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Article Type

Original Study

Abstract

Purpose To evaluate the modifications in the indications and technique of tracheostomy for prolonged-intubated COVID-19-infected patients. Methodology Commissioned by the Ministry of Health in Egypt, different guidelines for tracheostomy for COVID-19 patients were revised. A guideline was adopted and modified to meet the equipment provided by facilities assigned to contain the current pandemic. The understanding of staff and the applicability of the new guidelines were evaluated using a mini-summative quiz answered by 117 tracheostomy team members in facilities around Grand Cairo, Egypt. Results The percentages of consistent answers for questions 1–6 were 94, 90.60, 89.70, 95.70, 61.50, and 93.20%, respectively. A total of 86 (73.5%) individuals achieved score more than 80%. Moreover, 41 (35%) individuals achieved perfect score. Conclusion The novel guidelines are well understood and applicable. Remarks that emerged regarding diathermy use should be taken in consideration. Continuous assessment of these guidelines is needed as the pandemic goes on altering its manner and our strategies along with it.

Keywords

COVID-19, guidelines, tracheostomy

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