• Travis Shiba, Shabnam Ghazizadeh, Dinesh Chhetri, St John Maie M Department of Head and Neck Surgery, University of California-Los Angeles, Los Angeles, California, USA., and Jennifer Long.
• Department of Head and Neck Surgery, University of California-Los Angeles, Los Angeles, California, USA.
• OTO Open. 2020 Apr 1; 4 (2): 2473974X20922528.

ObjectiveTo compile current best practices regarding tracheostomy decision making, care, and technical performance during the global COVID-19 pandemic.Data SourcesArticles listed in PubMed and Google sources for up-to-date information.Review MethodsAll sources presenting objective evidence related to the topic were reviewed and distilled.ConclusionsTracheostomy in patients with coronavirus disease should be a rare event yet one that requires significant decision making and procedural deliberation. Indications for surgery must be balanced by risk of disease transmission to health care workers. Considerations are given to personal protective equipment, viral testing, and alternatives.Implications For PracticeOtolaryngologists worldwide must be aware of these considerations to provide safe patient care without undue risk to themselves or their hospital coworkers.© The Authors 2020.

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