Tips and Pearls for Tracheostomy during the Covid-19 Pandemic.
Darwin KaushalShilpa GoyalNithin Prakasan NairKapil SoniBikram ChoudhuryMeena KumariSwati ChhabraAmit GoyalPublished in: International archives of otorhinolaryngology (2021)
The number of critically-ill coronavirus disease 2019 (Covid-19) patients requiring mechanical ventilation is on the rise. Most guidelines suggest keeping the patient intubated and delay elective tracheostomy. Although the current literature does not support early tracheostomy, the number of patients undergoing it is increasing. During the pandemic, it is important that surgeons and anesthesiologists know the different aspects of tracheostomy in terms of indication, procedure, tube care and complications. A literature search was performed to identify different guidelines and available evidence on tracheostomy in Covid-19 patients. The purpose of the present article is to generate an essential scientific evidence for life-saving tracheostomy procedures.
Keyphrases
- mechanical ventilation
- acute respiratory distress syndrome
- intensive care unit
- coronavirus disease
- patients undergoing
- sars cov
- respiratory failure
- systematic review
- healthcare
- extracorporeal membrane oxygenation
- clinical practice
- quality improvement
- minimally invasive
- risk factors
- respiratory syndrome coronavirus