams from aerosol generation during tracheostomy, ICU capacity, and availability of PPE. In the context of the current pandemic, Tay et al conducted a literature review of tracheostomies performed during the SARS epidemic and concluded the following: (a) proper PPE (N95 mask, surgical cap, gown, goggles, and gloves) is of utmost importance; (b) surgical tracheostomy is preferably performed in a negative pressure ICU room by experienced providers with meticulous planning and seamless communication; (c) aerosol generation should be minimized through patient paralysis, ventilation hold during creation of tracheal window, and utilization of HEPA-filtered suction systems.	./cache/cord-253933-29tedkf8.txt	./txt/cord-253933-29tedkf8.txt