About: Novel Percutaneous Tracheostomy for Critically Ill Patients with COVID-19

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Novel Percutaneous Tracheostomy for Critically Ill Patients with COVID-19
Creator	Angel, Luis Cerfolio, Robert Chang, Stephanie Goldenberg, Ronald Kon, Zachary Smith, Deane Amoroso, Nancy Mitzman, Brian Np, Kimberly Palasamudram Shekar, Saketh Rafeq, Samaan Shekar, Palasamudram Smith Md, Deane Sureau, Kimberly
Source	Elsevier; Medline; PMC
abstract	Abstract Background COVID-19 is a worldwide pandemic, with many patients requiring prolonged mechanical ventilation. Tracheostomy is not recommended by current guidelines as it is considered a super-spreading event due to aerosolization that unduly risks healthcare workers. Methods Patients with severe COVID-19 that were on mechanical ventilation ≥ 5 days were evaluated for percutaneous dilational tracheostomy. We developed a novel percutaneous tracheostomy technique that placed the bronchoscope alongside the endotracheal tube, not inside it. This improved visualization during the procedure and continued standard mechanical ventilation after positioning the inflated endotracheal tube cuff in the distal trachea. This technique offers a significant mitigation for the risk of virus aerosolization during the procedure. Results From March 10 to April 15, 2020, 270 patients with COVID-19 required invasive mechanical ventilation at New York University Langone Health Manhattan’s campus of which 98 patients underwent percutaneous dilational tracheostomy. The mean time from intubation to the procedure was 10.6 days (SD ±5 days). Currently, thirty-two (33%) patients do not require mechanical ventilatory support, 19 (19%) have their tracheostomy tube downsized and 8 (8%) were decannulated. Forty (41%) patients remain on full ventilator support, while 19 (19%) are weaning from mechanical ventilation. Seven (7%) died as result of respiratory and multiorgan failure. Tracheostomy related bleeding was the most common complication (5 patients). None of health care providers have developed symptoms or tested positive for COVID-19. Conclusions Our percutaneous tracheostomy technique appears to be safe and effective for COVID-19 patients and safe for healthcare workers.
has issue date	2020-04-25(xsd:dateTime)
bibo:doi	10.1016/j.athoracsur.2020.04.010
bibo:pmid	32339508
has license	els-covid
sha1sum (hex)	36ea71f8435bdaa8bdd7dabe5f731127fe72bdcb
schema:url	https://doi.org/10.1016/j.athoracsur.2020.04.010
resource representing a document's title	Novel Percutaneous Tracheostomy for Critically Ill Patients with COVID-19
has PubMed Central identifier	PMC7182508
has PubMed identifier	32339508
schema:publication	Ann Thorac Surg
resource representing a document's body	covid:36ea71f8435bdaa8bdd7dabe5f731127fe72bdcb#body_text
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