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Open Tracheostomy for Critically Ill Patients with COVID-19
Joint Authors
Hernández-García, Estefanía
Martínez-RuizCoello, Mar
Navarro Mediano, Andrés
Pérez-Martín, Nuria
García-Peces, Victoria
Velayos, Carlos
Rodríguez-Campoo, Belen
Plaza, Guillermo
Source
International Journal of Otolaryngology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-30
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
COVID-19 is a worldwide pandemic, with many patients requiring prolonged mechanical ventilation.
Tracheostomy can shorten ICU length of stay and help weaning.
Aims/Objectives.
To describe the long-term evolution of the critically patient with COVID-19 and the need for invasive mechanical ventilation and orotracheal intubation (OTI), with or without tracheostomy.
Material and Methods.
A prospective study was performed including all patients admitted to the ICU due to COVID-19 from 10th March to 30th April 2020.
Epidemiological data, performing a tracheostomy or not, mean time of invasive mechanical ventilation until tracheotomy, mean time from tracheotomy to weaning, and final outcome after one month of minimum follow-up were recorded.
The Otolaryngology team was tested for COVID-19 before and after the procedures.
Results.
Out of a total of 1612 hospital admissions for COVID-19, only 5.8% (93 patients) required ICU admission and IOT.
Twenty-seven patients (29%) underwent a tracheostomy.
After three months, within the group of tracheotomized patients, 29.6% died and 48.15% were extubated in a mean time of 28.53 days.
In the nontracheostomized patients, the mortality was 42.4%.
Conclusions.
Tracheostomy is a safe procedure for COVID-19 and helps weaning of prolonged OTI.
Mortality after tracheostomy was less common than in nontracheostomized patients.
American Psychological Association (APA)
Hernández-García, Estefanía& Martínez-RuizCoello, Mar& Navarro Mediano, Andrés& Pérez-Martín, Nuria& García-Peces, Victoria& Velayos, Carlos…[et al.]. 2020. Open Tracheostomy for Critically Ill Patients with COVID-19. International Journal of Otolaryngology،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1173049
Modern Language Association (MLA)
Hernández-García, Estefanía…[et al.]. Open Tracheostomy for Critically Ill Patients with COVID-19. International Journal of Otolaryngology No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1173049
American Medical Association (AMA)
Hernández-García, Estefanía& Martínez-RuizCoello, Mar& Navarro Mediano, Andrés& Pérez-Martín, Nuria& García-Peces, Victoria& Velayos, Carlos…[et al.]. Open Tracheostomy for Critically Ill Patients with COVID-19. International Journal of Otolaryngology. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1173049
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1173049