Open tracheostomy for critically Ill patients with COVID-19
| Autor: | Estefanía Hernández-García, Guillermo Plaza, Victoria García-Peces, Carlos Velayos, Mar Martínez-RuizCoello, Nuria Pérez-Martín, Andrés Navarro Mediano, Belen Rodríguez-Campoo |
|---|---|
| Přispěvatelé: | Servicio de Anatomía Patológica. Hospital Universitario de Fuenlabrada, Servicio de Medicina Intensiva. Hospital Universitario de Fuenlabrada, Servicio de Otorrinolaringología. Hospital Universitario de Fuenlabrada |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
RD1-811 Article Subject Coronavirus disease 2019 (COVID-19) medicine.medical_treatment Traqueostomía 03 medical and health sciences 0302 clinical medicine Tracheotomy Tracheostomy Epidemiology medicine Weaning 030223 otorhinolaryngology Prospective cohort study Mechanical ventilation Critically ill business.industry COVID-19 Otorhinolaryngology RF1-547 030220 oncology & carcinogenesis Emergency medicine Surgery business Infecciones por Coronavirus Research Article |
| Zdroj: | Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid instname International Journal of Otolaryngology International Journal of Otolaryngology, Vol 2020 (2020) |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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