THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19
Objective: Significant numbers of COVID-19 patients require invasive mechanical ventilation support during their treatment. Prolonged mechanical ventilation causes a tracheotomy need in some of those patients. The study aimed to assess the possible benefits of tracheotomy in patients with COVID-19 a...
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| Format: | Article |
| Language: | English |
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Istanbul University Press
2021-07-01
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| Series: | İstanbul Tıp Fakültesi Dergisi |
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| Online Access: | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/E41B02406DBB4CA0AC1D65E113256CC4 |
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| author | Levent Aydemir Hakan Kara Cömert Şen Kadir Serkan Orhan Meryem Nesil Keleş Türel |
| author_facet | Levent Aydemir Hakan Kara Cömert Şen Kadir Serkan Orhan Meryem Nesil Keleş Türel |
| author_sort | Levent Aydemir |
| collection | DOAJ |
| description | Objective: Significant numbers of COVID-19 patients require invasive mechanical ventilation support during their treatment. Prolonged mechanical ventilation causes a tracheotomy need in some of those patients. The study aimed to assess the possible benefits of tracheotomy in patients with COVID-19 and its effect on clinical outcomes. Material and Method: Six patients with COVID-19 who underwent an open tracheotomy in our institution were retrospectively reviewed. Its effect on the prognosis, the effectiveness of the safety precautions, and personnel protective equipment (PPE) utilization during the tracheotomy procedures was evaluated. Results: Mean intubation period before a tracheotomy was 21 days (range,14-28). All patients were male with a mean age of 62. Five of them died postoperatively. One patient was discharged and decannulated. None of the airway team members were infected after the procedures. Conclusion: Tracheotomy in COVID-19 patients is a safe procedure when appropriate PPE measures are taken. Our data do not support the contribution of tracheotomy to accelerating ventilator weaning in patients with COVID-19. |
| format | Article |
| id | doaj-art-8bf6b70643d342dd86a42505ced266fb |
| institution | DOAJ |
| issn | 1305-6441 |
| language | English |
| publishDate | 2021-07-01 |
| publisher | Istanbul University Press |
| record_format | Article |
| series | İstanbul Tıp Fakültesi Dergisi |
| spelling | doaj-art-8bf6b70643d342dd86a42505ced266fb2025-08-20T02:57:43ZengIstanbul University Pressİstanbul Tıp Fakültesi Dergisi1305-64412021-07-0184330731010.26650/IUITFD.2021.808960123456THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19Levent Aydemir0https://orcid.org/0000-0002-5836-4304Hakan Kara1https://orcid.org/0000-0003-3079-6866Cömert Şen2https://orcid.org/0000-0002-5101-8599Kadir Serkan Orhan3https://orcid.org/0000-0002-5125-2035Meryem Nesil Keleş Türel4https://orcid.org/0000-0003-1829-8186İstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, TürkiyeObjective: Significant numbers of COVID-19 patients require invasive mechanical ventilation support during their treatment. Prolonged mechanical ventilation causes a tracheotomy need in some of those patients. The study aimed to assess the possible benefits of tracheotomy in patients with COVID-19 and its effect on clinical outcomes. Material and Method: Six patients with COVID-19 who underwent an open tracheotomy in our institution were retrospectively reviewed. Its effect on the prognosis, the effectiveness of the safety precautions, and personnel protective equipment (PPE) utilization during the tracheotomy procedures was evaluated. Results: Mean intubation period before a tracheotomy was 21 days (range,14-28). All patients were male with a mean age of 62. Five of them died postoperatively. One patient was discharged and decannulated. None of the airway team members were infected after the procedures. Conclusion: Tracheotomy in COVID-19 patients is a safe procedure when appropriate PPE measures are taken. Our data do not support the contribution of tracheotomy to accelerating ventilator weaning in patients with COVID-19.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/E41B02406DBB4CA0AC1D65E113256CC4covid-19tracheotomymechanical ventilation |
| spellingShingle | Levent Aydemir Hakan Kara Cömert Şen Kadir Serkan Orhan Meryem Nesil Keleş Türel THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19 İstanbul Tıp Fakültesi Dergisi covid-19 tracheotomy mechanical ventilation |
| title | THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19 |
| title_full | THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19 |
| title_fullStr | THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19 |
| title_full_unstemmed | THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19 |
| title_short | THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19 |
| title_sort | role of tracheotomy in weaning from mechanical ventilation in patients with covid 19 |
| topic | covid-19 tracheotomy mechanical ventilation |
| url | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/E41B02406DBB4CA0AC1D65E113256CC4 |
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