[Endoscopy-assisted dilatational tracheostomy in patients with COVID-19]. / Opyt endoskopicheski assistirovannykh dilatatsionnykh trakheostomii pri lechenii bol'nykh s COVID-19.
Khirurgiia (Mosk)
; (12): 16-21, 2020.
Article
in Russian
| MEDLINE | ID: covidwho-969483
ABSTRACT
OBJECTIVE:
To summarize an experience of endoscopy-assisted dilatational tracheostomies in patients with COVID-19. MATERIAL ANDMETHODS:
There were 31 endoscopy-assisted dilatational tracheostomies in patients with COVID-19 for the period from April 17 to June 10, 2020 (11 women and 19 men). Mean age of patients was 66.7 years (range 48-87). Tracheostomy was performed using Ciaglia (22) and Griggs (9) techniques. All procedures were carried out at the intensive care unit in elective fashion.RESULTS:
Tracheostomy was performed in 19.8% of ICU patients or 36.9% of all patients on mechanical ventilation within 6.5±2.5 days [min 3, max 11]. There were 22 survivors with tracheostomy (70.9%) that is comparable with survival of patients without mechanical ventilation (79.7%) and slightly higher than in patients on ventilation without tracheostomy (65.4%). No complications during the procedure were noted.CONCLUSION:
Endoscopy-assisted dilatational tracheostomy is preferred for prolonged mechanical ventilation, including patients with COVID-19. The undeniable advantages of this operation are fewer intraoperative complications due to endoscopic control, and lower risk of tracheal strictures.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Tracheostomy
/
Disease Outbreaks
/
Coronavirus Infections
/
Dilatation
/
Endoscopy
/
Pandemics
Type of study:
Prognostic study
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
Russian
Journal:
Khirurgiia (Mosk)
Year:
2020
Document Type:
Article
Affiliation country:
Hirurgia202012116
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