Tracheostomy tube change during the COVID-19 pandemic: timing and safety considerations

BACKGROUND: The recent outbreak of SARS-CoV-2 has become pandemic since it began in late 2019. Tracheostomy is considered an aerosol-generating procedure which increases potential viral exposure to the health care staff. MAIN BODY: Since many patients diagnosed with SARS-CoV-2 underwent tracheostomy, the need for a standardized practice for tracheostomy tube change and care is mandatory. Articles listed in PubMed and guidelines from the otolaryngology societies were reviewed, and the state-of-the-art practice related to the topic is highlighted. CONCLUSIONS: Tracheostomy care in COVID-19 patients requires significant decision-making and preparation to carry out the task in a safe way and eliminate the risk of viral transmission.