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Traqueostomía en cuidados intensivos en pacientes COVID-19()

INTRODUCTION: Community-acquired pneumonia due to COVID-19 has been a recent and frequent cause of admission to intensive care units worldwide. Its rapid expansion and high number of cases mean that there are many open questions regarding its management, treatment and prognosis. One of these is the...

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Autores principales: Higuera, Juan, Tato, Jose Ignacio, Llorente, Beatriz, Trascasa, María, Vaduva, Cristina, Ruíz, Angela, Serrano, Clara, Arteaga, Julia, Villa, Patricia, Rivera, Teresa, Nevado, Emilio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Asociación Colombiana de Medicina Crítica y Cuidado lntensivo. Published by Elsevier España, S.L.U. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7664356/
http://dx.doi.org/10.1016/j.acci.2020.10.009
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author Higuera, Juan
Tato, Jose Ignacio
Llorente, Beatriz
Trascasa, María
Vaduva, Cristina
Ruíz, Angela
Serrano, Clara
Arteaga, Julia
Villa, Patricia
Rivera, Teresa
Nevado, Emilio
author_facet Higuera, Juan
Tato, Jose Ignacio
Llorente, Beatriz
Trascasa, María
Vaduva, Cristina
Ruíz, Angela
Serrano, Clara
Arteaga, Julia
Villa, Patricia
Rivera, Teresa
Nevado, Emilio
author_sort Higuera, Juan
collection PubMed
description INTRODUCTION: Community-acquired pneumonia due to COVID-19 has been a recent and frequent cause of admission to intensive care units worldwide. Its rapid expansion and high number of cases mean that there are many open questions regarding its management, treatment and prognosis. One of these is the performing of a tracheostomy in patients affected by this pneumonia admitted to intensive care. MATERIAL AND METHODS: A retrospective, observational study was carried out on all the patients admitted to the Intensive Medicine Department at a University Hospital with the clinical or analytical diagnosis of COVID-19 pneumonia. An analysis was performed on all patients that required mechanical ventilation connection and tracheostomy during their management. RESULTS: A total of 37 patients were analysed, of whom 70.3% (26/37) were male. The mean age was 59.4±9.4, and the APACHE II score was 14.8±4.67. The mean number of days of mechanical ventilation prior to the performing of the tracheostomy was 11±2.66. On 3 occasions it was done during the first week, and on 31 occasions during the second. Percutaneous tracheostomy was performed in 86.5% (32/37) of the cases, and 17 (46%) patients were decannulated. The mean number of days from tracheostomy to decannulation was 17.7±10.6 days, with 16 of these 17 patients having been discharged from the hospital. In the study sample, the type of technique was not associated with a higher mortality or complication rate. CONCLUSIONS: The results are presented on 37 patients who required a tracheostomy as part of the management of COVID-19 pneumonia in a University Hospital, as well as a description of the technique performed and prognosis.
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spelling pubmed-76643562020-11-16 Traqueostomía en cuidados intensivos en pacientes COVID-19() Higuera, Juan Tato, Jose Ignacio Llorente, Beatriz Trascasa, María Vaduva, Cristina Ruíz, Angela Serrano, Clara Arteaga, Julia Villa, Patricia Rivera, Teresa Nevado, Emilio Acta Colombiana de Cuidado Intensivo Original INTRODUCTION: Community-acquired pneumonia due to COVID-19 has been a recent and frequent cause of admission to intensive care units worldwide. Its rapid expansion and high number of cases mean that there are many open questions regarding its management, treatment and prognosis. One of these is the performing of a tracheostomy in patients affected by this pneumonia admitted to intensive care. MATERIAL AND METHODS: A retrospective, observational study was carried out on all the patients admitted to the Intensive Medicine Department at a University Hospital with the clinical or analytical diagnosis of COVID-19 pneumonia. An analysis was performed on all patients that required mechanical ventilation connection and tracheostomy during their management. RESULTS: A total of 37 patients were analysed, of whom 70.3% (26/37) were male. The mean age was 59.4±9.4, and the APACHE II score was 14.8±4.67. The mean number of days of mechanical ventilation prior to the performing of the tracheostomy was 11±2.66. On 3 occasions it was done during the first week, and on 31 occasions during the second. Percutaneous tracheostomy was performed in 86.5% (32/37) of the cases, and 17 (46%) patients were decannulated. The mean number of days from tracheostomy to decannulation was 17.7±10.6 days, with 16 of these 17 patients having been discharged from the hospital. In the study sample, the type of technique was not associated with a higher mortality or complication rate. CONCLUSIONS: The results are presented on 37 patients who required a tracheostomy as part of the management of COVID-19 pneumonia in a University Hospital, as well as a description of the technique performed and prognosis. Asociación Colombiana de Medicina Crítica y Cuidado lntensivo. Published by Elsevier España, S.L.U. 2021 2020-11-13 /pmc/articles/PMC7664356/ http://dx.doi.org/10.1016/j.acci.2020.10.009 Text en © 2020 Asociación Colombiana de Medicina Crítica y Cuidado lntensivo. Published by Elsevier España, S.L.U. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original
Higuera, Juan
Tato, Jose Ignacio
Llorente, Beatriz
Trascasa, María
Vaduva, Cristina
Ruíz, Angela
Serrano, Clara
Arteaga, Julia
Villa, Patricia
Rivera, Teresa
Nevado, Emilio
Traqueostomía en cuidados intensivos en pacientes COVID-19()
title Traqueostomía en cuidados intensivos en pacientes COVID-19()
title_full Traqueostomía en cuidados intensivos en pacientes COVID-19()
title_fullStr Traqueostomía en cuidados intensivos en pacientes COVID-19()
title_full_unstemmed Traqueostomía en cuidados intensivos en pacientes COVID-19()
title_short Traqueostomía en cuidados intensivos en pacientes COVID-19()
title_sort traqueostomía en cuidados intensivos en pacientes covid-19()
topic Original
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7664356/
http://dx.doi.org/10.1016/j.acci.2020.10.009
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