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Tracheostomy in the COVID-19 pandemic.
Mattioli, Francesco; Fermi, Matteo; Ghirelli, Michael; Molteni, Gabriele; Sgarbi, Nicola; Bertellini, Elisabetta; Girardis, Massimo; Presutti, Livio; Marudi, Andrea.
  • Mattioli F; Otolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Via del Pozzo 71, 41100, Modena, Italy. franz318@hotmail.com.
  • Fermi M; Otolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Via del Pozzo 71, 41100, Modena, Italy.
  • Ghirelli M; Otolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Via del Pozzo 71, 41100, Modena, Italy.
  • Molteni G; Head and Neck Department, University of Verona, Verona, Italy.
  • Sgarbi N; Department of Anesthesiology, University Hospital of Modena, Via del Pozzo 71, 41100, Modena, Italy.
  • Bertellini E; Department of Anesthesiology, University Hospital of Modena, Via del Pozzo 71, 41100, Modena, Italy.
  • Girardis M; Department of Anesthesiology, University Hospital of Modena, Via del Pozzo 71, 41100, Modena, Italy.
  • Presutti L; Otolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Via del Pozzo 71, 41100, Modena, Italy.
  • Marudi A; Department of Anesthesiology, University Hospital of Modena, Via del Pozzo 71, 41100, Modena, Italy.
Eur Arch Otorhinolaryngol ; 277(7): 2133-2135, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-1049646
ABSTRACT

PURPOSE:

The role of tracheostomy in COVID-19-related ARDS is unknown. Nowadays, there is no clear indication regarding the timing of tracheostomy in these patients.

METHODS:

We describe our synergic experience between ENT and ICU Departments at University Hospital of Modena underlining some controversial aspects that would be worth discussing tracheostomies in these patients. During the last 2 weeks, we performed 28 tracheostomies on patients with ARDS due to COVID-19 infection who were treated with IMV.

RESULTS:

No differences between percutaneous and surgical tracheostomy in terms of timing and no case of team virus infection.

CONCLUSION:

In our experience, tracheostomy should be performed only in selected patients within 7- and 14-day orotracheal intubation.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Respiratory Distress Syndrome / Tracheostomy / Coronavirus Infections / Minimally Invasive Surgical Procedures / Intubation, Intratracheal Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adult / Humans / Male / Middle aged Language: English Journal: Eur Arch Otorhinolaryngol Journal subject: Otolaryngology Year: 2020 Document Type: Article Affiliation country: S00405-020-05982-0

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Respiratory Distress Syndrome / Tracheostomy / Coronavirus Infections / Minimally Invasive Surgical Procedures / Intubation, Intratracheal Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adult / Humans / Male / Middle aged Language: English Journal: Eur Arch Otorhinolaryngol Journal subject: Otolaryngology Year: 2020 Document Type: Article Affiliation country: S00405-020-05982-0