Department of Neuroscience, Reproductive Sciences and Dentistry, Unit of Otorhinolaryngology, 9307Federico II University Naples, Italy.
Ear Nose Throat J. 2021 Apr;100(2_suppl):120S-121S. doi: 10.1177/0145561320974140. Epub 2020 Nov 10.
The timing of tracheotomy is a complex decision that requires understanding of the relative risks and benefits as compared with prolonging intubation. The role of tracheotomy during the COVID-19 pandemic remains to be determined. There is no evidence that early tracheostomy improves patient's clinical course and it is not impact on the natural history of these patients. In our opinion, the tracheotomy should be proposed in stable COVID-19 patients after 18th days after orotracheal intubation when the viral load is finished. Only in the case of patients with difficult of intubation do we perform earlier tracheotomies.
气管切开术的时机是一个复杂的决策，需要了解与延长插管相比的相对风险和益处。在 COVID-19 大流行期间，气管切开术的作用仍有待确定。没有证据表明早期气管切开术改善了患者的临床过程，也没有影响这些患者的自然史。在我们看来，只有在经口气管插管后 18 天病毒载量已完成且患者病情稳定的情况下，才应向 COVID-19 患者提出气管切开术的建议。只有在插管困难的情况下，我们才会进行早期气管切开术。
