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10.1007/s00405-020-06187-1 http://scihub22266oqcxt.onion/10.1007/s00405-020-06187-1 32740720!7395208!32740720     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=32740720&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 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Eur+Arch+Otorhinolaryngol 2021 ; 278 (5): 1595-1604 Nephropedia Template TP {{tp|p=32740720|t=2021. Tracheostomy, ventilatory wean, and decannulation in COVID-19 patients |pdf=|usr=}}{{32740720}} gab.com Text Tracheostomy, ventilatory wean, and decannulation in COVID-19 patients JO: Eur Arch Otorhinolaryngol http://www.kidney.de/pget.php?&tw=1&pmid=32740720 #FOAvip PURPOSE: COVID-19 patients requiring mechanical ventilation can overwhelm existing bed capacity. We aimed to better understand the factors that influence the trajectory of tracheostomy care in this population to facilitate capacity planning and improve outcomes. METHODS: We conducted an observational cohort study of patients in a high-volume centre in the worst-affected region of the UK including all patients that underwent tracheostomy for COVID-19 pneumonitis ventilatory wean from 1st March 2020 to 10th May 2020. The primary outcome was time from insertion to decannulation. The analysis utilised Cox regression to account for patients that are still progressing through their tracheostomy pathway. RESULTS: At the point of analysis, a median 21 days (IQR 15-28) post-tracheostomy and 39 days (IQR 32-45) post-intubation, 35/69 (57.4%) patients had been decannulated a median of 17 days (IQR 12-20.5) post-insertion. The overall median age was 55 (IQR 48-61) with a male-to-female ratio of 2:1. In Cox regression analysis, FiO(2) at tracheostomy >/= 0.4 (HR 1.80; 95% CI 0.89-3.60; p = 0.048) and last pre-tracheostomy peak cough flow (HR 2.27; 95% CI 1.78-4.45; p = 0.001) were independent variables associated with prolonged time to decannulation. CONCLUSION: Higher FiO(2) at tracheostomy and higher pre-tracheostomy peak cough flow are associated with increased delay in COVID-19 tracheostomy patient decannulation. These finding comprise the most comprehensive report of COVID-19 tracheostomy decannulation to date and will assist service planning for future peaks of this pandemic. Twit Text FOAVip Tracheostomy, ventilatory wean, and decannulation in COVID-19 patients ????Eur Arch Otorhinolaryngol http://www.kidney.de/pget.php?&tw=1&pmid=32740720 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32740720 #FOAvip English Wikipedia <ref>{{Cite pmid|32740720}}</ref> Tracheostomy, ventilatory wean, and decannulation in COVID-19 patients #MMPMID32740720 Tornari C; Surda P; Takhar A; Amin N; Dinham A; Harding R; Ranford DA; Archer SK; Wyncoll D; Tricklebank S; Ahmad I; Simo R; Arora A Eur Arch Otorhinolaryngol 2021[May]; 278 (5): 1595-1604 PMID32740720show ga PURPOSE: COVID-19 patients requiring mechanical ventilation can overwhelm existing bed capacity. We aimed to better understand the factors that influence the trajectory of tracheostomy care in this population to facilitate capacity planning and improve outcomes. METHODS: We conducted an observational cohort study of patients in a high-volume centre in the worst-affected region of the UK including all patients that underwent tracheostomy for COVID-19 pneumonitis ventilatory wean from 1st March 2020 to 10th May 2020. The primary outcome was time from insertion to decannulation. The analysis utilised Cox regression to account for patients that are still progressing through their tracheostomy pathway. RESULTS: At the point of analysis, a median 21 days (IQR 15-28) post-tracheostomy and 39 days (IQR 32-45) post-intubation, 35/69 (57.4%) patients had been decannulated a median of 17 days (IQR 12-20.5) post-insertion. The overall median age was 55 (IQR 48-61) with a male-to-female ratio of 2:1. In Cox regression analysis, FiO(2) at tracheostomy >/= 0.4 (HR 1.80; 95% CI 0.89-3.60; p = 0.048) and last pre-tracheostomy peak cough flow (HR 2.27; 95% CI 1.78-4.45; p = 0.001) were independent variables associated with prolonged time to decannulation. CONCLUSION: Higher FiO(2) at tracheostomy and higher pre-tracheostomy peak cough flow are associated with increased delay in COVID-19 tracheostomy patient decannulation. These finding comprise the most comprehensive report of COVID-19 tracheostomy decannulation to date and will assist service planning for future peaks of this pandemic. |*COVID-19[MESH] |*Tracheostomy[MESH] |Device Removal[MESH] |Female[MESH] |Humans[MESH] |Male[MESH] |Middle Aged[MESH] |Respiration, Artificial[MESH]Tracheostomy, ventilatory wean, and decannulation in COVID-19 patients(epmc).pdf DeepDyve Pubget Overpricing