Τίτλος:
Timing of Tracheotomy in Intubated Patients With COVID-19
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Timing of elective tracheotomy in the intensive care unit for intubated patients with COVID-19 is still unclear. Recent recommendations and guidelines describe the surgical steps to achieve maximum protection of the involved medical staff and propose a delay of the procedure, so the viral load is decreased. Most authors of these recommendations agree that tracheotomy should be performed after at least 14 days from intubation, but data on this subject are still lacking. We discuss the issue of timing for such a procedure in regard to viral load and propose that the decision should be predominately based on its calculation. © American Academy of Otolaryngology–Head and Neck Surgery Foundation 2020.
Συγγραφείς:
Delides, A.
Maragoudakis, P.
Nikolopoulos, T.
Περιοδικό:
Otolaryngology - Head and Neck Surgery (United States)
Εκδότης:
SAGE Publications Inc.
Λέξεις-κλειδιά:
aerosol; Article; coronavirus disease 2019; elective surgery; endotracheal intubation; hospitalization; human; intensive care unit; length of stay; nursing; pandemic; practice guideline; reverse transcription polymerase chain reaction; throat culture; tracheal aspiration procedure; tracheostomy; tracheotomy; viral contamination; virus load; virus particle; virus transmission; artificial ventilation; Betacoronavirus; Coronavirus infection; elective surgery; endotracheal intubation; isolation and purification; time factor; virology; virus load; virus pneumonia, Betacoronavirus; Coronavirus Infections; Elective Surgical Procedures; Humans; Intensive Care Units; Intubation, Intratracheal; Pandemics; Pneumonia, Viral; Respiration, Artificial; Time Factors; Tracheotomy; Viral Load
DOI:
10.1177/0194599820930668
