[en] Procedures putting healthcare workers in close contact with the airway are particularly at risk of contamination by the SARS-Cov-2 virus, especially when exposed to sputum, coughing, or a tracheostomy.
In the current pandemic phase, all patients should be considered as potentially infected. Thus, the level of precaution recommended for the caregivers depends more on the type of procedure than on the patient’s proved or suspected COVID-19 status. Procedures that are particularly at high risk of contamination are clinical and flexible endoscopic pharyngo-laryngological evaluation, and probably also videofluoroscopic swallowing exams. Voice rehabilitation should not be considered urgent at this time. Therefore, recommendations presented here mainly concern the management of swallowing disorders, which can sometimes be dangerous for the patient, and recent dysphonia. In cases where they are considered possible and useful, teleconsultations should be preferred to face-to-face assessments or rehabilitation sessions. The latter must be maintained only in few selected situations, after team discussions or in accordance with the guidelines provided by health authorities.
Disciplines :
Otolaryngology
Author, co-author :
MATTEI, ALEXIA; SERVICE ORL ASSISTANCE PUBLIQUE HOPITAUX DE MARSEILLE
Amy de la Breteque, Benoit; SERVICE ORL CHU DE MONTPELLIERS
CRESTANI, SABINE; SERVICE ORL CHU DE TOULOUSE
CREVIER-BUCHMAN, LISE; SERVICE ORL HOPITAL EUROPEEN GEORGES POMPIDOU
GALANT, CAMILLE
HANS, STEPHANE
JULIEN-LAFERRIERE, AUDE
Lagier, Aude ; Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
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