General Surgery Podium Presentation: Novel Approach to Reduce Transmission of COVID-19 During Tracheostomy

In this article, we submit a novel approach for

better protection and therefore, reduced transmission for

tracheostomy in a COVID-19 positive patient. Importantly,

this technique is functional, easy to set up, and

can be used for additional operations that involve risk

of aerosolization or droplet exposure to operating room
staff.

Methods or Case Description: We have developed a protocol based set up for tracheostomy in COVID positive patients that allows for safe surgery with minimal risk to staff members. The protocol has been published in the Journal of American College of Surgeons.

Outcomes:

Before the implementation of this protocol,

we conducted numerous dry runs with special attention

to the mechanics, ease of use and set-up, and visibility

of surgical site. Importantly, it was noted that if there is

any malfunction regarding the overlying clear drape, simple

removal of the drape can be done without redraping or
further complication to the operation. Ultimately, this

protocol allows the hospital staff to minimize the risk
and exposure of the virus to the hospital staff.
 

Conclusion:

In the setting of the current global coronavirus pandemic,

an increasing number of tracheostomy consults

will be obtained by our medical colleagues for these patients.

The aforementioned is a plausible and technically

feasible set up for any hospital to perform tracheostomy
safely while reducing droplet and aerosol exposure.