Endoscopy-assisted dilatational tracheostomy in patients with COVID-19

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OBJECTIVE

To summarize an experience of endoscopy-assisted dilatational tracheostomies in patients with COVID-19.

MATERIAL AND METHODS

There were 31 endoscopy-assisted dilatational tracheostomies in patients with COVID-19 for the period from April 17 to June 10, 2020 (11 women and 19 men). Mean age of patients was 66.7 years (range 48-87). Tracheostomy was performed using Ciaglia (22) and Griggs (9) techniques. All procedures were carried out at the intensive care unit in elective fashion.

RESULTS

Tracheostomy was performed in 19.8% of ICU patients or 36.9% of all patients on mechanical ventilation within 6.5±2.5 days [min 3, max 11]. There were 22 survivors with tracheostomy (70.9%) that is comparable with survival of patients without mechanical ventilation (79.7%) and slightly higher than in patients on ventilation without tracheostomy (65.4%). No complications during the procedure were noted.

CONCLUSION

Endoscopy-assisted dilatational tracheostomy is preferred for prolonged mechanical ventilation, including patients with COVID-19. The undeniable advantages of this operation are fewer intraoperative complications due to endoscopic control, and lower risk of tracheal strictures.

Keywords:

endoscopic tracheostomy

dilatational tracheostomy

COVID-19

coronavirus

SARS-CoV-2

SARS

MERS

2019-nCoV

Authors:

Starkov Yu.G.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0003-4722-3466

Lukich K.V.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0002-8241-3161

Dzhantukhanova S.V.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0002-8657-8609

Plotnikov G.P.

Vishnevsky National Medical Research Center for Surgery

Zamolodchikov R.D.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0003-2515-9942

Zvereva A.A.

Vishnevsky National Medical Research Center for Surgery

Received:

10.07.2020

Accepted:

05.08.2020

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