Elective Tracheostomy in COVID-19 Patients: A Retrospective Case Series
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
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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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 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25751/rspa.20118 |
url |
https://doi.org/10.25751/rspa.20118 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
0871-6099 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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