Endoscopy-assisted dilatational tracheostomy in patients with COVID-19
OBJECTIVE: To summarize an experience of endoscopy-assisted dilatational tracheostomies in patients with COVID-19.
MATERIAL AND METHODS: There were 31 endoscopy-assisted dilatational tracheostomies in patients with COVID-19 for the period from April 17 to June 10, 2020 (11 women and 19 men). Mean age of patients was 66.7 years (range 48-87). Tracheostomy was performed using Ciaglia (22) and Griggs (9) techniques. All procedures were carried out at the intensive care unit in elective fashion.
RESULTS: Tracheostomy was performed in 19.8% of ICU patients or 36.9% of all patients on mechanical ventilation within 6.5±2.5 days [min 3, max 11]. There were 22 survivors with tracheostomy (70.9%) that is comparable with survival of patients without mechanical ventilation (79.7%) and slightly higher than in patients on ventilation without tracheostomy (65.4%). No complications during the procedure were noted.
CONCLUSION: Endoscopy-assisted dilatational tracheostomy is preferred for prolonged mechanical ventilation, including patients with COVID-19. The undeniable advantages of this operation are fewer intraoperative complications due to endoscopic control, and lower risk of tracheal strictures.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2020 |
|---|---|
| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2020 |
|---|---|
| Enthalten in: |
Khirurgiia - (2020), 12 vom: 31., Seite 16-21 |
| Sprache: |
Russisch |
|---|
| Weiterer Titel: |
Opyt endoskopicheski assistirovannykh dilatatsionnykh trakheostomii pri lechenii bol'nykh s COVID-19 |
|---|
| Beteiligte Personen: |
Starkov, Yu G [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
2019-nCoV |
|---|
| Anmerkungen: |
Date Completed 15.12.2020 Date Revised 15.12.2020 published: Print Citation Status MEDLINE |
|---|
| doi: |
10.17116/hirurgia202012116 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM318666421 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM318666421 | ||
| 003 | DE-627 | ||
| 005 | 20231225165829.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2020 xx |||||o 00| ||rus c | ||
| 024 | 7 | |a 10.17116/hirurgia202012116 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1062.xml |
| 035 | |a (DE-627)NLM318666421 | ||
| 035 | |a (NLM)33301248 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a rus | ||
| 100 | 1 | |a Starkov, Yu G |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Endoscopy-assisted dilatational tracheostomy in patients with COVID-19 |
| 246 | 3 | 3 | |a Opyt endoskopicheski assistirovannykh dilatatsionnykh trakheostomii pri lechenii bol'nykh s COVID-19 |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 15.12.2020 | ||
| 500 | |a Date Revised 15.12.2020 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To summarize an experience of endoscopy-assisted dilatational tracheostomies in patients with COVID-19 | ||
| 520 | |a MATERIAL AND METHODS: There were 31 endoscopy-assisted dilatational tracheostomies in patients with COVID-19 for the period from April 17 to June 10, 2020 (11 women and 19 men). Mean age of patients was 66.7 years (range 48-87). Tracheostomy was performed using Ciaglia (22) and Griggs (9) techniques. All procedures were carried out at the intensive care unit in elective fashion | ||
| 520 | |a RESULTS: Tracheostomy was performed in 19.8% of ICU patients or 36.9% of all patients on mechanical ventilation within 6.5±2.5 days [min 3, max 11]. There were 22 survivors with tracheostomy (70.9%) that is comparable with survival of patients without mechanical ventilation (79.7%) and slightly higher than in patients on ventilation without tracheostomy (65.4%). No complications during the procedure were noted | ||
| 520 | |a CONCLUSION: Endoscopy-assisted dilatational tracheostomy is preferred for prolonged mechanical ventilation, including patients with COVID-19. The undeniable advantages of this operation are fewer intraoperative complications due to endoscopic control, and lower risk of tracheal strictures | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a 2019-nCoV | |
| 650 | 4 | |a COVID-19 | |
| 650 | 4 | |a MERS | |
| 650 | 4 | |a SARS | |
| 650 | 4 | |a SARS-CoV-2 | |
| 650 | 4 | |a coronavirus | |
| 650 | 4 | |a dilatational tracheostomy | |
| 650 | 4 | |a endoscopic tracheostomy | |
| 700 | 1 | |a Lukich, K V |e verfasserin |4 aut | |
| 700 | 1 | |a Dzhantukhanova, S V |e verfasserin |4 aut | |
| 700 | 1 | |a Plotnikov, G P |e verfasserin |4 aut | |
| 700 | 1 | |a Zamolodchikov, R D |e verfasserin |4 aut | |
| 700 | 1 | |a Zvereva, A A |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Khirurgiia |d 1945 |g (2020), 12 vom: 31., Seite 16-21 |w (DE-627)NLM000042609 |x 0023-1207 |7 nnns |
| 773 | 1 | 8 | |g year:2020 |g number:12 |g day:31 |g pages:16-21 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.17116/hirurgia202012116 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |j 2020 |e 12 |b 31 |h 16-21 | ||