Bedside open tracheostomy in COVID-19 patients - a safe and swift approach
Tracheostomy can be performed as an open surgical procedure, percutaneous, or hybrid and forms an important step in the management of patients infected with coronavirus disease 2019 (COVID-19) requiring weaning from mechanical ventilation. The purpose of this article is to share our experience to pe...
Gespeichert in:
Veröffentlicht in: | Medicina oral, patología oral y cirugía bucal patología oral y cirugía bucal, 2024-05, Vol.29 (3), p.e356-e361 |
---|---|
Hauptverfasser: | , , , , , |
Format: | Artikel |
Sprache: | eng |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | e361 |
---|---|
container_issue | 3 |
container_start_page | e356 |
container_title | Medicina oral, patología oral y cirugía bucal |
container_volume | 29 |
creator | Wahid, N-W Deutsch, P Amlani, A Gupta, K-K Griffiths, H Ahmad, I |
description | Tracheostomy can be performed as an open surgical procedure, percutaneous, or hybrid and forms an important step in the management of patients infected with coronavirus disease 2019 (COVID-19) requiring weaning from mechanical ventilation. The purpose of this article is to share our experience to performing bedside surgical tracheostomy in COVID-19 patients in a safe and effective manner, whilst minimising the risk of viral transmission, to optimise patient outcomes and reduce risk to healthcare professionals.
As recommended by ENT UK, we prospectively established a COVID Airway Team within the ENT department at Birmingham Heartlands Hospital, consisting of four head and neck consultant surgeons to perform either open-bedside, open-theatre or percutaneous tracheostomy in COVID-19 patients. A specific stepwise method for bedside open surgical tracheostomy was based on ENT UK and British Laryngological Society recommendations.
Thirty patients underwent tracheostomy during the study period (14 bedside-open, 5 open-theatre, 11 percutaneous). Mean duration of mechanical intubation prior to bedside-open tracheostomy was 14.5 days. The average time for open-bedside tracheostomy was 9 minutes compared to 31 minutes for open-theatre. There were no significant tracheostomy related complications with bedside-open tracheostomy. No healthcare professional involved reported acute COVID-19 infection.
We describe our effective, safe and swift approach to bedside open tracheostomy during the COVID-19 pandemic. Our experience demonstrated a short mean procedural time, with no tracheostomy-related complications and no reported viral transmission amongst the healthcare members involved. |
doi_str_mv | 10.4317/medoral.26326 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11175577</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2892948096</sourcerecordid><originalsourceid>FETCH-LOGICAL-c344t-acd17cc034eef038715a952f555e20de44b25ec8e42c71f62ff4f5c45316dc373</originalsourceid><addsrcrecordid>eNpVUctOwzAQtBCIlsKRK_KRS0r8jk8IyquoUi_A1XKdNQ1K4xCnoP49KS1VOe1KOzs7O4PQOUmHnBF1tYA8NLYcUsmoPEB9InWWSM3l4V7fQycxfqQpU0TJY9RjSmtKOOuj51vIY5EDDjVUuG2sm0OIbViscFHh0fRtfJcQjWvbFlC1ESfY4mg9YFvlOH4XvsW2rpvQ7Z2iI2_LCGfbOkCvD_cvo6dkMn0cj24miWOct4l1OVHOpYwD-JRligirBfVCCKBpDpzPqACXAadOES-p99wLxwUjMndMsQG63vDWy1n3vet0dQaYuikWtlmZYAvzf1IVc_MevgwhRAmh1gyXW4YmfC4htmZRRAdlaSsIy2hopqnmWaplB002UNeEGBvwuzskNesAzDYA8xtAh7_YF7dD_znOfgAOIoLK</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2892948096</pqid></control><display><type>article</type><title>Bedside open tracheostomy in COVID-19 patients - a safe and swift approach</title><source>PubMed Central Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Wahid, N-W ; Deutsch, P ; Amlani, A ; Gupta, K-K ; Griffiths, H ; Ahmad, I</creator><creatorcontrib>Wahid, N-W ; Deutsch, P ; Amlani, A ; Gupta, K-K ; Griffiths, H ; Ahmad, I</creatorcontrib><description>Tracheostomy can be performed as an open surgical procedure, percutaneous, or hybrid and forms an important step in the management of patients infected with coronavirus disease 2019 (COVID-19) requiring weaning from mechanical ventilation. The purpose of this article is to share our experience to performing bedside surgical tracheostomy in COVID-19 patients in a safe and effective manner, whilst minimising the risk of viral transmission, to optimise patient outcomes and reduce risk to healthcare professionals.
