Journal of Istanbul Faculty of Medicine

SUBMITINFORMATION
EnglishTürkçe

Research Article


DOI :10.26650/IUITFD.2021.808960   IUP :10.26650/IUITFD.2021.808960    Full Text (PDF)

THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19

Levent Aydemir, Hakan Kara, Cömert Şen, Kadir Serkan Orhan, Meryem Nesil Keleş Türel

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.

Keywords: COVID-19, Tracheotomy, Mechanical ventilation
DOI :10.26650/IUITFD.2021.808960   IUP :10.26650/IUITFD.2021.808960    Full Text (PDF)

COVID-19 HASTALARINDA MEKANİK VENTİLASYONDAN AYRILMADA TRAKEOTOMİNİN ROLÜ

Levent Aydemir, Hakan Kara, Cömert Şen, Kadir Serkan Orhan, Meryem Nesil Keleş Türel

Amaç: COVID-19 hastalarının önemli bir kısmına, tedavileri sırasında invaziv mekanik ventilasyon desteği gerekir. Uzun süreli mekanik ventilasyon, bu hastaların bazılarında trakeotomi ihtiyacını ortaya çıkarır. Çalışmada, COVID-19 hastalarında trakeotominin olası faydalarını ve klinik sonuçlar üzerindeki etkisinin değerlendirilmesi amaçlandı. Gereç ve Yöntem: Kurumumuzda açık trakeotomi yapılan altı adet COVID-19 hastası retrospektif olarak incelendi. Trakeotomi işlemleri sırasında güvenlik önlemlerinin etkinliği, kişisel koruyucu ekipman (KKE) kullanımı ve işlemin prognoza etkisi değerlendirildi. Bulgular: Trakeotomi öncesi ortalama entübasyon süresi 21 gündü (aralık, 14-28). Tüm hastalar erkekti ve ortalama yaş 62’ydi. Hastaların beşi ameliyat sonrası dönemde öldü. Bir hasta taburcu edildi ve dekanüle edildi. İşlemlerden sonra havayolu ekibinin hiçbir üyesi enfekte olmadı. Sonuç: COVID-19 hastalarında trakeotomi, uygun KKE önlemleri alındığında güvenli bir işlemdir. Verilerimiz, COVID-19’lu hastalarda trakeotominin hastaları mekanik ventilatörden ayırmayı kolaylaştırdığını desteklemedi. 

Keywords: COVID-19, Trakeotomi, Mekanik ventilasyon

PDF View

References

  • 1. Michetti CP, Burlew CC, Bulger EM, Davis KA, Spain DA. Performing tracheostomy during the Covid-19 pandemic: guidance and recommendations from the Critical Care and Acute Care Surgery Committees of the American Association for the Surgery of Trauma. Trauma Surg Acute Care Open 2020;5:e000482. [CrossRef] google scholar
  • 2. Mattioli F, Fermi M, Ghirelli M, Molteni G, Sgarbi N, Bertellini E, et al. Tracheostomy in the COVID-19 pandemic. Eur Arch Otorhinolaryngol 2020;277:2133-35. [CrossRef] google scholar
  • 3. Broderick D, Kyzas P, Baldwin AJ, Graham RM, Duncan T, Chaintoutis C, et al. Surgical tracheostomies in COVID-19 patients: A multidisciplinary approach and lessons learned. Oral Oncol 2020;106:104767. [CrossRef] google scholar
  • 4. World Health Organization. Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations. https://www.who.int/publications-detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations. Accessed 23 May 2020 google scholar
  • 5. Vukkadala N, Qian ZJ, Holsinger FC, Patel ZM, Rosenthal E. COVID-19 and the otolaryngologist - preliminary evidence-based review. Laryngoscope 2020;130(11):2537-43. [CrossRef] google scholar
  • 6. Tay JK, Khoo ML-C, Loh WS. Surgical Considerations for Tracheostomy During the COVID-19 Pandemic: Lessons Learned From the Severe Acute Respiratory Syndrome Outbreak. JAMA Otolaryngol Head Neck Surg 2020;146(6):517-8. [CrossRef] google scholar
  • 7. Harrison L, Ramsden J, Winter S, Rocke J HE. Tracheostomy guidance during the COVID-19 Pandemic. ENT UK. https:// www.entuk.org/tracheostomy-guidance-during- covid-19-pandemic. Published 2020. Accessed 22 March 2020. google scholar
  • 8. Canadian Society of Otolaryngology-Head and Neck Surgery. Recommendations from the CSO-HNS Taskforce on Performance of Tracheotomy During the COVID-19 Pandemic. https://www.entcanada. org/wp-content/ upload. Accessed 2 April 2020. google scholar
  • 9. Orhan KS, Keles MN, Aydemir L, Sen C. COVID Hastalarında Trakeotomi-Öneriler ve Uygulama Videosu. https://www. kbb.org.tr/haber/covd-hastalarinda-trakeotomi-oneriler-veuygu-9317. Accessed 20 May 2020. google scholar
  • 10. Cui C, Yao Q, Zhang D, Zhao Y, Zhang K, Nisenbaum E, et al. Approaching Otolaryngology Patients During the COVID-19 Pandemic. Otolaryngol Head Neck Surg 2020;163(1):121-13. [CrossRef] google scholar
  • 11. Turri-Zanoni M, Battaglia P, Czaczkes C, Pelosi P, Castelnuovo P, Cabrini L. Elective Tracheostomy During Mechanical Ventilation in Patients Affected by COVID-19: Preliminary Case Series From Lombardy, Italy. Otolaryngol Head Neck Surg 2020;163(1):135-7. [CrossRef] google scholar
  • 12. Rosenthal VD, Maki DG, Jamulitrat S, Medeiros EA, Todi SK, Gomez DY, et al. International Nosocomial Infection Control Consortium (INICC) report, data summary for 20032008. Am J Infect Control 2010;38(2):95-104. [CrossRef] google scholar

