About: Indications and timing for tracheostomy in patients with SARS CoV2-related

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Indications and timing for tracheostomy in patients with SARS CoV2-related
Creator	Baratto, Fabio Campolieti, Giovanni Cristalli, Giovanni Ferri, Emanuele Pedruzzi, Barbara Boscolo, Francesca Clemente, Di Scotto, Francesco
Source	Medline; PMC
abstract	BACKGROUND: The indications and timing for tracheostomy in patients with SARS CoV2-related are controversial. PURPOSE: In a recent issue published in the European Archives of Otorhinolaryngology, Mattioli et al. published a short communication about tracheostomy timing in patients with COVID-19 (Coronavirus Disease 2019); they reported that the tracheostomy could allow early Intensive Care Units discharge and, in the context of prolonged Invasive Mechanical Ventilation, should be suggested within 7 and 14 days to avoid potential tracheal damages. In this Letter to the Editor we would like to present our experience with tracheostomy in a Hub Covid Hospital. METHODS: 8 patients underwent open tracheostomy in case of intubation prolonged over 14 days, bronchopulmonary overlap infections, and patients undergoing weaning. They were followed up and the number and timing of death were recorded. RESULTS: Two patients died after tracheostomy; the median time between tracheostomy and death was 3 days. A negative prognostic trend was observed for a shorter duration of intubation. CONCLUSION: In our experience, tracheostomy does not seem to influence the clinical course and prognosis of the disease, in the face of possible risks of contagion for healthcare workers. The indication for tracheostomy in COVID-19 patients should be carefully evaluated and reserved for selected patients. Although it is not possible to define an optimal timing, it is our opinion that tracheostomy in a stable or clinically improved COVID-19 patient should not be proposed before the 20th day after orotracheal intubation.
has issue date	2020-05-26(xsd:dateTime)
bibo:doi	10.1007/s00405-020-06068-7
bibo:pmid	32458121
has license	no-cc
sha1sum (hex)	9d6f235c7fa81fe55c304622e2ba5b8e3f81240e
schema:url	https://doi.org/10.1007/s00405-020-06068-7
resource representing a document's title	Indications and timing for tracheostomy in patients with SARS CoV2-related
has PubMed Central identifier	PMC7250256
has PubMed identifier	32458121
schema:publication	Eur Arch Otorhinolaryngol
resource representing a document's body	covid:9d6f235c7fa81fe55c304622e2ba5b8e3f81240e#body_text
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