PERSONAL PROTECTIVE EQUIPMENT
  1. Surgical tracheotomy or tracheotomy tube change are procedures with high risk for aerosol generation. PPE guidance for these procedures should be the same as for bronchoscopy or any airway procedure that disrupts aerodigestive tract mucosa. Currently, this involves N95 mask, face shield, gown, and shoe covers for all patients WITHOUT known or suspected coronavirus infection. Double gloves are recommended with removal of outer gloves before removing PPE.
  2. PAPR is additionally recommended for all personnel in the room during surgical tracheostomy in patients WITH known or suspected COVID-19.