Elective Tracheostomy in COVID-19 Patients: A Retrospective Case Series

Detalhes bibliográficos
Autor(a) principal: Dias-Vaz, Marta
Data de Publicação: 2020
Outros Autores: Tiago, Catarina, Morais, Ana, Ferreira, Milene, Carvalho, Filipa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25751/rspa.20118
Resumo: The COVID-19 outbreak represents a global health threat due to the unprecedented number of patients admitted to intensive care units and the overwhelming need for mechanical ventilation. Performing a tracheostomy in COVID-19 patients represents a risk for patients and healthcare workers. We report a case series of 10 patients with COVID-19 who underwent elective open tracheostomies in a negative pressure operating room, carried out by an experienced multidisciplinary team. They were tracheostomized after a mean intubation period of 18.6 days (range, 13-23 days). Only one patient developed postoperative complications and no viral transmission to health care workers was documented. Hence, our experience supports the safety of tracheostomy in COVID-19 patients, provided that meticulous planning and strict safety recommendations are followed.
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spelling Elective Tracheostomy in COVID-19 Patients: A Retrospective Case SeriesTraqueostomia Eletiva em Doentes com COVID-19: Uma Série de Casos RetrospetivaArtigo OriginalThe COVID-19 outbreak represents a global health threat due to the unprecedented number of patients admitted to intensive care units and the overwhelming need for mechanical ventilation. Performing a tracheostomy in COVID-19 patients represents a risk for patients and healthcare workers. We report a case series of 10 patients with COVID-19 who underwent elective open tracheostomies in a negative pressure operating room, carried out by an experienced multidisciplinary team. They were tracheostomized after a mean intubation period of 18.6 days (range, 13-23 days). Only one patient developed postoperative complications and no viral transmission to health care workers was documented. Hence, our experience supports the safety of tracheostomy in COVID-19 patients, provided that meticulous planning and strict safety recommendations are followed.O surto de COVID-19 representa uma ameaça de saúde pública a nível mundial devido ao elevado número de pacientes admitidos em unidades de cuidados intensivos e à necessidade de ventilação mecânica. A traqueostomia em doentes com COVID-19 representa um risco para os pacientes e para os profissionais de saúde. Apresentamos uma série de casos de 10 doentes com COVID-19 submetidos a traqueostomia cirúrgica eletiva numa sala operatória de pressão negativa, com o apoio de uma equipa multidisciplinar experiente. Estes doentes foram traqueostomizados após um tempo médio de 18.6 dias de intubação (intervalo, 13-23 dias). Apenas um paciente desenvolveu complicações pós-operatórias e nenhum profissional de saúde foi infetado durante o procedimento. Assim, a nossa experiência suporta que a traqueostomia em doentes com COVID-19 é um procedimento seguro, desde que seja realizada após um planeamento meticuloso e seguindo rígidas recomendações de segurança.Sociedade Portuguesa de Anestesiologia2020-08-23T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25751/rspa.20118eng0871-6099Dias-Vaz, MartaTiago, CatarinaMorais, AnaFerreira, MileneCarvalho, Filipainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-23T15:34:50Zoai:ojs.revistas.rcaap.pt:article/20118Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:04:17.850944Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Elective Tracheostomy in COVID-19 Patients: A Retrospective Case Series
Traqueostomia Eletiva em Doentes com COVID-19: Uma Série de Casos Retrospetiva
title Elective Tracheostomy in COVID-19 Patients: A Retrospective Case Series
spellingShingle Elective Tracheostomy in COVID-19 Patients: A Retrospective Case Series
Dias-Vaz, Marta
Artigo Original
title_short Elective Tracheostomy in COVID-19 Patients: A Retrospective Case Series
title_full Elective Tracheostomy in COVID-19 Patients: A Retrospective Case Series
title_fullStr Elective Tracheostomy in COVID-19 Patients: A Retrospective Case Series
title_full_unstemmed Elective Tracheostomy in COVID-19 Patients: A Retrospective Case Series
title_sort Elective Tracheostomy in COVID-19 Patients: A Retrospective Case Series
author Dias-Vaz, Marta
author_facet Dias-Vaz, Marta
Tiago, Catarina
Morais, Ana
Ferreira, Milene
Carvalho, Filipa
author_role author
author2 Tiago, Catarina
Morais, Ana
Ferreira, Milene
Carvalho, Filipa
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Dias-Vaz, Marta
Tiago, Catarina
Morais, Ana
Ferreira, Milene
Carvalho, Filipa
dc.subject.por.fl_str_mv Artigo Original
topic Artigo Original
description The COVID-19 outbreak represents a global health threat due to the unprecedented number of patients admitted to intensive care units and the overwhelming need for mechanical ventilation. Performing a tracheostomy in COVID-19 patients represents a risk for patients and healthcare workers. We report a case series of 10 patients with COVID-19 who underwent elective open tracheostomies in a negative pressure operating room, carried out by an experienced multidisciplinary team. They were tracheostomized after a mean intubation period of 18.6 days (range, 13-23 days). Only one patient developed postoperative complications and no viral transmission to health care workers was documented. Hence, our experience supports the safety of tracheostomy in COVID-19 patients, provided that meticulous planning and strict safety recommendations are followed.
publishDate 2020
dc.date.none.fl_str_mv 2020-08-23T00:00:00Z
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dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Sociedade Portuguesa de Anestesiologia
publisher.none.fl_str_mv Sociedade Portuguesa de Anestesiologia
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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