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Utility of Early Tracheostomy in Critically Ill Covid-19 Patients: A Systematic Review
COVID 19 has proven itself to be an agent of cataclysm and caused an uproar worldwide due to consistent strain on the finite resources available to tackle the situation. With the rapidly mutating viral nature, resultant disease is becoming more severe over time, causing significant numbers of critic...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer India
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10016177/ https://www.ncbi.nlm.nih.gov/pubmed/37362113 http://dx.doi.org/10.1007/s12070-022-03280-1 |
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author | Bhasarkar, Ashwin Dolma, Kunzes |
author_facet | Bhasarkar, Ashwin Dolma, Kunzes |
author_sort | Bhasarkar, Ashwin |
collection | PubMed |
description | COVID 19 has proven itself to be an agent of cataclysm and caused an uproar worldwide due to consistent strain on the finite resources available to tackle the situation. With the rapidly mutating viral nature, resultant disease is becoming more severe over time, causing significant numbers of critical cases needing invasive ventilatory support. Available literature dictates that tracheostomy might reduce the stress over healthcare infrastructure. Our systematic review is aimed towards understanding the influence of tracheostomy timing, over the course of the illness, by analyzing the relevant literature, thus aiding in decision making while managing critical COVID 19 patients. With predefined inclusion and exclusion criteria, PubMed data was explored using search terms like ‘timing’, ‘tracheotomy’/‘tracheostomy’ and ‘COVID’/’COVID-19’/‘SARS CoV2’ and 26 articles were finalised for formal review. 26 studies (3527 patients) were systematically reviewed. 60.3% and 39.5% patients underwent percutaneous dilational tracheostomy and open surgical tracheostomy respectively. We report 7.62%, 21.3%, 56% and 46.53% as approximate estimates, of complication rate, mortality rate, rate of mechanical ventilation weaning and rate of decannulation following tracheostomy in COVID 19 patients, respectively taking into account underestimation of the data. Provided that appropriate preventive measures and safety guidelines are strictly followed, moderately early tracheostomy (between 10 and 14 days of intubation) can prove quite efficacious in management of critical COVID 19 patients. Also, early tracheostomy was associated with early weaning and decannulation, thus reducing the enormous competition for intensive care unit beds. |
format | Online Article Text |
id | pubmed-10016177 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer India |
record_format | MEDLINE/PubMed |
spelling | pubmed-100161772023-03-15 Utility of Early Tracheostomy in Critically Ill Covid-19 Patients: A Systematic Review Bhasarkar, Ashwin Dolma, Kunzes Indian J Otolaryngol Head Neck Surg Original Article COVID 19 has proven itself to be an agent of cataclysm and caused an uproar worldwide due to consistent strain on the finite resources available to tackle the situation. With the rapidly mutating viral nature, resultant disease is becoming more severe over time, causing significant numbers of critical cases needing invasive ventilatory support. Available literature dictates that tracheostomy might reduce the stress over healthcare infrastructure. Our systematic review is aimed towards understanding the influence of tracheostomy timing, over the course of the illness, by analyzing the relevant literature, thus aiding in decision making while managing critical COVID 19 patients. With predefined inclusion and exclusion criteria, PubMed data was explored using search terms like ‘timing’, ‘tracheotomy’/‘tracheostomy’ and ‘COVID’/’COVID-19’/‘SARS CoV2’ and 26 articles were finalised for formal review. 26 studies (3527 patients) were systematically reviewed. 60.3% and 39.5% patients underwent percutaneous dilational tracheostomy and open surgical tracheostomy respectively. We report 7.62%, 21.3%, 56% and 46.53% as approximate estimates, of complication rate, mortality rate, rate of mechanical ventilation weaning and rate of decannulation following tracheostomy in COVID 19 patients, respectively taking into account underestimation of the data. Provided that appropriate preventive measures and safety guidelines are strictly followed, moderately early tracheostomy (between 10 and 14 days of intubation) can prove quite efficacious in management of critical COVID 19 patients. Also, early tracheostomy was associated with early weaning and decannulation, thus reducing the enormous competition for intensive care unit beds. Springer India 2023-03-15 2023-09 /pmc/articles/PMC10016177/ /pubmed/37362113 http://dx.doi.org/10.1007/s12070-022-03280-1 Text en © Association of Otolaryngologists of India 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
spellingShingle | Original Article Bhasarkar, Ashwin Dolma, Kunzes Utility of Early Tracheostomy in Critically Ill Covid-19 Patients: A Systematic Review |
title | Utility of Early Tracheostomy in Critically Ill Covid-19 Patients: A Systematic Review |
title_full | Utility of Early Tracheostomy in Critically Ill Covid-19 Patients: A Systematic Review |
title_fullStr | Utility of Early Tracheostomy in Critically Ill Covid-19 Patients: A Systematic Review |
title_full_unstemmed | Utility of Early Tracheostomy in Critically Ill Covid-19 Patients: A Systematic Review |
title_short | Utility of Early Tracheostomy in Critically Ill Covid-19 Patients: A Systematic Review |
title_sort | utility of early tracheostomy in critically ill covid-19 patients: a systematic review |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10016177/ https://www.ncbi.nlm.nih.gov/pubmed/37362113 http://dx.doi.org/10.1007/s12070-022-03280-1 |
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