Dataset Information

Early percutaneous tracheostomy in COVID19 patients with failed intubation: A case series.

ABSTRACT:

Introduction

COVID19 and pulmonary dysfunction leading to acute respiratory distress syndrome (ARDS).

Case study presentation

Herein we presented the cases of failed intubation that was replaced by early percutaneous dilational tracheostomy. The procedure is safe for the patients, doctors and clinical staff.

Conclusion

Additionally, we report mucormycosis after COVID19 treatment that was potentially due to immunosuppressive drugs.

SUBMITTER: Marzban-Rad S

PROVIDER: S-EPMC8576056 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature

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Publications

Early percutaneous tracheostomy in COVID19 patients with failed intubation: A case series.

Marzban-Rad Saeid S Marzban-Rad Zahra Z Khanbanan Ali A Bahmani Sahar S Kazemi Amenehsadat A

Annals of medicine and surgery (2012) 20211109

<h4>Introduction</h4>COVID19 and pulmonary dysfunction leading to acute respiratory distress syndrome (ARDS).<h4>Case study presentation</h4>Herein we presented the cases of failed intubation that was replaced by early percutaneous dilational tracheostomy. The procedure is safe for the patients, doctors and clinical staff.<h4>Conclusion</h4>Additionally, we report mucormycosis after COVID19 treatment that was potentially due to immunosuppressive drugs. ...[more]

PMID: 34777796

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Project description:INTRODUCTION: Tracheostomy is one of the more commonly performed procedures in critically ill patients yet the optimal method of performing tracheostomies in this population remains to be established. The aim of this study was to systematically review and quantitatively synthesize all randomized clinical trials (RCTs), comparing elective percutaneous dilatational tracheostomy (PDT) and surgical tracheostomy (ST) in adult critically ill patients with regards to major short and long term outcomes. METHODS: MEDLINE, EMBASE, CINAHL and the Cochrane Controlled Clinical Trials Register databases were searched to identify relevant studies. Additionally, bibliographies and selected conference proceedings were reviewed, and experts in the field and manufacturers of two PDT kits were contacted. Randomized clinical trials comparing any method of elective PDT to ST that included critically ill adults and reported at least one clinically relevant outcome were included. Data extracted included trial characteristics, measures of study validity, and clinically relevant outcomes. RESULTS: Seventeen RCTs involving 1,212 patients were included. Most PDTs used a multiple dilator technique and were performed in the intensive care unit (ICU). The pooled odds ratio (OR) for wound infection was 0.28 (95% confidence interval (CI), 0.16 to 0.49, p < 0.0005), indicating a significant reduction with PDT compared to ST. Overall, PDT was equivalent to ST for bleeding, major peri-procedural and long-term complications; however, subgroup analysis suggested PDT resulted in a lower incidence of bleeding (OR = 0.29 (95% CI 0.12 to 0.75, p = 0.01)) and death (OR = 0.71 (95% CI 0.50 to 1.0, p = 0.05)) when the STs were performed in the operating theatre. CONCLUSION: PDT reduces the overall incidence of wound infection and may further reduce clinical relevant bleeding and mortality when compared with ST performed in the operating theatre. PDT, performed in the ICU, should be considered the procedure of choice for performing elective tracheostomies in critically ill adult patients.

Dataset Information

Early percutaneous tracheostomy in COVID19 patients with failed intubation: A case series.

Introduction

Case study presentation

Conclusion

Publications

Early percutaneous tracheostomy in COVID19 patients with failed intubation: A case series.

Similar Datasets

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