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Early Tracheostomy in Morbidly Obese COVID-19 Patients: A Case Series and Discussion of Institutional Practices.
Caputo, Mathew P; Aziz, Steven; Mifsud, Matthew.
  • Caputo MP; Otolaryngology-Head and Neck Surgery, University of South Florida Morsani College of Medicine, Tampa, USA.
  • Aziz S; Otolaryngology-Head and Neck Surgery, University of South Florida Morsani College of Medicine, Tampa, USA.
  • Mifsud M; Otolaryngology-Head and Neck Surgery, University of South Florida Morsani College of Medicine, Tampa, USA.
Cureus ; 13(4): e14345, 2021 Apr 07.
Article in English | MEDLINE | ID: covidwho-1217167
ABSTRACT
Tracheostomies are often utilized in critically ill patients on prolonged mechanical ventilation, to enhance respiratory function and facilitate ventilator weaning. Many coronavirus disease 2019 (COVID-19) patients develop serious respiratory illness requiring ventilator management. In the early phase of this pandemic, the risk of disease spread lead to the development of conservative guidelines which advocated delaying tracheostomy at least two to three weeks from intubation and, preferably, with negative COVID-19 testing. The morbidly obese patient population, however, presents a unique scenario in which early tracheostomy may be beneficial. In this article, we discuss our institution's current practices along with clinical outcomes with reference to intensive care literature and propose that early tracheotomy in COVID-19 patients should be considered on a case by case basis.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Journal: Cureus Year: 2021 Document Type: Article Affiliation country: Cureus.14345

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Journal: Cureus Year: 2021 Document Type: Article Affiliation country: Cureus.14345