Outcomes and Timing of Bedside Percutaneous Tracheostomy of COVID-19 Patients Over a Year in Intensive Care Unit

Autor: Fabrizio Palmieri, Stefania Ianniello, Alessandro Carucci, Matteo Fusetti, Francesco Vaia, Emanuele Nicastri, Ilaria Caravella, Carmen Santagata, Paolo Campioni, Giada De Angelis, Giulia V. Stazi, Ricardo Cabas, Cristina Dantimi, Silvana Scarcia, Daniele Centanni, Francesco Pugliese, Donatella Busso, Gabriele Garotto, Giuseppe Ippolito, Andrea Antinori, Ilaria Gaviano, Filippo Giansante, Luisa Marchioni, Rachele Di Lorenzo, Maria Cristina Marini, Micaela Maritti, N. Petrosillo, Nardi Tetaj, Gianpiero D'Offizi, Manuela Macchione
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Popis: (1) Background: Benefits and timing of percutaneous dilatational tracheostomy (PDT) in Intensive Care Unit (ICU) COVID-19 patients are still controversial. PDT is considered a high risk procedure for transmission of SARS CoV-2 to health care workers (HCWs). The present study analyzed optimal timing of PDT, clinical outcomes of patients undergoing PDT and safety of HCWs performing PDT. (2) Methods: 133 COVID-19 patients underwent PDT in our ICU from April 1, 2020 to March 31, 2021, 23 patients were excluded and 110 patients were enrolled. A trained medical team was dedicated to the PDT procedure. Demographic, clinical history and outcome data were collected. Patients who underwent PDT were stratified into two groups: early group, PDT ≤ 12 days from orotracheal-intubation (OTI) and late group, >12 days from OTI; HCW surveillance program was performed. (3) Results: Early group included 57 patients and late group included 53 patients. Early group patients showed shorter ICU length of stay and fewer days of mechanical ventilation than the late group (p
Databáze: OpenAIRE