Tracheostomy in the COVID-19 pandemic #MMPMID32322959
Mattioli F; Fermi M; Ghirelli M; Molteni G; Sgarbi N; Bertellini E; Girardis M; Presutti L; Marudi A
Eur Arch Otorhinolaryngol 2020[Jul]; 277 (7): 2133-2135 PMID32322959show ga
PURPOSE: The role of tracheostomy in COVID-19-related ARDS is unknown. Nowadays, there is no clear indication regarding the timing of tracheostomy in these patients. METHODS: We describe our synergic experience between ENT and ICU Departments at University Hospital of Modena underlining some controversial aspects that would be worth discussing tracheostomies in these patients. During the last 2 weeks, we performed 28 tracheostomies on patients with ARDS due to COVID-19 infection who were treated with IMV. RESULTS: No differences between percutaneous and surgical tracheostomy in terms of timing and no case of team virus infection. CONCLUSION: In our experience, tracheostomy should be performed only in selected patients within 7- and 14-day orotracheal intubation.