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Bed-side Open Tracheostomy in COVID-19 patients: Our experience on a safe and swift operative approach
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  • Nur Wahidah Wahid,
  • Peter Deutsch,
  • Aakash Amlani,
  • Huw Griffiths,
  • Ijaz Ahmed
Nur Wahidah Wahid
Health Education England West Midlands

Corresponding Author:wahidahwahid@doctors.org.uk

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Peter Deutsch
The Royal Wolverhampton Hospitals NHS Trust
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Aakash Amlani
Birmingham Heartlands and Solihull (Teaching) NHS Trust
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Huw Griffiths
Heartlands Hospital
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Ijaz Ahmed
Heartlands Hospital
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5 Key points: • As an aerosol-generating procedure (AGP), tracheostomy poses significant viral transmissions risks to health care workers • The decision about tracheostomy method and optimal setting depends on a multitude of local factors with no available studies to suggest the superior option • We describe our effective, safe and swift approach to bedside open tracheostomy during the COVID-19 pandemic • A key approach in performing an effective bedside tracheostomy is to ensure that the procedure is standardised and performed by highly experienced surgeons, anaesthetist and scrub team. • Our experience with bedside open tracheostomy demonstrated a short mean procedural time, with no tracheostomy-related complications and no reported viral transmission amongst the healthcare members involved.