Safety and Prognosis in Percutaneous vs Surgical Tracheostomy in 27 Patients With COVID-19

During the SARS-CoV-2 pandemic, patients in intensive care units who are undergoing long-term intubation may require tracheostomy. There is controversy about indication and health care professionals’ safety regarding the conventional or percutaneous technique. We performed a prospective analysis of...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2020-09, Vol.163 (3), p.462-464
Main Authors: Riestra-Ayora, Juan, Yanes-Diaz, Joaquin, Penuelas, Oscar, Molina-Quiros, Cristina, Sanz-Fernández, Ricardo, Martin-Sanz, Eduardo
Format: Article
Language:English
Subjects:
Aged
airway management
Betacoronavirus
Coronavirus Infections - therapy
COVID-19
Female
Humans
infectious disease
Intensive Care Units
Male
Organ Dysfunction Scores
Pandemics
Patient Safety
Pneumonia, Viral - therapy
Prognosis
Prospective Studies
quality improvement
SARS-CoV-2
tracheostomy
Tracheostomy - methods
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Summary:During the SARS-CoV-2 pandemic, patients in intensive care units who are undergoing long-term intubation may require tracheostomy. There is controversy about indication and health care professionals’ safety regarding the conventional or percutaneous technique. We performed a prospective analysis of a series of 27 consecutive patients with COVID-19 comparing both tracheostomy techniques, safety, and prognosis clinical markers. The results show that the techniques are equally safe, without cases of infection in surgeons. The Sequential Organ Failure Assessment score before surgery and the progression in ventilation support during the first 72 hours after tracheostomy are optimal prognostic markers for these patients.
ISSN:0194-5998
1097-6817
DOI:10.1177/0194599820931801