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Med Oral Patol Oral Cir Bucal ; 27(1): e18-e24, 2022 Jan 01.
Article in English | MEDLINE | ID: covidwho-1367994


BACKGROUND: The pandemic caused by SARS-COV-2 has caused an increase in the need of tracheostomies in patients affected with respiratory distress syndrome. In this article we report our experience during a year of pandemic, we develop our surgical technique to perform percutaneous tracheostomy with the patient in apnea and we compare our results with those of other centers through a bibliographic review. MATERIAL AND METHODS: A one-year retrospective clinical study was carried out on tracheotomies performed on patients admitted to the intensive care unit with severe SARS-CoV-2, with difficulty for ventilation or weaning. The technique performed was percutaneous, with fibroscopic control through the endotracheal tube, keeping the patient under apnea during the opening of the airway, reducing by this method the risk of exposure to the virus. RESULTS: From 35 percutaneous tracheotomies performed, 31% of the patients died from respiratory complications due to SARS-COV-2, but none due to the surgical procedure. The most frequent complication (8.5% of patients) was bleeding around the tracheostoma, resolved with local measures. No healthcare provider involved in the performance of the technique had symptoms or was diagnosed with COVID-19. CONCLUSIONS: Our technique of performing percutaneous tracheostomy maintaining apnea during the procedure, under fibroscopic control, has proven to be safe for all those involved in the procedure, and for the patient.

COVID-19 , Tracheostomy , Hospitals , Humans , Pandemics , Respiration, Artificial , Retrospective Studies , SARS-CoV-2
Reproductive Sciences ; 28(SUPPL 1):210A-210A, 2021.
Article in English | Web of Science | ID: covidwho-1329339
Clinical Nephrology ; 95(1):45-53, 2021.
Article in English | EMBASE | ID: covidwho-994010


Introduction: In December 2019, a new respiratory disease, named COVID-19, caused by a novel coronavirus, emerged in Wuhan and since then spread rapidly throughout China and worldwide. Hemodialysis patients are an especially vulnerable subgroup of the general population. However, there are only a few reports on the course of COVID-19 in maintenance hemodialysis patients. Case report: We describe in depth the clinical, analytical, and radiological details of 9 hemodialysis patients from a single center in Madrid (Spain) diagnosed with COVID-19. Furthermore, we describe and discuss the therapeutic aspects and the patients’ outcomes. Discussion: We present one of the first case series of chronic hemodialysis patients with COVID-19. Between March 14 and April 8, 2020, out of 76 prevalent patients in our hemodialysis unit, 9 (11.8%) patients were diagnosed with COVID-19. The most common symptoms were fever (77.8%), asthenia (77.8%), cough (55.6%), and dyspnea (33.3%). A total of 3 patients developed severe pneumonia, whereas 4 patients developed mild pneumonia. In 2 patients, no pathologic changes were found on chest radiography. All patients presented lymphopenia. While 6 (66.7%) patients required hospitalization, none of them was admitted to intensive care unit. The most common treatments used were azithromycin (100%), hydroxychloroquine (66.7%), lopinavir/ritonavir (55.6%) and β-interferon (22.2%). In general, we observed a mild to moderate severity of disease in our case series. One patient died, however due to a cause not related to COVID-19.

Indian Journal of Public Health Research and Development ; 11(8):219-229, 2020.
Article in English | EMBASE | ID: covidwho-762794


The objective of this work was to evaluate the knowledge and attitudes of health workers in the Colombian Caribbean for the care of COVID-19. The study is inferential, cross-sectional, quantitative;who used an instrument previously validated and used by Shi et al. The population was made up of healthcare workers who work in the health sector of the cities of Cartagena de indias and Barranquilla. A high percentage indicates that they do have the knowledge to care for infected patients (80.21%). The main reasons for not having care provision is not having adequate protection elements (66.09%) and fear of contagion or infecting their family (33.91%). In conclusion, greater attention should be paid to the knowledge and activities of healthcare personnel in the Colombian Caribbean health sector for the care of patients infected with COVID-19.