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Surgical tracheotomy in COVID-19 patients: an Italian single centre experience
PURPOSE: Coronavirus infection disease 2019 (COVID-19) causes in 10% of patients a severe respiratory distress syndrome managed with invasive mechanical ventilation (IMV), sometimes difficult to wean. The role of tracheotomy is debated for the possible risks for patients and staff. We are going to d...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7897727/ https://www.ncbi.nlm.nih.gov/pubmed/33616747 http://dx.doi.org/10.1007/s00405-021-06697-6 |
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author | Briatore, Roberto Aprile, Federico Roasio, Agostino Bianchi, Alessandro Bosso, Stefano Carmino, Livio Lorenzelli, Laura Scanu, Martina Zanin, Mattia Bosso, Giuseppina Torchia, Vincenzo Pisani, Paolo |
author_facet | Briatore, Roberto Aprile, Federico Roasio, Agostino Bianchi, Alessandro Bosso, Stefano Carmino, Livio Lorenzelli, Laura Scanu, Martina Zanin, Mattia Bosso, Giuseppina Torchia, Vincenzo Pisani, Paolo |
author_sort | Briatore, Roberto |
collection | PubMed |
description | PURPOSE: Coronavirus infection disease 2019 (COVID-19) causes in 10% of patients a severe respiratory distress syndrome managed with invasive mechanical ventilation (IMV), sometimes difficult to wean. The role of tracheotomy is debated for the possible risks for patients and staff. We are going to describe here our experience with surgical tracheotomy in COVID-19 positive patients. METHODS: We enrolled all intensive care unit (ICU) patients requiring longer than 10 days of IMV. Demographic, clinical, respiratory, complications, and outcomes data were collected, in a particular length of weaning from sedation and IMV, in-ICU and in-hospital mortality rate. All healthcare operators involved were tested for SARS-CoV2 by pharyngeal swab and blood test (antibody test). RESULTS: 13 out of 68 ICU patients (19.1%) underwent surgical tracheotomy after a median intubation period of 14 days. The mean age was 60 (56–65) years. 85% were male patients. Postoperative mild bleeding was seen in 30.7%, pneumothorax in 7.7%. Mean weaning from sedation required 3 days, 19 days from IMV. In-ICU and in-hospital COVID-infection-related mortality was 23.1% and 30.7%, respectively. None of the healthcare operators was found SARS-CoV2 positive during the period of the study. CONCLUSIONS: In COVID-19 pandemic surgical tracheotomy enables to wean from sedation and subsequently from IMV in a safe way for both patients and personnel. |
format | Online Article Text |
id | pubmed-7897727 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-78977272021-02-22 Surgical tracheotomy in COVID-19 patients: an Italian single centre experience Briatore, Roberto Aprile, Federico Roasio, Agostino Bianchi, Alessandro Bosso, Stefano Carmino, Livio Lorenzelli, Laura Scanu, Martina Zanin, Mattia Bosso, Giuseppina Torchia, Vincenzo Pisani, Paolo Eur Arch Otorhinolaryngol Head and Neck PURPOSE: Coronavirus infection disease 2019 (COVID-19) causes in 10% of patients a severe respiratory distress syndrome managed with invasive mechanical ventilation (IMV), sometimes difficult to wean. The role of tracheotomy is debated for the possible risks for patients and staff. We are going to describe here our experience with surgical tracheotomy in COVID-19 positive patients. METHODS: We enrolled all intensive care unit (ICU) patients requiring longer than 10 days of IMV. Demographic, clinical, respiratory, complications, and outcomes data were collected, in a particular length of weaning from sedation and IMV, in-ICU and in-hospital mortality rate. All healthcare operators involved were tested for SARS-CoV2 by pharyngeal swab and blood test (antibody test). RESULTS: 13 out of 68 ICU patients (19.1%) underwent surgical tracheotomy after a median intubation period of 14 days. The mean age was 60 (56–65) years. 85% were male patients. Postoperative mild bleeding was seen in 30.7%, pneumothorax in 7.7%. Mean weaning from sedation required 3 days, 19 days from IMV. In-ICU and in-hospital COVID-infection-related mortality was 23.1% and 30.7%, respectively. None of the healthcare operators was found SARS-CoV2 positive during the period of the study. CONCLUSIONS: In COVID-19 pandemic surgical tracheotomy enables to wean from sedation and subsequently from IMV in a safe way for both patients and personnel. Springer Berlin Heidelberg 2021-02-22 2021 /pmc/articles/PMC7897727/ /pubmed/33616747 http://dx.doi.org/10.1007/s00405-021-06697-6 Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021 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 | Head and Neck Briatore, Roberto Aprile, Federico Roasio, Agostino Bianchi, Alessandro Bosso, Stefano Carmino, Livio Lorenzelli, Laura Scanu, Martina Zanin, Mattia Bosso, Giuseppina Torchia, Vincenzo Pisani, Paolo Surgical tracheotomy in COVID-19 patients: an Italian single centre experience |
title | Surgical tracheotomy in COVID-19 patients: an Italian single centre experience |
title_full | Surgical tracheotomy in COVID-19 patients: an Italian single centre experience |
title_fullStr | Surgical tracheotomy in COVID-19 patients: an Italian single centre experience |
title_full_unstemmed | Surgical tracheotomy in COVID-19 patients: an Italian single centre experience |
title_short | Surgical tracheotomy in COVID-19 patients: an Italian single centre experience |
title_sort | surgical tracheotomy in covid-19 patients: an italian single centre experience |
topic | Head and Neck |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7897727/ https://www.ncbi.nlm.nih.gov/pubmed/33616747 http://dx.doi.org/10.1007/s00405-021-06697-6 |
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