Tracheotomy in COVID-19 patients: Optimizing patient selection and identifying prognostic indicators.
Autor: | Stubington TJ; Department of Otorhinolaryngology-Head and Neck Surgery, Royal Derby Hospital, Derby, UK., Mallick AS; Department of Otorhinolaryngology-Head and Neck Surgery, Royal Derby Hospital, Derby, UK., Garas G; Department of Otorhinolaryngology-Head and Neck Surgery, Nottingham University Hospitals NHS Trust, Queens Medical Center Campus, Nottingham, UK., Stubington E; Centre for Doctoral Training, Lancaster University, Lancaster, UK., Reddy C; Department of Anaesthesia, Royal Derby Hospital, Derby, UK., Mansuri MS; Department of Otorhinolaryngology-Head and Neck Surgery, Royal Derby Hospital, Derby, UK. |
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Jazyk: | angličtina |
Zdroj: | Head & neck [Head Neck] 2020 Jul; Vol. 42 (7), pp. 1386-1391. Date of Electronic Publication: 2020 May 22. |
DOI: | 10.1002/hed.26280 |
Abstrakt: | Background: Tracheotomy, through its ability to wean patients off ventilation, can shorten ICU length of stay and in doing so increase ICU bed capacity, crucial for saving lives during the COVID-19 pandemic. To date, there is a paucity of patient selection criteria and prognosticators to facilitate decision making and enhance precious ICU capacity. Methods: Prospective study of COVID-19 patients undergoing tracheotomy (n = 12) over a 4-week period (March-April 2020). Association between preoperative and postoperative ventilation requirements and outcomes (ICU stay, time to decannulation, and death) were examined. Results: Patients who sustained FiO Conclusion: Sustained FiO (© 2020 Wiley Periodicals, Inc.) |
Databáze: | MEDLINE |
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