As recommended by ENT UK, we prospectively established a COVID Airway Team within the ENT department at Birmingham Heartlands Hospital, consisting of four head and neck consultant surgeons to perform either open-bedside, open-theatre or percutaneous tracheostomy in COVID-19 patients. A specific stepwise method for bedside open surgical tracheostomy was based on ENT UK and British Laryngological Society recommendations.
Thirty patients underwent tracheostomy during the study period (14 bedside-open, 5 open-theatre, 11 percutaneous). Mean duration of mechanical intubation prior to bedside-open tracheostomy was 14.5 days. The average time for open-bedside tracheostomy was 9 minutes compared to 31 minutes for open-theatre. There were no significant tracheostomy related complications with bedside-open tracheostomy. No healthcare professional involved reported acute COVID-19 infection.
We describe our effective, safe and swift approach to bedside open tracheostomy during the COVID-19 pandemic. Our experience demonstrated a short mean procedural time, with no tracheostomy-related complications and no reported viral transmission amongst the healthcare members involved.</description><identifier>ISSN: 1698-6946</identifier><identifier>ISSN: 1698-4447</identifier><identifier>EISSN: 1698-6946</identifier><identifier>DOI: 10.4317/medoral.26326</identifier><identifier>PMID: 37992143</identifier><language>eng</language><publisher>Spain: Medicina Oral S.L</publisher><ispartof>Medicina oral, patología oral y cirugía bucal, 2024-05, Vol.29 (3), p.e356-e361</ispartof><rights>Copyright: © 2024 Medicina Oral S.L. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11175577/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11175577/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37992143$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wahid, N-W</creatorcontrib><creatorcontrib>Deutsch, P</creatorcontrib><creatorcontrib>Amlani, A</creatorcontrib><creatorcontrib>Gupta, K-K</creatorcontrib><creatorcontrib>Griffiths, H</creatorcontrib><creatorcontrib>Ahmad, I</creatorcontrib><title>Bedside open tracheostomy in COVID-19 patients - a safe and swift approach</title><title>Medicina oral, patología oral y cirugía bucal</title><addtitle>Med Oral Patol Oral Cir Bucal</addtitle><description>Tracheostomy can be performed as an open surgical procedure, percutaneous, or hybrid and forms an important step in the management of patients infected with coronavirus disease 2019 (COVID-19) requiring weaning from mechanical ventilation. The purpose of this article is to share our experience to performing bedside surgical tracheostomy in COVID-19 patients in a safe and effective manner, whilst minimising the risk of viral transmission, to optimise patient outcomes and reduce risk to healthcare professionals.
As recommended by ENT UK, we prospectively established a COVID Airway Team within the ENT department at Birmingham Heartlands Hospital, consisting of four head and neck consultant surgeons to perform either open-bedside, open-theatre or percutaneous tracheostomy in COVID-19 patients. A specific stepwise method for bedside open surgical tracheostomy was based on ENT UK and British Laryngological Society recommendations.
Thirty patients underwent tracheostomy during the study period (14 bedside-open, 5 open-theatre, 11 percutaneous). Mean duration of mechanical intubation prior to bedside-open tracheostomy was 14.5 days. The average time for open-bedside tracheostomy was 9 minutes compared to 31 minutes for open-theatre. There were no significant tracheostomy related complications with bedside-open tracheostomy. No healthcare professional involved reported acute COVID-19 infection.
