Surgical Considerations for an Awake Tracheotomy During the COVID-19 Pandemic.

Background

The current global COVID-19 pandemic is caused by the novel coronavirus Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2). Given that SARS-CoV-2 is highly transmissible, surgical societies have recommended that procedures with a high risk of aerosolization be avoided or delayed. However, some high-risk procedures, such as those related to head and neck malignancies, cannot always be delayed. Care must be taken during aerosol-generating procedures to minimize viral transmission as much as possible. Preoperative testing for COVID-19, limited operating room personnel, adequate personal protective equipment, and surgical technique are factors to consider for high-risk procedures.

Methods

This article presents the case of an awake tracheotomy performed for a transglottic mass causing airway obstruction.

Results

With detailed planning and specific techniques, the amount of aerosolization was reduced, and the procedure was performed as safely as possible.

Conclusion

This case provides a template for future aerosol-generating procedures during respiratory pandemics.