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10.1017/S0022215120001759

http://scihub22266oqcxt.onion/10.1017/S0022215120001759
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32758308!7445460!32758308
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suck abstract from ncbi


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pmid32758308      J+Laryngol+Otol 2020 ; 134 (8): 688-695
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  • Tracheostomy in the coronavirus disease 2019 patient: evaluating feasibility, challenges and early outcomes of the 14-day guidance #MMPMID32758308
  • Glibbery N; Karamali K; Walker C; Fitzgerald O'Connor I; Fish B; Irune E
  • J Laryngol Otol 2020[Aug]; 134 (8): 688-695 PMID32758308show ga
  • OBJECTIVES: To report feasibility, early outcomes and challenges of implementing a 14-day threshold for undertaking surgical tracheostomy in the critically ill coronavirus disease 2019 patient. METHODS: Twenty-eight coronavirus disease 2019 patients underwent tracheostomy. Demographics, risk factors, ventilatory assistance, organ support and logistics were assessed. RESULTS: The mean time from intubation to tracheostomy formation was 17.0 days (standard deviation = 4.4, range 8-26 days). Mean time to decannulation was 15.8 days (standard deviation = 9.4) and mean time to intensive care unit stepdown to a ward was 19.2 days (standard deviation = 6.8). The time from intubation to tracheostomy was strongly positively correlated with: duration of mechanical ventilation (r(23) = 0.66; p < 0.001), time from intubation to decannulation (r(23) = 0.66; p < 0.001) and time from intubation to intensive care unit discharge (r(23) = 0.71; p < 0.001). CONCLUSION: Performing a tracheostomy in coronavirus disease 2019 positive patients at 8-14 days following intubation is compatible with favourable outcomes. Multidisciplinary team input is crucial to patient selection.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Betacoronavirus/isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Case-Control Studies[MESH]
  • |Coronavirus Infections/epidemiology/*transmission/virology[MESH]
  • |Critical Illness/*epidemiology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Intensive Care Units/statistics & numerical data[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Personal Protective Equipment/standards/supply & distribution[MESH]
  • |Pneumonia, Viral/epidemiology/*transmission/virology[MESH]
  • |Prospective Studies[MESH]
  • |Respiration, Artificial/*adverse effects/methods/statistics & numerical data[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2[MESH]
  • |Tertiary Care Centers/statistics & numerical data[MESH]
  • |Tracheostomy/*adverse effects/methods/statistics & numerical data[MESH]


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