RSS-Feed abonnieren
DOI: 10.1055/s-0041-1731723
Tips and Pearls for Tracheostomy during the Covid-19 Pandemic
Abstract
The number of critically-ill coronavirus disease 2019 (Covid-19) patients requiring mechanical ventilation is on the rise. Most guidelines suggest keeping the patient intubated and delay elective tracheostomy. Although the current literature does not support early tracheostomy, the number of patients undergoing it is increasing. During the pandemic, it is important that surgeons and anesthesiologists know the different aspects of tracheostomy in terms of indication, procedure, tube care and complications. A literature search was performed to identify different guidelines and available evidence on tracheostomy in Covid-19 patients. The purpose of the present article is to generate an essential scientific evidence for life-saving tracheostomy procedures.
Declarations
The authors have no conflict of interests to declare.
The present study received no funding.
The institutional Ethical Committee approved the present study.
Publikationsverlauf
Eingereicht: 14. November 2020
Angenommen: 28. Mai 2021
Artikel online veröffentlicht:
29. Juli 2021
© 2021. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
References
- 1 Swamy R. Why ventilators, once the need of the hour, are now a last resort among doctors treating Covid [Internet]. ThePrint 2020 [cited 2020 Aug 24]. ; Available from: https://theprint.in/health/why-ventilators-once-the-need-of-the-hour-are-now-a-last-resort-among-doctors-treating-covid/463501/
- 2 Tornari C, Surda P, Takhar A. et al. Tracheostomy, ventilatory wean, and decannulation in COVID-19 patients. Eur Arch Otorhinolaryngol 2021; 278 (05) 1595-1604
- 3 Inpatient Adult UCSF. COVID-19 Interim Management Guidelines. https://infectioncontrol.ucsfmedicalcenter.org/coronavirus , Accessed date: 30 March 2020
- 4 Chao TN, Braslow BM, Martin ND. et al; Guidelines from the COVID-19 Tracheotomy Task Force, a Working Group of the Airway Safety Committee of the University of Pennsylvania Health System. Tracheotomy in Ventilated Patients With COVID-19. Ann Surg 2020; 272 (01) e30-e32
- 5 Piccin O, Albertini R, Caliceti U. et al. Early experience in tracheostomy and tracheostomy tube management in Covid-19 patients. Am J Otolaryngol 2020; 41 (04) 102535 https://pubmed.ncbi.nlm.nih.gov/32402693/
- 6 Young D, Harrison DA, Cuthbertson BH, Rowan K. Effect of early vs late tracheostomy placement on survival in patients receiving mechanical ventilation: The TracMan randomized trial. JAMA 2012; 309 (22) 2121-9
- 7 McGrath BA, Brenner MJ, Warrillow SJ. et al. Tracheostomy in the COVID-19 era: global and multidisciplinary guidance. Lancet Respir Med 2020; 8 (07) 717-725
- 8 Sommer DD, Engels PT, Weitzel EK. et al. Recommendations from the CSO-HNS taskforce on performance of tracheotomy during the COVID-19 pandemic. J Otolaryngol Head Neck Surg 2020; 49 (01) 23 DOI: 10.1186/s40463-020-00414-9.
- 9 Parker N, Schiff B, Fritz M. et al. Tracheotomy Recommendations During the COVID-19 Pandemic. American Academy of Otorhinolaryngology – Head & Neck Surgery. https://www.entnet.org/content/tracheotomy-recommendations-during-covid-19-pandemic
- 10 COVID 19: Considerations for Optimum Surgeon Protection Before, During, and After Operation. American Collegue of Surgeons. https://www.facs.org/covid-19/clinical-guidance/surgeon-protection
- 11 NTSP considerations for tracheostomy in the Covid-19 outbreak. https://www.entuk.org/sites/default/files/NTSP%20COVID-19%20tracheostomy%20guidance%2020-Mar-2020.pdf
- 12 BLA COVID-19 tracheostomy guideline. https://www.britishlaryngological.org/sites/default/files/BLA%20Tracheostomy%20guideline%20-BLA%20April%202020%20FINAL.pdf
- 13 Guideline ENT-UK. https://www.entuk.org/tracheostomy-guidance-during-covid-19-pandemic
- 14 Schultz P, Morvan JB, Fakhry N. et al; French Society of Otorhinolaryngology, Head, Neck Surgery (SFORL), French Society of Head, Neck Carcinology (SFCCF). French consensus regarding precautions during tracheostomy and post-tracheostomy care in the context of COVID-19 pandemic. Eur Ann Otorhinolaryngol Head Neck Dis 2020; 137 (03) 167-169 DOI: 10.1016/j.anorl.2020.04.006.
- 15 Lim CM, Png LH, Wen SD, Wong J, Ng SY, Toh ST. Tracheotomy in the era of COVID-19 pandemic Department of Otorhinolaryngology-Head and Neck Surgery, Singapore General Hospital Guideline.
- 16 Bertroche JT, Pipkorn P, Zolkind P, Buchman CA, Zevallos JP. Negative-Pressure Aerosol Cover for COVID-19 Tracheostomy. JAMA Otolaryngol Head Neck Surg 2020; 146 (07) 672-674
- 17 Zahran M, Youssef A. Tracheostomy tube change during the COVID-19 pandemic: timing and safety considerations. Egypt J Otolaryngol 2020; 36 (01) 31 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7685906
- 18 Hiramatsu M, Nishio N, Ozaki M. et al. Anesthetic and surgical management of tracheostomy in a patient with COVID-19. Auris Nasus Larynx 2020; 47 (03) 472-476 DOI: 10.1016/j.anl.2020.04.002.
- 19 McGrath BA, Ashby N, Birchall M. et al. Multidisciplinary guidance for safe tracheostomy care during the COVID-19 pandemic: the NHS National Patient Safety Improvement Programme (NatPatSIP). [published online ahead of print, 2020 May 12] Anaesthesia 2020; 75 (12) 1659-1670 DOI: 10.1111/anae.15120.
- 20 Queen Elizabeth Hospital Birmingham COVID-19 airway team. Safety and 30-day outcomes of tracheostomy for COVID-19: a prospective observational cohort study. Br J Anaesth 2020; 125 (06) 872-879 DOI: 10.1016/j.bja.2020.08.023.
- 21 Kwak PE, Connors JR, Benedict PA. et al. Early Outcomes From Early Tracheostomy for Patients With COVID-19. JAMA Otolaryngol Head Neck Surg 2021; 147 (03) 239-244 DOI: 10.1001/jamaoto.2020.4837.
- 22 Volo T, Stritoni P, Battel I. et al. Elective tracheostomy during COVID-19 outbreak: to whom, when, how? Early experience from Venice, Italy. Eur Arch Otorhinolaryngol 2020; •••: 1-9 ; Epub ahead of print DOI: 10.1007/s00405-020-06190-6.
- 23 Nishio N, Hiramatsu M, Goto Y. et al. Surgical strategy and optimal timing of tracheostomy in patients with COVID-19: Early experiences in Japan. Auris Nasus Larynx 2020; S0385–8146 (20) 518-524 DOI: 10.1016/j.anl.2020.11.004. Epub ahead of print. PMID: 33272716; PMCID: PMC7674116. 1