Author: Ku, Peter K. M.; Holsinger, Floyd Christopher; Chan, Jason Y. K.; Yeung, Zenon W. C.; Chan, Becky Y. T.; Tong, Michael C. F.; Starmer, Heather M.
Title: Management of dysphagia in the patient with head and neck cancer during COVIDâ€19 pandemic: Practical strategy Cord-id: skae7b7w Document date: 2020_5_11
ID: skae7b7w
Snippet: The global pandemic of 2019 novel coronavirus disease (COVIDâ€19) has tremendously altered routine medical service provision and imposed unprecedented challenges to the health care system. This impacts patients with dysphagia complications caused by head and neck cancers. As this pandemic of COVIDâ€19 may last longer than severe acute respiratory syndrome (SARS) in 2003, a practical workflow for managing dysphagia is crucial to ensure a safe and efficient practice to patients and health care p
Document: The global pandemic of 2019 novel coronavirus disease (COVIDâ€19) has tremendously altered routine medical service provision and imposed unprecedented challenges to the health care system. This impacts patients with dysphagia complications caused by head and neck cancers. As this pandemic of COVIDâ€19 may last longer than severe acute respiratory syndrome (SARS) in 2003, a practical workflow for managing dysphagia is crucial to ensure a safe and efficient practice to patients and health care personnel. This document provides clinical practice guidelines based on available evidence to date to balance the risks of SARSâ€CoVâ€2 exposure with the risks associated with dysphagia. Critical considerations include reserving instrumental assessments for urgent cases only, optimizing the noninstrumental swallowing evaluation, appropriate use of personal protective equipment (PPE), and use of telehealth when appropriate. Despite significant limitations in clinical service provision during the pandemic of COVIDâ€19, a safe and reasonable dysphagia care pathway can still be implemented with modifications of setup and application of newer technologies.
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