COVID-19 Status Recommendations Other Considerations
Positive/PUI or Unknown
Location: ICU preferred, negative pressure room PPE: N95 mask or PAPR, head covering, eye protection, gown and two pairs of gloves Limit number of providers in the room during the procedure Use of paralysis recommended to prevent coughing Clear and constant communication with anesthesia during the tracheostomy, holding ventilation when the ETT cuff is deflated and when the trachea is opened Avoid use of laryngotracheal topical anesthesia (aerosolizing)
Negative (one test 48-72 hours prior) or Asymptomatic Location: OR or ICU, negative pressure room PPE: N95 mask or PAPR, head covering, eye protection, gown and two pairs of gloves