[Endoscopy-assisted dilatational tracheostomy in patients with COVID-19].

Autor:	Starkov YG; Vishnevsky National Medical Research Center for Surgery, Moscow, Russia., Lukich KV; Vishnevsky National Medical Research Center for Surgery, Moscow, Russia., Dzhantukhanova SV; Vishnevsky National Medical Research Center for Surgery, Moscow, Russia., Plotnikov GP; Vishnevsky National Medical Research Center for Surgery, Moscow, Russia., Zamolodchikov RD; Vishnevsky National Medical Research Center for Surgery, Moscow, Russia., Zvereva AA; Vishnevsky National Medical Research Center for Surgery, Moscow, Russia.
Jazyk:	ruština
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2020 (12), pp. 16-21.
DOI:	10.17116/hirurgia202012116
Abstrakt:	Objective: To summarize an experience of endoscopy-assisted dilatational tracheostomies in patients with COVID-19. Material and Methods: There were 31 endoscopy-assisted dilatational tracheostomies in patients with COVID-19 for the period from April 17 to June 10, 2020 (11 women and 19 men). Mean age of patients was 66.7 years (range 48-87). Tracheostomy was performed using Ciaglia (22) and Griggs (9) techniques. All procedures were carried out at the intensive care unit in elective fashion. Results: Tracheostomy was performed in 19.8% of ICU patients or 36.9% of all patients on mechanical ventilation within 6.5±2.5 days [min 3, max 11]. There were 22 survivors with tracheostomy (70.9%) that is comparable with survival of patients without mechanical ventilation (79.7%) and slightly higher than in patients on ventilation without tracheostomy (65.4%). No complications during the procedure were noted. Conclusion: Endoscopy-assisted dilatational tracheostomy is preferred for prolonged mechanical ventilation, including patients with COVID-19. The undeniable advantages of this operation are fewer intraoperative complications due to endoscopic control, and lower risk of tracheal strictures.
Databáze:	MEDLINE
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