Percutaneous dilatational tracheostomy for saturating influx of COVID-19 patients: Experience of military ENT physicians deployed in Mulhouse, France.
Adult
Aged
COVID-19
Coronavirus Infections
/ prevention & control
Feasibility Studies
Female
France
Humans
Male
Middle Aged
Military Medicine
Military Personnel
Otolaryngology
Pandemics
/ prevention & control
Pneumonia, Viral
/ prevention & control
Respiration, Artificial
Retrospective Studies
Tracheostomy
/ methods
COVID-19
ENT physician
Military
Percutaneous tracheostomy
SARS-CoV-2
Journal
European annals of otorhinolaryngology, head and neck diseases
ISSN: 1879-730X
Titre abrégé: Eur Ann Otorhinolaryngol Head Neck Dis
Pays: France
ID NLM: 101531465
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
pubmed:
8
7
2020
medline:
12
9
2020
entrez:
8
7
2020
Statut:
ppublish
Résumé
The main objective was to demonstrate the feasibility of percutaneous tracheostomy performed under difficult conditions by military ENT physicians during their deployment in the military intensive care field hospital of the French Military Medical Service in Mulhouse to confront the exceptional COVID-19 pandemic. The secondary objective was to assess reliability and safety for patient and caregivers, with a risk of iatrogenic viral contamination. A single-center retrospective study was conducted between March 25 and April 25, 2020, in 47 COVID-19 patients requiring prolonged mechanical ventilation. The inclusion criterion was having undergone percutaneous tracheostomy. Eighteen consecutively included patients had successfully undergone percutaneous tracheostomy despite unfavorable anatomical conditions (short neck: 83.3%, overweight or obese: 88.9%). Median time to completion was 11 days after intubation, with an average duration of 7minutes. The procedure was technically compliant in 83.3% of cases, and considered easy (on self-assessment) in 72.2%, with 2 minor per-procedural complications. No crossover to surgery was required. There was only 1 major post-procedural complication (late hemorrhage). This study showed the feasibility of percutaneous tracheostomy by an ENT physician under COVID-19 biohazard conditions. The technique was fast, easy and safe and met safety requirements for patient and staff.
Identifiants
pubmed: 32631724
pii: S1879-7296(20)30156-3
doi: 10.1016/j.anorl.2020.06.016
pmc: PMC7321049
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
263-268Informations de copyright
Copyright © 2020. Published by Elsevier Masson SAS.
Références
Laryngoscope. 2000 Feb;110(2 Pt 1):222-8
pubmed: 10680920
Anaesth Crit Care Pain Med. 2018 Jun;37(3):281-294
pubmed: 29559211
OTO Open. 2020 Apr 21;4(2):2473974X20922528
pubmed: 32342026
Eur Ann Otorhinolaryngol Head Neck Dis. 2020 May;137(3):167-169
pubmed: 32307265
Fed Pract. 2020 Apr;37(4):160-163
pubmed: 32322146
Br J Anaesth. 2004 Feb;92(2):280-2
pubmed: 14722185
Eur Ann Otorhinolaryngol Head Neck Dis. 2020 May;137(3):173-175
pubmed: 32332004
Crit Care. 2015 Aug 13;19:291
pubmed: 26271742
Laryngoscope. 2005 Oct;115(10 Pt 2):1-30
pubmed: 16227862
J Otolaryngol Head Neck Surg. 2020 Apr 27;49(1):23
pubmed: 32340627
J Infect Dis. 2016 Apr 1;213(7):1208-9
pubmed: 26597257
Anaesth Crit Care Pain Med. 2017 Oct;36(5):279-283
pubmed: 27867132
Anaesth Intensive Care. 2006 Feb;34(1):51-4
pubmed: 16494150
Laryngoscope. 2003 Oct;113(10):1777-9
pubmed: 14520105
JAMA Otolaryngol Head Neck Surg. 2020 Jun 1;146(6):517-518
pubmed: 32232426
Ann Fr Anesth Reanim. 2014 Apr;33(4):227-31
pubmed: 24636791