Tracheotomy Recommendations During the COVID-19 Pandemic

Created and Supported by the Airway and Swallowing Committee of the American Academy of Otolaryngology-Head and Neck Surgery


Noah P. Parker, MD, Indiana University, Bradley A. Schiff, MD, Montefiore Medical Center, Mark A. Fritz, MD, University of Kentucky, Sarah K. Rapoport, MD, Georgetown University, Sam Schild, MD, State University of New York-Downstate, Kenneth W. Altman, MD, Geisinger Health System, Albert L. Merati, MD, University of Washington, Maggie A. Kuhn, MD, University of California-Davis


To establish tracheotomy recommendations that focus on patient and health care team well-being during the COVID-19 pandemic with minimisation of risk, viral exposure, and personal protective equipment (PPE) depletion. This document is meant to provide background, considerations and recommendations based on an evolving body of literature and front-line information from this early stage in the pandemic.  These recommendations may require individualisation based on region, facility, resources, and patient-specific factors.