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关于新冠肺炎患者气管切开术的系统评价:当前指南与安全措施

A Systematic Review on Tracheostomy in COVID-19 Patients: Current Guidelines and Safety Measures.

作者信息

Mandal Amitabha, Nandi Sourabh, Chhebbi Madiwalesh, Basu Abhijit, Ray Mukurdipi

机构信息

Department of Surgical Oncology, All India Institute of Medical Sciences, New Delhi, India.

Military Hospital, Jalandhar, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):2738-2742. doi: 10.1007/s12070-020-02152-w. Epub 2020 Sep 28.

Abstract

At this moment the world is fighting with COVID-19 pandemic. Because of increasing number of critical cases, the ICU admissions are also increasing and overwhelming the hospital. These group of patients often required Tracheostomy for proper management and ventilation. As Surgeons we often required to examine and perform procedures in head and neck patients and are in high risk of exposure to aerosol and droplet contamination. We did a literature search for research regarding tracheostomy and its post procedure care during the ongoing COVID-19 pandemic. In this review various international guidelines and sources were put together, and we aim to summarize in a systematic way the available recommendations: indications, timing, technique and safety measures for tracheostomy for COVID-19 patients, from all over the world.

摘要

目前,全世界都在与新冠疫情作斗争。由于危重症病例数量不断增加,重症监护病房(ICU)的收治人数也在上升,医院不堪重负。这类患者通常需要进行气管切开术以进行妥善管理和通气。作为外科医生,我们经常需要对头颈患者进行检查和操作,面临着气溶胶和飞沫污染的高暴露风险。我们针对新冠疫情期间气管切开术及其术后护理进行了文献检索。在这篇综述中,我们整合了各种国际指南和资料来源,旨在系统总结来自世界各地的关于新冠患者气管切开术的现有建议:适应证、时机、技术和安全措施。

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