We describe our effective, safe and swift approach to bedside open tracheostomy during the COVID-19 pandemic. Our experience demonstrated a short mean procedural time, with no tracheostomy-related complications and no reported viral transmission amongst the healthcare members involved.</description><issn>1698-6946</issn><issn>1698-4447</issn><issn>1698-6946</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNpVUctOwzAQtBCIlsKRK_KRS0r8jk8IyquoUi_A1XKdNQ1K4xCnoP49KS1VOe1KOzs7O4PQOUmHnBF1tYA8NLYcUsmoPEB9InWWSM3l4V7fQycxfqQpU0TJY9RjSmtKOOuj51vIY5EDDjVUuG2sm0OIbViscFHh0fRtfJcQjWvbFlC1ESfY4mg9YFvlOH4XvsW2rpvQ7Z2iI2_LCGfbOkCvD_cvo6dkMn0cj24miWOct4l1OVHOpYwD-JRligirBfVCCKBpDpzPqACXAadOES-p99wLxwUjMndMsQG63vDWy1n3vet0dQaYuikWtlmZYAvzf1IVc_MevgwhRAmh1gyXW4YmfC4htmZRRAdlaSsIy2hopqnmWaplB002UNeEGBvwuzskNesAzDYA8xtAh7_YF7dD_znOfgAOIoLK</recordid><startdate>20240501</startdate><enddate>20240501</enddate><creator>Wahid, N-W</creator><creator>Deutsch, P</creator><creator>Amlani, A</creator><creator>Gupta, K-K</creator><creator>Griffiths, H</creator><creator>Ahmad, I</creator><general>Medicina Oral S.L</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240501</creationdate><title>Bedside open tracheostomy in COVID-19 patients - a safe and swift approach</title><author>Wahid, N-W ; Deutsch, P ; Amlani, A ; Gupta, K-K ; Griffiths, H ; Ahmad, I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-acd17cc034eef038715a952f555e20de44b25ec8e42c71f62ff4f5c45316dc373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wahid, N-W</creatorcontrib><creatorcontrib>Deutsch, P</creatorcontrib><creatorcontrib>Amlani, A</creatorcontrib><creatorcontrib>Gupta, K-K</creatorcontrib><creatorcontrib>Griffiths, H</creatorcontrib><creatorcontrib>Ahmad, I</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicina oral, patología oral y cirugía bucal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wahid, N-W</au><au>Deutsch, P</au><au>Amlani, A</au><au>Gupta, K-K</au><au>Griffiths, H</au><au>Ahmad, I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bedside open tracheostomy in COVID-19 patients - a safe and swift approach</atitle><jtitle>Medicina oral, patología oral y cirugía bucal</jtitle><addtitle>Med Oral Patol Oral Cir Bucal</addtitle><date>2024-05-01</date><risdate>2024</risdate><volume>29</volume><issue>3</issue><spage>e356</spage><epage>e361</epage><pages>e356-e361</pages><issn>1698-6946</issn><issn>1698-4447</issn><eissn>1698-6946</eissn><abstract>Tracheostomy can be performed as an open surgical procedure, percutaneous, or hybrid and forms an important step in the management of patients infected with coronavirus disease 2019 (COVID-19) requiring weaning from mechanical ventilation. The purpose of this article is to share our experience to performing bedside surgical tracheostomy in COVID-19 patients in a safe and effective manner, whilst minimising the risk of viral transmission, to optimise patient outcomes and reduce risk to healthcare professionals.
As recommended by ENT UK, we prospectively established a COVID Airway Team within the ENT department at Birmingham Heartlands Hospital, consisting of four head and neck consultant surgeons to perform either open-bedside, open-theatre or percutaneous tracheostomy in COVID-19 patients. A specific stepwise method for bedside open surgical tracheostomy was based on ENT UK and British Laryngological Society recommendations.
Thirty patients underwent tracheostomy during the study period (14 bedside-open, 5 open-theatre, 11 percutaneous). Mean duration of mechanical intubation prior to bedside-open tracheostomy was 14.5 days. The average time for open-bedside tracheostomy was 9 minutes compared to 31 minutes for open-theatre. There were no significant tracheostomy related complications with bedside-open tracheostomy. No healthcare professional involved reported acute COVID-19 infection.
We describe our effective, safe and swift approach to bedside open tracheostomy during the COVID-19 pandemic. Our experience demonstrated a short mean procedural time, with no tracheostomy-related complications and no reported viral transmission amongst the healthcare members involved.</abstract><cop>Spain</cop><pub>Medicina Oral S.L</pub><pmid>37992143</pmid><doi>10.4317/medoral.26326</doi><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1698-6946 |
ispartof | Medicina oral, patología oral y cirugía bucal, 2024-05, Vol.29 (3), p.e356-e361 |
issn | 1698-6946 1698-4447 1698-6946 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11175577 |
source | PubMed Central Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central |
title | Bedside open tracheostomy in COVID-19 patients - a safe and swift approach |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T00%3A09%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Bedside%20open%20tracheostomy%20in%20COVID-19%20patients%20-%20a%20safe%20and%20swift%20approach&rft.jtitle=Medicina%20oral,%20patolog%C3%ADa%20oral%20y%20cirug%C3%ADa%20bucal&rft.au=Wahid,%20N-W&rft.date=2024-05-01&rft.volume=29&rft.issue=3&rft.spage=e356&rft.epage=e361&rft.pages=e356-e361&rft.issn=1698-6946&rft.eissn=1698-6946&rft_id=info:doi/10.4317/medoral.26326&rft_dat=%3Cproquest_pubme%3E2892948096%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2892948096&rft_id=info:pmid/37992143&rfr_iscdi=true |