Surgical tracheostomies in COVID-19 patients: A multidisciplinary approach and lessons learned.
Oral Oncol
; 106: 104767, 2020 07.
Article
in English
| MEDLINE | ID: covidwho-155153
ABSTRACT
Surgical tracheostomies have a role in the weaning process of COVID-19 patients treated in intensive care units. A multidisciplinary team approach (MDT) is required for decision making. This process is augmented by specific standard operating practices implemented by senior clinicians. Here, we report on our early experience and outcomes with open tracheostomies in a cohort of COVID-19 patients. We outline the criteria that guide decision making and explore the challenges faced by our intensive care colleagues in the management of these patients. The cohort was 100% male with 90% of them having a raised Body Mass Index (BMI) and other comorbidities (hypertension and diabetes). 60% have been decannulated and have been stepped down the intensive care unit. We recorded no surgical complications or adverse events. The service to date has been shown to be effective, safe, largely reproducible and reflective.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Patient Care Team
/
Pneumonia, Viral
/
Tracheostomy
/
Coronavirus Infections
/
Betacoronavirus
Type of study:
Cohort study
/
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Humans
/
Male
/
Middle aged
Language:
English
Journal:
Oral Oncol
Journal subject:
Neoplasms
Year:
2020
Document Type:
Article
Affiliation country:
J.oraloncology.2020.104767
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