Loube Daniel I, Hassan Kashif Z, Lee Sang H, Davidson Bruce L
Critical Care Division, Regional Medical Center of San Jose, USA.
Pulmonary and Critical Care Division, Providence Health System, Seattle, WA, USA.
Respir Med Case Rep. 2021;32:101346. doi: 10.1016/j.rmcr.2021.101346. Epub 2021 Jan 20.
The use of tracheostomy in ventilator dependent COVID-19 patients is novel because of the recent and rapid spread of this pandemic with risk of transmission of infection to healthcare workers. This case-series of mechanically ventilated COVID-19 patients indicates that percutaneous tracheostomy performed at bedside with careful precautions and limited modification of standard technique was effective in promoting weaning from mechanical ventilation with few complications and no transmission of COVID-19 infection to the procedural healthcare workers.
对于依赖呼吸机的新冠肺炎患者而言，气管切开术的应用具有创新性，这是由于此次大流行近期迅速传播，存在将感染传播给医护人员的风险。该系列机械通气新冠肺炎患者病例表明，在床边实施经皮气管切开术时采取谨慎的预防措施并对标准技术进行有限的调整，对于促进机械通气撤机是有效的，并发症少，且未将新冠肺炎感染传播给参与手术的医护人员。
