What are the COVID-19 guidelines for airway management of head and neck mucosal melanomas?

Updated: May 07, 2020
  • Author: Neeraj N Mathur, MBBS, MS, DNB(ENT), MNAMS, FAMS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

Surgical team

The surgical team should consist only of essential members and be limited to experienced health-care workers.

PPE

PPE should be employed by all health-care workers throughout the case until the room has been decontaminated.

Intubation considerations

Intubation should be performed by the most senior member of the team. Bag-mask ventilation and, when possible, flexible fiberoptic intubation should be avoided. Disposable equipment should be employed when available.

Role of tracheotomy

Tracheotomy should be employed only when absolutely necessary. Open tracheotomy should be favored over percutaneous tracheotomy. Ensure paralysis of the patient before entering the airway. Ventilation should be held prior to entering the airway. Suctioning should be minimized throughout the procedure.


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