Our Experience of Tracheostomy in COVID-19 Patients

被引:10
作者
Mishra, Prasun [1 ]
Jedge, Prashant [2 ]
Kaushik, Maitri [1 ]
Artham, Purva [1 ]
Kumari, Sagun [1 ]
机构
[1] Bharati Vidyapeeth Med Coll, Dept ENT, Pune 411056, Maharashtra, India
[2] Bharati Vidyapeeth Med Coll, Dept Crit Care Med, Pune, Maharashtra, India
关键词
COVID-19; Tracheostomy; SARS-COV2; ICU;
D O I
10.1007/s12070-020-02036-z
中图分类号
R61 [外科手术学];
学科分类号
摘要
Tracheostomy in patients with COVID-19 requires significant decision making and procedural planning. Use of tracheostomy can facilitate weaning from ventilation and potentially increase the availability of much needed intensive care unit (ICU) beds, however this being a high aerosol generating procedure it does put the health care worker to risk of transmission. Here we present our experience and protocols for performing tracheostomy in COVID-19 positive patients. Eleven tracheostomies were performed in COIVD-19 patients over a period of 2 months (May-June 2020) at this tertiary care hospital dedicated to manage COVID patients. All patients underwent open surgical tracheostomy, the specific indication, preoperative protocols, surgical steps and precautions taken have been discussed. Tracheostomy was done not before 10 days after initiation of mechanical ventilation. Patient's cardiovascular vitals should show recovery with some spontaneous effort. There should be reduction in need for FiO(2)and ventilator requirements. Of total 11 tracheostomies performed only one patient had post procedure bleeding which was controlled conservatively. We have summarized our experience in performing tracheostomies in 11 such patients. Our guidelines and recommendations on tracheostomy during the COVID-19 pandemic are presented in this study. We suggest tracheostomies to be done after 10 days of intubation with precautions and given indications with the idea of early weaning off of patient from ventilator and more availability of ICU beds which is already overwhelmed by patient load.
引用
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页码:1 / 4
页数:4
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