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10.1016/j.athoracsur.2020.04.010 http://scihub22266oqcxt.onion/10.1016/j.athoracsur.2020.04.010 32339508!7182508!32339508     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=32339508&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Ann+Thorac+Surg 2020 ; 110 (3): 1006-1011 Nephropedia Template TP {{tp|p=32339508|t=2020. Novel Percutaneous Tracheostomy for Critically Ill Patients With COVID-19 |pdf=|usr=}}{{32339508}} gab.com Text Novel Percutaneous Tracheostomy for Critically Ill Patients With COVID-19 JO: Ann Thorac Surg http://www.kidney.de/pget.php?&tw=1&pmid=32339508 #FOAvip BACKGROUND: Coronavirus 2019 (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 superspreading event owing to aerosolization that unduly risks health care workers. METHODS: Patients with severe COVID-19 who were on mechanical ventilation for 5 days or longer were evaluated for percutaneous dilational tracheostomy. We developed a novel percutaneous tracheostomy technique that placed the bronchoscope alongside the endotracheal tube, not inside it. That 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 those, 98 patients underwent percutaneous dilational tracheostomy. The mean time from intubation to the procedure was 10.6 +/- 5 days. Currently, 32 patients (33%) do not require mechanical ventilatory support, 19 (19%) have their tracheostomy tube downsized, and 8 (8%) were decannulated. Forty patients (41%) remain on full ventilator support, and 19 (19%) are weaning from mechanical ventilation. Seven patients (7%) died as a result of respiratory and multiorgan failure. Tracheostomy-related bleeding was the most common complication (5 patients). None of health care providers has had 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 health care workers. Twit Text FOAVip Novel Percutaneous Tracheostomy for Critically Ill Patients With COVID-19 ????Ann Thorac Surg http://www.kidney.de/pget.php?&tw=1&pmid=32339508 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32339508 #FOAvip English Wikipedia <ref>{{Cite pmid|32339508}}</ref> Novel Percutaneous Tracheostomy for Critically Ill Patients With COVID-19 #MMPMID32339508 Angel L; Kon ZN; Chang SH; Rafeq S; Palasamudram Shekar S; Mitzman B; Amoroso N; Goldenberg R; Sureau K; Smith DE; Cerfolio RJ Ann Thorac Surg 2020[Sep]; 110 (3): 1006-1011 PMID32339508show ga BACKGROUND: Coronavirus 2019 (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 superspreading event owing to aerosolization that unduly risks health care workers. METHODS: Patients with severe COVID-19 who were on mechanical ventilation for 5 days or longer were evaluated for percutaneous dilational tracheostomy. We developed a novel percutaneous tracheostomy technique that placed the bronchoscope alongside the endotracheal tube, not inside it. That 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 those, 98 patients underwent percutaneous dilational tracheostomy. The mean time from intubation to the procedure was 10.6 +/- 5 days. Currently, 32 patients (33%) do not require mechanical ventilatory support, 19 (19%) have their tracheostomy tube downsized, and 8 (8%) were decannulated. Forty patients (41%) remain on full ventilator support, and 19 (19%) are weaning from mechanical ventilation. Seven patients (7%) died as a result of respiratory and multiorgan failure. Tracheostomy-related bleeding was the most common complication (5 patients). None of health care providers has had 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 health care workers. |*Betacoronavirus[MESH] |*Pandemics[MESH] |COVID-19[MESH] |Coronavirus Infections/*epidemiology[MESH] |Critical Illness/*therapy[MESH] |Female[MESH] |Humans[MESH] |Male[MESH] |Middle Aged[MESH] |Pneumonia, Viral/*epidemiology[MESH] |Respiration, Artificial/*methods[MESH] |SARS-CoV-2[MESH] |Time Factors[MESH] |Tracheostomy/*methods[MESH]Novel Percutaneous Tracheostomy for Critically Ill Patients With COVID(epmc).pdf DeepDyve Pubget Overpricing