{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T15:35:39Z","timestamp":1778945739148,"version":"3.51.4"},"reference-count":12,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,4,29]],"date-time":"2020-04-29T00:00:00Z","timestamp":1588118400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The severe acute respiratory syndrome (SARS)\u2010CoV\u20102 pandemic continues to produce a large number of patients with chronic respiratory failure and ventilator dependence. As such, surgeons will be called upon to perform tracheotomy for a subset of these chronically intubated patients. As seen during the SARS and the SARS\u2010CoV\u20102 outbreaks, aerosol\u2010generating procedures (AGP) have been associated with higher rates of infection of medical personnel and potential acceleration of viral dissemination throughout the medical center. Therefore, a thoughtful approach to tracheotomy (and other AGPs) is imperative and maintaining traditional management norms may be unsuitable or even potentially harmful. We sought to review the existing evidence informing best practices and then develop straightforward guidelines for tracheotomy during the SARS\u2010CoV\u20102 pandemic. This communication is the product of those efforts and is based on national and international experience with the current SARS\u2010CoV\u20102 pandemic and the SARS epidemic of 2002\/2003.<\/jats:p>","DOI":"10.1002\/hed.26214","type":"journal-article","created":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T07:04:35Z","timestamp":1588057475000},"page":"1392-1396","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Tracheotomy in the <scp>SARS\u2010CoV<\/scp>\u20102 pandemic"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6510-9064","authenticated-orcid":false,"given":"Hunter","family":"Skoog","sequence":"first","affiliation":[{"name":"Department of Otolaryngology: Head and Neck Surgery University of Alabama Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirk","family":"Withrow","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology: Head and Neck Surgery University of Alabama Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harishanker","family":"Jeyarajan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology: Head and Neck Surgery University of Alabama Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Greene","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology: Head and Neck Surgery University of Alabama Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitesh","family":"Batra","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine University of Alabama Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Cox","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Alabama Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albert","family":"Pierce","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine University of Alabama Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica W.","family":"Grayson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology: Head and Neck Surgery University of Alabama Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William R.","family":"Carroll","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology: Head and Neck Surgery University of Alabama Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2004.07.009"},{"issue":"11","key":"e_1_2_9_3_1","first-page":"93","article-title":"Cluster of severe acute respiratory syndrome cases among protected health care workers\u2010Toronto, April 2003","volume":"29","author":"Ofner M","year":"2003","journal-title":"Can Commun Dis Rep"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeh035"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200310000-00022"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyaa125"},{"key":"e_1_2_9_7_1","unstructured":"ChusteckaZ. More than 60 doctors in Italy have died in COVID\u201019 pandemic.https:\/\/www.medscape.com\/viewarticle\/927753.2020. Accessed April 8 2020."},{"key":"e_1_2_9_8_1","unstructured":"BellisleM.How many medical workers have contracted COVID\u201019? Oregon Public Broadcasting.https:\/\/www.opb.org\/news\/article\/coronavirus\u2010covid\u201019\u2010data\u2010health\u2010care\u2010medical\u2010workers\u2010infection. Accessed April 8 2020."},{"key":"e_1_2_9_9_1","unstructured":"ParkerN BradleyMD;Fritz M;Rapoport S;Schlid S;Altman K;Merati A;Kuhn M. AAO position statement: tracheotomy recommendations during the COVID\u201019 pandemic.2020.https:\/\/www.entnet.org\/content\/tracheotomy-recommendations-during-covid-19-pandemic. 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