Safe and effective management of tracheostomy in COVID‐19 patients
Open Access
- 19 May 2020
- journal article
- research article
- Published by Wiley in Head & Neck
- Vol. 42 (7), 1374-1381
- https://doi.org/10.1002/hed.26261
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.Keywords
This publication has 16 references indexed in Scilit:
- Duration of quarantine in hospitalized patients with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection: a question needing an answerJournal of Hospital Infection, 2020
- Outbreak of Novel Coronavirus (SARS-CoV-2): First Evidences From International Scientific Literature and Pending QuestionsHealthcare, 2020
- SARS-CoV-2: a novel deadly virus in a globalised world2020
- A Novel Coronavirus from Patients with Pneumonia in China, 2019New England Journal of Medicine, 2020
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challengesInternational Journal of Antimicrobial Agents, 2020
- Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of AmericaAmerican Journal of Respiratory and Critical Care Medicine, 2019
- Percutaneous tracheostomyAnnals of Cardiac Anaesthesia, 2017
- Effect of early tracheostomy on resource utilization and clinical outcomes in critically ill patients: meta-analysis of randomized controlled trialsBritish Journal of Anaesthesia, 2014
- Percutaneous and surgical tracheostomy in critically ill adult patients: a meta-analysisCritical Care, 2014
- Early tracheostomy in intensive care trauma patients improves resource utilization: a cohort study and literature reviewCritical Care, 2004