Timing of tracheostomy on COVID-19 patients and its impact: Our experiences at a tertiary care teaching hospital
Background: In the current coronavirus disease 2019 (COVID-19) pandemic, tracheostomy is an important surgical procedure on COVID-19 patients at the intensive care unit undergoing prolonged endotracheal intubation. The timing and outcome of tracheostomy in COVID-19 patients with ventilator are still...
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SAGE Publishing
2021-01-01
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| Series: | Apollo Medicine |
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| Online Access: | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2021;volume=18;issue=4;spage=239;epage=242;aulast=Swain |
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| author | Santosh Kumar Swain Swaha Panda |
| author_facet | Santosh Kumar Swain Swaha Panda |
| author_sort | Santosh Kumar Swain |
| collection | DOAJ |
| description | Background: In the current coronavirus disease 2019 (COVID-19) pandemic, tracheostomy is an important surgical procedure on COVID-19 patients at the intensive care unit undergoing prolonged endotracheal intubation. The timing and outcome of tracheostomy in COVID-19 patients with ventilator are still controversial. Objective: The objective of this study was to evaluate the timing and outcome of tracheostomy in the airway management of patients with COVID-19 requiring mechanical ventilation. Materials and Methods: This is a retrospective study where 92 patients enrolled in this study and all were with positive reverse transcriptase–polymerase chain reaction which confirmed COVID-19 infection and requiring mechanical ventilation at a single tertiary care teaching hospital from May 2020 to June 2021. Results: Participants included 92 patients who underwent tracheostomy, 62 males and 30 females with a male-to-female ratio of 2.06:1. The age range of the participants was 18–68 years, with a mean age of 54.2 years. The mean time from onset of the symptoms to intubation was 9.46 days; the day of onset of intubation to day of tracheostomy was 18.34 days. Conclusion: The requirement of tracheostomy in COVID-19 is increasing. The tracheostomy should be performed in appropriate time with safe technique for benefit of the patients,particularly for avoiding transmission of infections to health-care workers. |
| format | Article |
| id | doaj-art-d100436cb1534ddb83f6bfee2d25b685 |
| institution | Kabale University |
| issn | 0976-0016 2213-3682 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Apollo Medicine |
| spelling | doaj-art-d100436cb1534ddb83f6bfee2d25b6852025-01-02T00:22:36ZengSAGE PublishingApollo Medicine0976-00162213-36822021-01-0118423924210.4103/am.am_71_21Timing of tracheostomy on COVID-19 patients and its impact: Our experiences at a tertiary care teaching hospitalSantosh Kumar SwainSwaha PandaBackground: In the current coronavirus disease 2019 (COVID-19) pandemic, tracheostomy is an important surgical procedure on COVID-19 patients at the intensive care unit undergoing prolonged endotracheal intubation. The timing and outcome of tracheostomy in COVID-19 patients with ventilator are still controversial. Objective: The objective of this study was to evaluate the timing and outcome of tracheostomy in the airway management of patients with COVID-19 requiring mechanical ventilation. Materials and Methods: This is a retrospective study where 92 patients enrolled in this study and all were with positive reverse transcriptase–polymerase chain reaction which confirmed COVID-19 infection and requiring mechanical ventilation at a single tertiary care teaching hospital from May 2020 to June 2021. Results: Participants included 92 patients who underwent tracheostomy, 62 males and 30 females with a male-to-female ratio of 2.06:1. The age range of the participants was 18–68 years, with a mean age of 54.2 years. The mean time from onset of the symptoms to intubation was 9.46 days; the day of onset of intubation to day of tracheostomy was 18.34 days. Conclusion: The requirement of tracheostomy in COVID-19 is increasing. The tracheostomy should be performed in appropriate time with safe technique for benefit of the patients,particularly for avoiding transmission of infections to health-care workers.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2021;volume=18;issue=4;spage=239;epage=242;aulast=Swaincovid-19 pandemicmechanical ventilationsars-cov-2timing of tracheostomy |
| spellingShingle | Santosh Kumar Swain Swaha Panda Timing of tracheostomy on COVID-19 patients and its impact: Our experiences at a tertiary care teaching hospital Apollo Medicine covid-19 pandemic mechanical ventilation sars-cov-2 timing of tracheostomy |
| title | Timing of tracheostomy on COVID-19 patients and its impact: Our experiences at a tertiary care teaching hospital |
| title_full | Timing of tracheostomy on COVID-19 patients and its impact: Our experiences at a tertiary care teaching hospital |
| title_fullStr | Timing of tracheostomy on COVID-19 patients and its impact: Our experiences at a tertiary care teaching hospital |
| title_full_unstemmed | Timing of tracheostomy on COVID-19 patients and its impact: Our experiences at a tertiary care teaching hospital |
| title_short | Timing of tracheostomy on COVID-19 patients and its impact: Our experiences at a tertiary care teaching hospital |
| title_sort | timing of tracheostomy on covid 19 patients and its impact our experiences at a tertiary care teaching hospital |
| topic | covid-19 pandemic mechanical ventilation sars-cov-2 timing of tracheostomy |
| url | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2021;volume=18;issue=4;spage=239;epage=242;aulast=Swain |
| work_keys_str_mv | AT santoshkumarswain timingoftracheostomyoncovid19patientsanditsimpactourexperiencesatatertiarycareteachinghospital AT swahapanda timingoftracheostomyoncovid19patientsanditsimpactourexperiencesatatertiarycareteachinghospital |