Tracheostomy in the COVID-19 pandemic

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 controv...

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Autores principales: Mattioli, Francesco, Fermi, Matteo, Ghirelli, Michael, Molteni, Gabriele, Sgarbi, Nicola, Bertellini, Elisabetta, Girardis, Massimo, Presutti, Livio, Marudi, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Short Communication
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174541/
https://www.ncbi.nlm.nih.gov/pubmed/32322959
http://dx.doi.org/10.1007/s00405-020-05982-0
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author Mattioli, Francesco
Fermi, Matteo
Ghirelli, Michael
Molteni, Gabriele
Sgarbi, Nicola
Bertellini, Elisabetta
Girardis, Massimo
Presutti, Livio
Marudi, Andrea
author_facet Mattioli, Francesco
Fermi, Matteo
Ghirelli, Michael
Molteni, Gabriele
Sgarbi, Nicola
Bertellini, Elisabetta
Girardis, Massimo
Presutti, Livio
Marudi, Andrea
author_sort Mattioli, Francesco
collection PubMed
description 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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spelling pubmed-71745412020-04-22 Tracheostomy in the COVID-19 pandemic Mattioli, Francesco Fermi, Matteo Ghirelli, Michael Molteni, Gabriele Sgarbi, Nicola Bertellini, Elisabetta Girardis, Massimo Presutti, Livio Marudi, Andrea Eur Arch Otorhinolaryngol Short Communication 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. Springer Berlin Heidelberg 2020-04-22 2020 /pmc/articles/PMC7174541/ /pubmed/32322959 http://dx.doi.org/10.1007/s00405-020-05982-0 Text en © Springer-Verlag GmbH Germany, part of Springer Nature 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Short Communication
Mattioli, Francesco
Fermi, Matteo
Ghirelli, Michael
Molteni, Gabriele
Sgarbi, Nicola
Bertellini, Elisabetta
Girardis, Massimo
Presutti, Livio
Marudi, Andrea
Tracheostomy in the COVID-19 pandemic
title Tracheostomy in the COVID-19 pandemic
title_full Tracheostomy in the COVID-19 pandemic
title_fullStr Tracheostomy in the COVID-19 pandemic
title_full_unstemmed Tracheostomy in the COVID-19 pandemic
title_short Tracheostomy in the COVID-19 pandemic
title_sort tracheostomy in the covid-19 pandemic
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174541/
https://www.ncbi.nlm.nih.gov/pubmed/32322959
http://dx.doi.org/10.1007/s00405-020-05982-0
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