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10.1371/journal.pone.0240014 http://scihub22266oqcxt.onion/10.1371/journal.pone.0240014 32997704!7526872!32997704     free     free     free 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 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 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 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       PLoS+One 2020 ; 15 (9): e0240014 Nephropedia Template TP {{tp|p=32997704|t=2020. Safety of bedside surgical tracheostomy during COVID-19 pandemic: A retrospective observational study |pdf=|usr=}}{{32997704}} gab.com Text Safety of bedside surgical tracheostomy during COVID-19 pandemic: A retrospective observational study JO: PLoS One http://www.kidney.de/pget.php?&tw=1&pmid=32997704 #FOAvip Data regarding safety of bedside surgical tracheostomy in novel coronavirus 2019 (COVID-19) mechanically ventilated patients admitted to the intensive care unit (ICU) are lacking. We performed this study to assess the safety of bedside surgical tracheostomy in COVID-19 patients admitted to ICU. This retrospective, single-center, cohort observational study (conducted between February, 23 and April, 30, 2020) was performed in our 45-bed dedicated COVID-19 ICU. Inclusion criteria were: a) age over 18 years; b) confirmed diagnosis of COVID-19 infection (with nasopharyngeal/oropharyngeal swab); c) invasive mechanical ventilation and d) clinical indication for tracheostomy. The objectives of this study were to describe: 1) perioperative complications, 2) perioperative alterations in respiratory gas exchange and 3) occurrence of COVID-19 infection among health-care providers involved into the procedure. A total of 125 COVID-19 patients were admitted to the ICU during the study period. Of those, 66 (53%) underwent tracheostomy. Tracheostomy was performed after a mean of 6.1 (+/- 2.1) days since ICU admission. Most of tracheostomies (47/66, 71%) were performed by intensivists and the mean time of the procedure was 22 (+/- 4.4) minutes. No intraprocedural complications was reported. Stoma infection and bleeding were reported in 2 patients and 7 patients, respectively, in the post-procedure period, without significant clinical consequences. The mean PaO2 / FiO2 was significantly lower at the end of tracheostomy (117.6 +/- 35.4) then at the beginning (133.4 +/- 39.2) or 24 hours before (135.8 +/- 51.3) the procedure. However, PaO2/FiO2 progressively increased at 24 hours after tracheostomy (142 +/- 50.7). None of the members involved in the tracheotomy procedures developed COVID-19 infection. Bedside surgical tracheostomy appears to be feasible and safe, both for patients and for health care workers, during COVID-19 pandemic in an experienced center. Twit Text FOAVip Safety of bedside surgical tracheostomy during COVID-19 pandemic: A retrospective observational study ????PLoS One http://www.kidney.de/pget.php?&tw=1&pmid=32997704 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32997704 #FOAvip English Wikipedia <ref>{{Cite pmid|32997704}}</ref> Safety of bedside surgical tracheostomy during COVID-19 pandemic: A retrospective observational study #MMPMID32997704 Picetti E; Fornaciari A; Taccone FS; Malchiodi L; Grossi S; Di Lella F; Falcioni M; D'Angelo G; Sani E; Rossi S PLoS One 2020[]; 15 (9): e0240014 PMID32997704show ga Data regarding safety of bedside surgical tracheostomy in novel coronavirus 2019 (COVID-19) mechanically ventilated patients admitted to the intensive care unit (ICU) are lacking. We performed this study to assess the safety of bedside surgical tracheostomy in COVID-19 patients admitted to ICU. This retrospective, single-center, cohort observational study (conducted between February, 23 and April, 30, 2020) was performed in our 45-bed dedicated COVID-19 ICU. Inclusion criteria were: a) age over 18 years; b) confirmed diagnosis of COVID-19 infection (with nasopharyngeal/oropharyngeal swab); c) invasive mechanical ventilation and d) clinical indication for tracheostomy. The objectives of this study were to describe: 1) perioperative complications, 2) perioperative alterations in respiratory gas exchange and 3) occurrence of COVID-19 infection among health-care providers involved into the procedure. A total of 125 COVID-19 patients were admitted to the ICU during the study period. Of those, 66 (53%) underwent tracheostomy. Tracheostomy was performed after a mean of 6.1 (+/- 2.1) days since ICU admission. Most of tracheostomies (47/66, 71%) were performed by intensivists and the mean time of the procedure was 22 (+/- 4.4) minutes. No intraprocedural complications was reported. Stoma infection and bleeding were reported in 2 patients and 7 patients, respectively, in the post-procedure period, without significant clinical consequences. The mean PaO2 / FiO2 was significantly lower at the end of tracheostomy (117.6 +/- 35.4) then at the beginning (133.4 +/- 39.2) or 24 hours before (135.8 +/- 51.3) the procedure. However, PaO2/FiO2 progressively increased at 24 hours after tracheostomy (142 +/- 50.7). None of the members involved in the tracheotomy procedures developed COVID-19 infection. Bedside surgical tracheostomy appears to be feasible and safe, both for patients and for health care workers, during COVID-19 pandemic in an experienced center. |*Safety[MESH] |*Tracheostomy[MESH] |Aged[MESH] |Betacoronavirus[MESH] |COVID-19[MESH] |Coronavirus Infections/*prevention & control/transmission[MESH] |Female[MESH] |Humans[MESH] |Infectious Disease Transmission, Patient-to-Professional/prevention & control[MESH] |Intensive Care Units[MESH] |Male[MESH] |Middle Aged[MESH] |Pandemics/*prevention & control[MESH] |Pneumonia, Viral/*prevention & control/transmission[MESH] |Respiration, Artificial[MESH] |Retrospective Studies[MESH]Safety of bedside surgical tracheostomy during COVID-19 pandemic: A re(epmc).pdf DeepDyve Pubget Overpricing