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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.

DOI:10.1007/s12070-020-02152-w
PMID:33014752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7521770/
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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引用本文的文献

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World J Crit Care Med. 2021 Nov 9;10(6):345-354. doi: 10.5492/wjccm.v10.i6.345.
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The Efficacy of Tracheotomy for Covid-19 Pneumonia: Impacts on Survival and Prognostic Factors.气管切开术对新冠病毒肺炎的疗效:对生存的影响及预后因素
Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):3016-3021. doi: 10.1007/s12070-021-02717-3. Epub 2021 Jul 6.

本文引用的文献

1
The Epidemiological Characteristics of an Outbreak of 2019 Novel Coronavirus Diseases (COVID-19) - China, 2020.2019新型冠状病毒病(COVID-19)疫情的流行病学特征 - 中国,2020年
China CDC Wkly. 2020 Feb 21;2(8):113-122.
2
Guidance for otolaryngology health care workers performing aerosol generating medical procedures during the COVID-19 pandemic.COVID-19 大流行期间耳鼻喉科医护人员进行气溶胶产生医疗操作的指南。
J Otolaryngol Head Neck Surg. 2020 Jun 3;49(1):36. doi: 10.1186/s40463-020-00429-2.
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Recommendations from the CSO-HNS taskforce on performance of tracheotomy during the COVID-19 pandemic.CSO-HNS 专家组关于 COVID-19 大流行期间行气管切开术的建议。
J Otolaryngol Head Neck Surg. 2020 Apr 27;49(1):23. doi: 10.1186/s40463-020-00414-9.
4
Tracheostomy guidelines developed at a large academic medical center during the COVID-19 pandemic.COVID-19 大流行期间在大型学术医疗中心制定的气管切开术指南。
Head Neck. 2020 Jun;42(6):1291-1296. doi: 10.1002/hed.26191. Epub 2020 Apr 27.
5
Recommendation of a practical guideline for safe tracheostomy during the COVID-19 pandemic.关于 COVID-19 大流行期间安全气管切开术的实用指南推荐。
Eur Arch Otorhinolaryngol. 2020 Aug;277(8):2173-2184. doi: 10.1007/s00405-020-05993-x. Epub 2020 Apr 21.
6
French consensus regarding precautions during tracheostomy and post-tracheostomy care in the context of COVID-19 pandemic.法国关于 COVID-19 大流行期间气管切开术期间和气管切开术后护理预防措施的共识。
Eur Ann Otorhinolaryngol Head Neck Dis. 2020 May;137(3):167-169. doi: 10.1016/j.anorl.2020.04.006. Epub 2020 Apr 9.
7
Laryngeal oedema associated with COVID-19 complicating airway management.与新冠病毒疾病相关的喉水肿使气道管理复杂化。
Anaesthesia. 2020 Jul;75(7):972. doi: 10.1111/anae.15092. Epub 2020 Apr 26.
8
COVID-19 pneumonia: different respiratory treatments for different phenotypes?新冠肺炎:针对不同表型采用不同的呼吸治疗方法?
Intensive Care Med. 2020 Jun;46(6):1099-1102. doi: 10.1007/s00134-020-06033-2. Epub 2020 Apr 14.
9
A framework for open tracheostomy in COVID-19 patients.新冠病毒肺炎患者开放性气管切开术的框架
Clin Otolaryngol. 2020 Jul;45(4):649-651. doi: 10.1111/coa.13549. Epub 2020 Apr 26.
10
CORONA-steps for tracheotomy in COVID-19 patients: A staff-safe method for airway management.新冠病毒患者行气管切开术的 CORONA 步骤:一种气道管理的医护人员安全方法。
Oral Oncol. 2020 Jun;105:104682. doi: 10.1016/j.oraloncology.2020.104682. Epub 2020 Apr 6.