Citations

Copy and paste a formatted citation or use one of the options to export in your chosen format


EXPORT



APA

Aydemir, L., Kara, H., Şen, C., Orhan, K.S., & Keleş Türel, M.N. (2021). THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19. Journal of Istanbul Faculty of Medicine, 84(3), 307-310. https://doi.org/10.26650/IUITFD.2021.808960


AMA

Aydemir L, Kara H, Şen C, Orhan K S, Keleş Türel M N. THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19. Journal of Istanbul Faculty of Medicine. 2021;84(3):307-310. https://doi.org/10.26650/IUITFD.2021.808960


ABNT

Aydemir, L.; Kara, H.; Şen, C.; Orhan, K.S.; Keleş Türel, M.N. THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 84, n. 3, p. 307-310, 2021.


Chicago: Author-Date Style

Aydemir, Levent, and Hakan Kara and Cömert Şen and Kadir Serkan Orhan and Meryem Nesil Keleş Türel. 2021. “THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19.” Journal of Istanbul Faculty of Medicine 84, no. 3: 307-310. https://doi.org/10.26650/IUITFD.2021.808960


Chicago: Humanities Style

Aydemir, Levent, and Hakan Kara and Cömert Şen and Kadir Serkan Orhan and Meryem Nesil Keleş Türel. “THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19.” Journal of Istanbul Faculty of Medicine 84, no. 3 (Nov. 2024): 307-310. https://doi.org/10.26650/IUITFD.2021.808960


Harvard: Australian Style

Aydemir, L & Kara, H & Şen, C & Orhan, KS & Keleş Türel, MN 2021, 'THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19', Journal of Istanbul Faculty of Medicine, vol. 84, no. 3, pp. 307-310, viewed 23 Nov. 2024, https://doi.org/10.26650/IUITFD.2021.808960


Harvard: Author-Date Style

Aydemir, L. and Kara, H. and Şen, C. and Orhan, K.S. and Keleş Türel, M.N. (2021) ‘THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19’, Journal of Istanbul Faculty of Medicine, 84(3), pp. 307-310. https://doi.org/10.26650/IUITFD.2021.808960 (23 Nov. 2024).


MLA

Aydemir, Levent, and Hakan Kara and Cömert Şen and Kadir Serkan Orhan and Meryem Nesil Keleş Türel. “THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19.” Journal of Istanbul Faculty of Medicine, vol. 84, no. 3, 2021, pp. 307-310. [Database Container], https://doi.org/10.26650/IUITFD.2021.808960


Vancouver

Aydemir L, Kara H, Şen C, Orhan KS, Keleş Türel MN. THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19. Journal of Istanbul Faculty of Medicine [Internet]. 23 Nov. 2024 [cited 23 Nov. 2024];84(3):307-310. Available from: https://doi.org/10.26650/IUITFD.2021.808960 doi: 10.26650/IUITFD.2021.808960


ISNAD

Aydemir, Levent - Kara, Hakan - Şen, Cömert - Orhan, KadirSerkan - Keleş Türel, MeryemNesil. “THE ROLE OF TRACHEOTOMY IN WEANING FROM MECHANICAL VENTILATION IN PATIENTS WITH COVID-19”. Journal of Istanbul Faculty of Medicine 84/3 (Nov. 2024): 307-310. https://doi.org/10.26650/IUITFD.2021.808960



TIMELINE


Submitted11.10.2020
Accepted29.03.2021
Published Online07.07.2021

LICENCE


Attribution-NonCommercial (CC BY-NC)

This license lets others remix, tweak, and build upon your work non-commercially, and although their new works must also acknowledge you and be non-commercial, they don’t have to license their derivative works on the same terms.


SHARE




Istanbul University Press aims to contribute to the dissemination of ever growing scientific knowledge through publication of high quality scientific journals and books in accordance with the international publishing standards and ethics. Istanbul University Press follows an open access, non-commercial, scholarly publishing.