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10.1016/j.anorl.2021.03.002

http://scihub22266oqcxt.onion/10.1016/j.anorl.2021.03.002
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suck abstract from ncbi


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pmid33707069      Eur+Ann+Otorhinolaryngol+Head+Neck+Dis 2021 ; 138 (6): 443-449
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  • Tracheostomies after SARS-CoV-2 intubation, performed by academic otorhinolaryngologists in the Paris area of France: Preliminary results #MMPMID33707069
  • Bartier S; La Croix C; Evrard D; Hervochon R; Laccourreye O; Gasne C; Excoffier A; Tanaka L; Barry B; Coste A; Tankere F; Kania R; Nevoux J
  • Eur Ann Otorhinolaryngol Head Neck Dis 2021[Dec]; 138 (6): 443-449 PMID33707069show ga
  • OBJECTIVE: To analyse tracheostomies after intubation for SARS-Cov-2 infection performed by otorhinolaryngologists in 7 university hospitals in the Paris area of France during the month March 24 to April 23, 2020. MATERIAL AND METHODS: A multicentre retrospective observational study included 59 consecutive patients. The main goals were to evaluate the number, characteristics and practical conditions of tracheostomies, and the COVID-19 status of the otorhinolaryngologists. Secondary goals were to analyse tracheostomy time, decannulation rate, immediate postoperative complications and laryngotracheal axis status. RESULTS: Tracheostomy indications were for ventilatory weaning and extubation failure in 86% and 14% of cases, respectively. The technique was surgical, percutaneous or hybrid in 91.5%, 3.4% and 5.1% of cases, respectively. None of the operators developed symptoms consistent with COVID-19. Postoperative complications occurred in 15% of cases, with no significant difference between surgical and percutaneous/hybrid techniques (P=0.33), although no complications occurred after percutaneous or hybrid tracheostomies. No procedures or complications resulted in death. The decannulation rate was 74.5% with a mean tracheostomy time of 20+/-12 days. In 55% of the patients evaluated by flexible endoscopy after decannulation, a laryngeal abnormality was found. On univariate analysis, no clinical features had a significant influence on tracheostomy time, decannulation rate or occurrence of laryngeal lesions. CONCLUSION: The main findings of the present retrospective study were: absence of contamination of the surgeons, heterogeneity of practices between centres, a high rate of complications and laryngeal lesions whatever the technique, and the specificities of the patients.
  • |*COVID-19[MESH]
  • |*Surgeons[MESH]
  • |Humans[MESH]
  • |Intubation, Intratracheal/adverse effects[MESH]
  • |Paris[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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