安全有效地管理 COVID-19 患者的气管切开术。
Safe and effective management of tracheostomy in COVID-19 patients.
机构信息
Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
出版信息
Head Neck. 2020 Jul;42(7):1374-1381. doi: 10.1002/hed.26261. Epub 2020 May 19.
Abstract
BACKGROUND
An increasing number of COVID-19 patients worldwide will probably need tracheostomy in an emergency or at the recovering stage of COVID-19. We explored the safe and effective management of tracheostomy in COVID-19 patients, to benefit patients and protect health care workers at the same time.
METHODS
We retrospectively analyzed 11 hospitalized COVID-19 patients undergoing tracheostomy. Clinical features of patients, ventilator withdrawal after tracheostomy, surgical complications, and nosocomial infection of the health care workers associated with the tracheostomy were analyzed.
RESULTS
The tracheostomy of all the 11 cases (100%) was performed successfully, including percutaneous tracheostomy of 6 cases (54.5%) and conventional open tracheostomy of 5 cases (45.5%). No severe postoperative complications occurred, and no health care workers associated with the tracheostomy are confirmed to be infected by SARS-CoV-2.
CONCLUSION
Comprehensive evaluation before tracheostomy, optimized procedures during tracheostomy, and special care after tracheostomy can make the tracheostomy safe and beneficial in COVID-19 patients.
摘要
背景
全球范围内，越来越多的 COVID-19 患者可能需要在紧急情况下或 COVID-19 康复阶段进行气管切开术。我们探讨了 COVID-19 患者气管切开术的安全有效管理方法，以同时使患者受益和保护医护人员。
方法
我们回顾性分析了 11 例接受气管切开术的住院 COVID-19 患者。分析了患者的临床特征、气管切开术后脱机情况、手术并发症以及与气管切开术相关的医护人员院内感染情况。
结果
11 例（100%）患者的气管切开术均获得成功，包括经皮气管切开术 6 例（54.5%）和传统开放性气管切开术 5 例（45.5%）。术后无严重并发症发生，与气管切开术相关的医护人员均未确诊感染 SARS-CoV-2。
结论
气管切开术前的综合评估、气管切开术中的优化流程以及气管切开术后的特殊护理，可使 COVID-19 患者的气管切开术安全且有益。
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