Head & neck · 2020
Modified percutaneous tracheostomy in COVID-19 critically ill patients.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Vargas Maria, Russo Gennaro, Iacovazzo Carmine, Servillo Giuseppe
Аннотация
BACKGROUND: Percutaneous tracheostomy (PT) in patients with coronavirus disease (COVID-19) included several critical steps associated with increased risk of aerosol generation. We reported a modified PT technique aiming to minimize the risk of aerosol generation and to increase the staff safety in COVID-19 patients.
METHODS: PT was performed with a modified technique including the use of a smaller endotracheal tube (ETT) cuffed at the carina during the procedure.
RESULTS: The modified technique we proposed was successfully performed in three critically ill patients with COVID-19.
CONCLUSIONS: In COVID-19 critically ill patients, a modified PT technique, including the use of a smaller ETT cuffed at the carina and fiber-optic bronchoscope inserted between the tube and the inner surface of the trachea, may ensure a better airway management, respiratory function, patient comfort, and great safety for the staff.
METHODS: PT was performed with a modified technique including the use of a smaller endotracheal tube (ETT) cuffed at the carina during the procedure.
RESULTS: The modified technique we proposed was successfully performed in three critically ill patients with COVID-19.
CONCLUSIONS: In COVID-19 critically ill patients, a modified PT technique, including the use of a smaller ETT cuffed at the carina and fiber-optic bronchoscope inserted between the tube and the inner surface of the trachea, may ensure a better airway management, respiratory function, patient comfort, and great safety for the staff.
Предметные рубрики MeSH
Airway ManagementBronchoscopyCOVID-19Cohort StudiesCoronavirus InfectionsCritical IllnessFemaleFiber Optic TechnologyHumansInfectious Disease Transmission, Patient-to-ProfessionalIntensive Care UnitsIntubation, IntratrachealMaleMinimally Invasive Surgical ProceduresOccupational HealthPandemicsPneumonia, ViralRetrospective StudiesTracheostomyTreatment Outcome