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10.1097/TA.0000000000002780 http://scihub22266oqcxt.onion/10.1097/TA.0000000000002780 C7253051!7253051 !32404630     free     free     free Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 259.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 259.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\32404630 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       J+Trauma+Acute+Care+Surg 2020 ; 89 (2 ): 265-271 Nephropedia Template TP {{tp|p=32404630 |t=2020. Open tracheostomy for COVID-19-positive patients: A method to minimize aerosolization and reduce risk of exposure |pdf=|usr=}}{{32404630 }} gab.com Text Open tracheostomy for COVID-19-positive patients: A method to minimize aerosolization and reduce risk of exposure JO: J Trauma Acute Care Surg http://www.kidney.de/pget.php?&tw=1&pmid=32404630 #FOAvip BACKGROUND: The COVID-19 virus is highly contagious, and thus there is a potential of infecting operating staff when operating on these patients. This case series describes a method of performing open tracheostomy for COVID-19 patients while minimizing potential aerosolization of the virus using typically available equipment and supplies. METHODS: This is a case series of 18 patients who were COVID-19-positive and underwent open tracheostomy in the operating room under a negative pressure plastic hood created using readily available equipment and supplies. Patients had to be intubated for at least 14 days, be convalescing from their cytokine storm, and deemed to survive for at least 14 more days. Other indications for tracheostomy were altered mental status, severe deconditioning, respiratory failure and failed extubation attempts. RESULTS: There were 14 men and 4 women with severe SARS-CoV2 infection requiring long-term intubation since March 23 or later. The mean age was 61.7 years, body mass index was 32.6, and the pretracheostomy ventilator day was 20.4 days. The indications for tracheostomy were altered mental status, severe deconditioning and continued respiratory with hypoxia. Failed extubation attempt rate was 16.7% and hemodialysis rate was 38.9%. All patients were hemodynamically stable, without any evidence of accelerating cytokine storm. To date there was one minor bleeding due to postoperative therapeutic anticoagulation. CONCLUSION: This report describes a method of performing open tracheostomy with minimal aerosolization using readily available equipment and supplies in most hospitals. LEVEL OF EVIDENCE: Therapeutic/care management, Level V. Twit Text FOAVip Open tracheostomy for COVID-19-positive patients: A method to minimize aerosolization and reduce risk of exposure ????J Trauma Acute Care Surg http://www.kidney.de/pget.php?&tw=1&pmid=32404630 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32404630 #FOAvip English Wikipedia <ref>{{Cite pmid|32404630 }}</ref> Open tracheostomy for COVID-19-positive patients: A method to minimize aerosolization and reduce risk of exposure #MMPMID32404630 Prabhakaran K ; Malcom R ; Choi J ; Chudner A ; Moscatello A ; Panzica P ; Latifi R ; Rhee P J Trauma Acute Care Surg 2020[Aug]; 89 (2 ): 265-271 PMID32404630 show ga BACKGROUND: The COVID-19 virus is highly contagious, and thus there is a potential of infecting operating staff when operating on these patients. This case series describes a method of performing open tracheostomy for COVID-19 patients while minimizing potential aerosolization of the virus using typically available equipment and supplies. METHODS: This is a case series of 18 patients who were COVID-19-positive and underwent open tracheostomy in the operating room under a negative pressure plastic hood created using readily available equipment and supplies. Patients had to be intubated for at least 14 days, be convalescing from their cytokine storm, and deemed to survive for at least 14 more days. Other indications for tracheostomy were altered mental status, severe deconditioning, respiratory failure and failed extubation attempts. RESULTS: There were 14 men and 4 women with severe SARS-CoV2 infection requiring long-term intubation since March 23 or later. The mean age was 61.7 years, body mass index was 32.6, and the pretracheostomy ventilator day was 20.4 days. The indications for tracheostomy were altered mental status, severe deconditioning and continued respiratory with hypoxia. Failed extubation attempt rate was 16.7% and hemodialysis rate was 38.9%. All patients were hemodynamically stable, without any evidence of accelerating cytokine storm. To date there was one minor bleeding due to postoperative therapeutic anticoagulation. CONCLUSION: This report describes a method of performing open tracheostomy with minimal aerosolization using readily available equipment and supplies in most hospitals. LEVEL OF EVIDENCE: Therapeutic/care management, Level V. |*Betacoronavirus/isolation & purification/pathogenicity [MESH] |*Coronavirus Infections/complications/therapy/virology [MESH] |*Pandemics [MESH] |*Pneumonia, Viral/complications/therapy/virology [MESH] |*Respiration, Artificial/adverse effects/instrumentation/methods [MESH] |*Tracheostomy/adverse effects/methods [MESH] |COVID-19 [MESH] |Cytokine Release Syndrome/etiology/therapy [MESH] |Equipment Design [MESH] |Female [MESH] |Humans [MESH] |Infection Control/*methods [MESH] |Male [MESH] |Middle Aged [MESH] |Occupational Exposure/prevention & control [MESH] |Operating Rooms/methods/trends [MESH] |Outcome and Process Assessment, Health Care [MESH] |Respiratory Insufficiency/etiology/*therapy [MESH]Open tracheostomy for COVID-19-positive patients: A method to minimize(epmc).pdf DeepDyve Pubget Overpricing