1. Airway Management for Endoscopic Laryngotracheal Stenosis Surgery During COVID‐19
- Author
-
Benjamin H. Cloyd, Norman D. Hogikyan, Andrew D P Prince, Samuel A. Schechtman, and Robbi A. Kupfer
- Subjects
medicine.medical_specialty ,Subglottic stenosis ,medicine.medical_treatment ,Pneumonia, Viral ,Betacoronavirus ,03 medical and health sciences ,0302 clinical medicine ,Disease Transmission, Infectious ,Humans ,Medicine ,Airway Management ,030223 otorhinolaryngology ,Pandemics ,SARS-CoV-2 ,business.industry ,COVID-19 ,Laryngostenosis ,Airway obstruction ,medicine.disease ,Tracheal Stenosis ,Surgery ,Otorhinolaryngology ,030220 oncology & carcinogenesis ,Airway management ,Coronavirus Infections ,business ,Airway ,Laryngeal Stenosis ,Laryngotracheal stenosis - Abstract
The novel coronavirus disease 2019 (COVID-19) pandemic presents unique challenges for surgical management of laryngotracheal stenosis. High viral concentrations in the upper aerodigestive tract, the ability of the virus to be transmitted by asymptomatic carriers and through aerosols, and the need for open airway access during laryngotracheal surgery create a high-risk situation for airway surgeons, anesthesiologists, and operating room personnel. While some surgical cases of laryngotracheal stenosis may be deferred, patients with significant airway obstruction or progressing symptoms often require urgent surgical intervention. We present best practices from our institutional experience for surgical management of laryngotracheal stenosis during this pandemic, including preoperative triage, intraoperative airway management, and personal protective measures.
- Published
- 2020
- Full Text
- View/download PDF