Akkineni Sisir, Adkinson Brian Cody, Arias Sixto
University of Miami/Jackson Health System, United States.
University of Miami, United States.
Respir Med Case Rep. 2020;31:101237. doi: 10.1016/j.rmcr.2020.101237. Epub 2020 Sep 28.
The surge in critically ill patients requiring mechanical ventilation fueled by the COVID-19 pandemic has strained healthcare systems globally. With the increasing need for critical care resources, tracheostomy can facilitate weaning from mechanical ventilation and potentially increase availability of critical care resources. In this case series of three patients, we describe our technique for performing bedside percutaneous tracheostomy on patients with persistently positive SARS-CoV-2 real time polymerase chain reaction (RT-PCR). We hope to provide proceduralists with a specific method for percutaneous tracheostomies that is both safe for the patient and provider.
由新冠疫情引发的对机械通气的重症患者激增，给全球医疗系统带来了压力。随着对重症监护资源需求的增加，气管切开术有助于撤机，并有可能增加重症监护资源的可用性。在这个包含三名患者的病例系列中，我们描述了对严重急性呼吸综合征冠状病毒2型（SARS-CoV-2）实时聚合酶链反应（RT-PCR）持续呈阳性的患者进行床边经皮气管切开术的技术。我们希望为手术医生提供一种对患者和手术医生都安全的经皮气管切开术的具体方法。
