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Safe and effective management of tracheostomy in COVID-19 patients.
Head Neck ; 42(7): 1374-1381, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-305887
ABSTRACT

BACKGROUND:

An increasing number of COVID-19 patients worldwide will probably need tracheostomy in an emergency or at the recovering stage of COVID-19. We explored the safe and effective management of tracheostomy in COVID-19 patients, to benefit patients and protect health care workers at the same time.

METHODS:

We retrospectively analyzed 11 hospitalized COVID-19 patients undergoing tracheostomy. Clinical features of patients, ventilator withdrawal after tracheostomy, surgical complications, and nosocomial infection of the health care workers associated with the tracheostomy were analyzed.

RESULTS:

The tracheostomy of all the 11 cases (100%) was performed successfully, including percutaneous tracheostomy of 6 cases (54.5%) and conventional open tracheostomy of 5 cases (45.5%). No severe postoperative complications occurred, and no health care workers associated with the tracheostomy are confirmed to be infected by SARS-CoV-2.

CONCLUSION:

Comprehensive evaluation before tracheostomy, optimized procedures during tracheostomy, and special care after tracheostomy can make the tracheostomy safe and beneficial in COVID-19 patients.
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Full text: Available Database: MEDLINE Type: Article Main subject: Pneumonia, Viral / Tracheostomy / Cross Infection / Occupational Health / Infectious Disease Transmission, Patient-to-Professional / Coronavirus Infections / Pandemics Subject: Pneumonia, Viral / Tracheostomy / Cross Infection / Occupational Health / Infectious Disease Transmission, Patient-to-Professional / Coronavirus Infections / Pandemics Type of study: Etiology study / Incidence study / Observational study / Risk factors Language: English Journal: Head Neck Clinical aspect: Etiology Year: 2020