UMMS Affiliation

Department of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine; School of Medicine; Department of Surgery

Publication Date

2021-12-01

Document Type

Article

Disciplines

Critical Care | Infectious Disease | Surgery | Surgical Procedures, Operative | Virus Diseases

Abstract

The benefits of percutaneous dilational tracheostomy (PDT) placement have been well documented in patients requiring prolonged mechanical ventilation. However, the data regarding the benefit of PDT in coronavirus-2019 (COVID-19) patients are scarce. The objective of this study is to evaluate the outcomes of a cohort of 37 patients who underwent tracheostomy as part of their COVID-19 care. Retrospective data from a series for 37 patients undergoing tracheostomy was collected using chart review. Primary outcomes included 30 and 60 day mortality, weaning rate, and decannulation rate. Secondary outcomes collected included admission demographics, comorbidities, and procedural information. Thirty-seven (37) patients requiring prolonged mechanical ventilation due to COVID-19. Of these 37 patients, 35 were alive 60 days post-PDT placement, 33 have been weaned from mechanical ventilation and 18 have been decannulated. The low mortality and high decannulation rates in this cohort in is a promising development in the care of critically ill COVID-19 patients. Of note, all participating physicians underwent routine polymerase chain reaction (PCR) testing for infection with the severe acute respiratory syndrome coronavirus-2 virus and no physician contracted COVID-19 as a result of their involvement. Overall, this case series describes the modified PDT technique used by our team and discusses the feasibility and potential benefit to PDT placement in COVID-19 patients requiring long-term mechanical ventilation.

Keywords

coronavirus-2019, COVID-19, critical care, tracheostomy

Rights and Permissions

Copyright © The Author(s) 2021. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).

DOI of Published Version

10.1177/08850666211043436

Source

Sood RN, Palleiko BA, Alape-Moya D, Maxfield MW, Holdorf J, Uy KF. COVID-19 Tracheostomy: Experience in a University Hospital With Intermediate Follow-up. J Intensive Care Med. 2021 Dec;36(12):1507-1512. doi: 10.1177/08850666211043436. Epub 2021 Oct 29. PMID: 34713733; PMCID: PMC8600586. Link to article on publisher's site

Journal/Book/Conference Title

Journal of intensive care medicine

Related Resources

Link to Article in PubMed

PubMed ID

34713733

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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