Tracheostomy intervention in intubated COVID positive patients: A survey of current clinical practice among ENT surgeons
| Autor: | R.G. Kanegaonkar, Ricard Simo, Alwyn D'Souza, Andrew Prior, Francis Vaz, Ayman D'Souza |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous Internationality Time Factors Coronavirus disease 2019 (COVID-19) Critical Care medicine.medical_treatment Pneumonia Viral MEDLINE Risk Assessment Hospitals University 03 medical and health sciences Otolaryngology 0302 clinical medicine Tracheostomy Intervention (counseling) Surveys and Questionnaires Intubation Intratracheal Medicine Intubation Humans 030212 general & internal medicine Airway Management 030223 otorhinolaryngology Pandemics Mechanical ventilation Internet business.industry Special Issue COVID-19 Respiration Artificial United Kingdom Clinical Practice Intensive Care Units Treatment Outcome Otorhinolaryngology Emergency medicine Female Tracheotomy business Risk assessment Coronavirus Infections |
| Zdroj: | Head & Neck |
| ISSN: | 1097-0347 1043-3074 |
| DOI: | 10.1002/hed.26274 |
| Popis: | Introduction The COVID‐19 pandemic has resulted in an unprecedented need for critical care intervention. Prolonged intubation and mechanical ventilation has resulted in the need for tracheostomy in some patients. The purpose of this international survey was to assess optimal timing, technique and outcome for this intervention. Methods An online survey was generated. Otorhinolaryngologists from both the United Kingdom and Abroad were polled with regards to their experience of tracheostomy in COVID‐19 positive ventilated patients. Results The survey was completed by 50 respondents from 16 nations. The number of ventilated patients totalled 3403, on average 9.7% required a tracheostomy. This was on average performed on day 14 following intubation. The majority of patients were successfully weaned (mean 7.4 days following tracheostomy). Conclusion The results of this brief survey suggest that tracheostomy is of benefit in selected patients. There was insufficient data to suggest improved outcomes with either percutaneous vs an open surgical technique. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text