Tracheostomy, ventilatory wean, and decannulation in COVID-19 patients.
COVID-19
Decannulation
Peak cough flow
SARS-CoV-2
Tracheostomy
Tracheotomy
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
received:
28
05
2020
accepted:
03
07
2020
pubmed:
3
8
2020
medline:
24
4
2021
entrez:
3
8
2020
Statut:
ppublish
Résumé
COVID-19 patients requiring mechanical ventilation can overwhelm existing bed capacity. We aimed to better understand the factors that influence the trajectory of tracheostomy care in this population to facilitate capacity planning and improve outcomes. We conducted an observational cohort study of patients in a high-volume centre in the worst-affected region of the UK including all patients that underwent tracheostomy for COVID-19 pneumonitis ventilatory wean from 1st March 2020 to 10th May 2020. The primary outcome was time from insertion to decannulation. The analysis utilised Cox regression to account for patients that are still progressing through their tracheostomy pathway. At the point of analysis, a median 21 days (IQR 15-28) post-tracheostomy and 39 days (IQR 32-45) post-intubation, 35/69 (57.4%) patients had been decannulated a median of 17 days (IQR 12-20.5) post-insertion. The overall median age was 55 (IQR 48-61) with a male-to-female ratio of 2:1. In Cox regression analysis, FiO Higher FiO
Identifiants
pubmed: 32740720
doi: 10.1007/s00405-020-06187-1
pii: 10.1007/s00405-020-06187-1
pmc: PMC7395208
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1595-1604Références
Ann Thorac Surg. 2020 Sep;110(3):1006-1011
pubmed: 32339508
Eur Arch Otorhinolaryngol. 2020 Aug;277(8):2173-2184
pubmed: 32314050
Oral Oncol. 2020 Jul;106:104767
pubmed: 32389538
Head Neck. 2020 Jul;42(7):1386-1391
pubmed: 32441351
Anaesthesia. 2020 Jul;75(7):928-934
pubmed: 32246838
Lancet. 2020 Feb 15;395(10223):473-475
pubmed: 32043983
Crit Care Med. 2020 Jun;48(6):e440-e469
pubmed: 32224769
Otolaryngol Head Neck Surg. 2020 Jul;163(1):135-137
pubmed: 32396455
Rev Port Pneumol (2006). 2015 Mar-Apr;21(2):94-8
pubmed: 25926373
JAMA. 2020 Apr 7;323(13):1239-1242
pubmed: 32091533
Eur Arch Otorhinolaryngol. 2021 Feb;278(2):313-321
pubmed: 32556788
CMAJ. 2020 May 11;192(19):E489-E496
pubmed: 32269020
J Perioper Pract. 2014 Jul-Aug;24(7-8):158-9
pubmed: 25109027
JAMA. 2020 May 26;323(20):2052-2059
pubmed: 32320003
Eur Ann Otorhinolaryngol Head Neck Dis. 2020 May;137(3):167-169
pubmed: 32307265
BMC Anesthesiol. 2015 Dec 15;15:181
pubmed: 26669760
Lancet Respir Med. 2020 Jul;8(7):717-725
pubmed: 32422180
J Laryngol Otol. 2020 Nov 04;:1-10
pubmed: 33143760
Int J Evid Based Healthc. 2019 Jun;17(2):74-91
pubmed: 31162271
Heart Lung. 2019 Jan;48(1):46-54
pubmed: 30336945
Braz J Otorhinolaryngol. 2018 Nov - Dec;84(6):722-728
pubmed: 28951127
Med J Aust. 2020 Jun;212(10):463-467
pubmed: 32306408
J Otolaryngol Head Neck Surg. 2020 Apr 27;49(1):23
pubmed: 32340627
J Infect. 2020 Jun;80(6):607-613
pubmed: 32283152
Lancet. 2020 Feb 15;395(10223):497-506
pubmed: 31986264
JAMA. 2013 May 22;309(20):2121-9
pubmed: 23695482
Anaesthesia. 2020 Jul;75(7):972
pubmed: 32302417
Eur Arch Otorhinolaryngol. 2018 Mar;275(3):679-690
pubmed: 29255970
MMWR Morb Mortal Wkly Rep. 2020 May 08;69(18):545-550
pubmed: 32379729
Lancet. 2020 Mar 28;395(10229):1033-1034
pubmed: 32192578
Eur Respir J. 2012 Dec;40(6):1324-43
pubmed: 22743675
BMC Pulm Med. 2014 Dec 15;14:201
pubmed: 25510483
Int Arch Med. 2012 Sep 28;5(1):25
pubmed: 23021434
Respir Care. 2007 Dec;52(12):1710-7
pubmed: 18028561
J Intensive Care. 2017 Jun 20;5:38
pubmed: 28649385
Otolaryngol Head Neck Surg. 2020 Feb;162(2):160-167
pubmed: 31766966