Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/23503
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dc.contributor.authorZaga, Charissa J-
dc.contributor.authorPandian, Vinciya-
dc.contributor.authorBrodsky, Martin B-
dc.contributor.authorWallace, Sarah-
dc.contributor.authorCameron, Tanis S-
dc.contributor.authorChao, Caroline-
dc.contributor.authorOrloff, Lisa Ann-
dc.contributor.authorAtkins, Naomi E-
dc.contributor.authorMcGrath, Brendan A-
dc.contributor.authorLazarus, Cathy L-
dc.contributor.authorVogel, Adam P-
dc.contributor.authorBrenner, Michael J-
dc.date2020-
dc.date.accessioned2020-06-15T06:54:46Z-
dc.date.available2020-06-15T06:54:46Z-
dc.date.issued2020-06-11-
dc.identifier.citationAmerican journal of speech-language pathology 2020; 11: 1-15-
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/23503-
dc.description.abstractPurpose As the COVID-19 pandemic has unfolded, there has been growing recognition of risks to frontline health care workers. When caring for patients with tracheostomy, speech-language pathologists have significant exposure to mucosal surfaces, secretions, and aerosols that may harbor the SARS-CoV-2 virus. This tutorial provides guidance on practices for safely performing patient evaluation and procedures, thereby reducing risk of infection. Method Data were collated through review of literature, guidelines, and consensus statements relating to COVID-19 and similar high-consequent infections, with a focus on mitigating risk of transmission to health care workers. Particular emphasis was placed on speech-language pathologists, nurses, and other allied health professionals. A multinational interdisciplinary team then analyzed findings, arriving at recommendations through consensus via electronic communications and video conference. Results Reports of transmission of infection to health care workers in the current COVID-19 pandemic and previous outbreaks substantiate the need for safe practices. Many procedures routinely performed by speech-language pathologists have a significant risk of infection due to aerosol generation. COVID-19 testing can inform level of protective equipment, and meticulous hygiene can stem spread of nosocomial infection. Modifications to standard clinical practice in tracheostomy are often required. Personal protective equipment, including either powered air-purifying respirator or N95 mask, gloves, goggles, and gown, are needed when performing aerosol-generating procedures in patients with known or suspected COVID-19 infection. Conclusions Speech-language pathologists are often called on to assist in the care of patients with tracheostomy and known or suspected COVID-19 infection. Appropriate care of these patients is predicated on maintaining the health and safety of the health care team. Careful adherence to best practices can significantly reduce risk of infectious transmission.-
dc.language.isoeng-
dc.subjectCOVID-19-
dc.titleSpeech-Language Pathology Guidance for Tracheostomy During the COVID-19 Pandemic: An International Multidisciplinary Perspective.-
dc.typeJournal Article-
dc.identifier.journaltitleAmerican journal of speech-language pathology-
dc.identifier.affiliationDepartment of Speech Pathology, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationRedenlab, Melbourne, Victoria, Australiaen
dc.identifier.affiliationOutcomes After Critical Illness and Surgery (OACIS) Research Group, Johns Hopkins University, Baltimore, MDen
dc.identifier.affiliationDepartment of Physical Medicine & Rehabilitation, Johns Hopkins University, Baltimore, MDen
dc.identifier.affiliationDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD..en
dc.identifier.affiliationDepartment of Nursing Faculty, Johns Hopkins University, Baltimore, MDen
dc.identifier.affiliationOutcomes After Critical Illness and Surgery (OACIS) Research Group, Johns Hopkins University, Baltimore, MD..en
dc.identifier.affiliationDepartment of Otolaryngology-Head & Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, Nyen
dc.identifier.affiliationDepartment of Respiratory and Sleep Medicine, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationTracheostomy Review and Management Service (TRAMS), Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationDepartment of Physiotherapy, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationCentre for Neuroscience of Speech, University of Melbourne, Victoria, Australiaen
dc.identifier.affiliationDepartment of Neurodegeneration, Hertie Institute for Clinical Brain Research, Tübingen, Germanyen
dc.identifier.affiliationDepartment of Speech Voice and Swallowing, Manchester University NHS Foundation Trust, United Kingdom..-
dc.identifier.affiliationDepartment of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine, CA..-
dc.identifier.affiliationAnaesthetics & Intensive Care Medicine, Manchester University NHS Foundation Trust, United Kingdom..-
dc.identifier.affiliationDepartment of Otolaryngology-Head & Neck Surgery, University of Michigan Medical School, Ann Arbor..-
dc.identifier.doi10.1044/2020_AJSLP-20-00089-
dc.identifier.pubmedid32525695-
Appears in Collections:Journal articles

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