Performing tracheostomy on COVID-19 pediatric patients at intensive care unit: Our experiences

Swain, Santosh Kumar; Sahu, Ansuman

doi:10.4103/kleuhsj.kleuhsj_356_20

Cited by 7 publications

(14 citation statements)

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“…The only series of pediatric tracheostomy for COVID-19 reports 18 patients from India. 17 Similar to this case, all patients had multiple comorbidities, surgeries were performed without trainees at the bedside and an experienced team ensured a safe and rapid procedure. Notably, 44% of patients died of nontracheostomy-related causes.…”

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confidence: 86%

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Adolescent Tracheostomy for COVID-19 Respiratory Failure

et al. 2021

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confidence: 86%

“…Notably, 44% of patients died of nontracheostomy-related causes. 17 This emphasizes the need for more studies regarding the safe practices of tracheostomies in this population.…”

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confidence: 99%

Adolescent Tracheostomy for COVID-19 Respiratory Failure

et al. 2021

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“…Patients those present with VAP may show a greater risk of morbidity of the patients and even cause death in comparison to patients without such pulmonary diseases. 28 One the patient is intubated, the airway loses its sterility and gets infection within a few hours after starting the MV. 29 In these situations, there are several complications may occur.…”

Section: Ventilator Associated Pneumoniamentioning

confidence: 99%

Role of early tracheostomy for preventing ventilator associated pneumonia in intensive care unit: a review

Swain

Jena

2021

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">Tracheostomy often plays a crucial role in airway management of the patients in intensive critical unit (ICU). Tracheostomy is often helpful for improvement of the respiratory mechanics and the patient comfort. There are several advantages of the trachesotomy over the endotracheal tube intubation such as avoidance of the injury of the larynx, provide a stable airway, facilitates pulmonary toilet and facilitates ventilation. It has been suggested that tracheostomy also helpful to reduce the risk of ventilator associated pneumonia (VAP) in comparison to the trans-laryngeal intubation. VAP is a type of nosocomial infection which has been associated with presence of mechanical ventilation. Despite significant improvement in managing the intubated patients, VAP remains a common and sometimes fatal complication in the ICU. Clinician’s attitude towards trachesotomy may be still heterogeneous in ICU and the decision for performing tracheostomy is still challenging. However, early tracheostomy is associated with less VAP, less ICU stay, avoid higher number of intubation in early group of tracheostomy and higher patient comfort. The purpose of this review article was to discuss the etiopathology of VAP, epidemiology, role of early tracheostomy in VAP and prevention of the VAP in patients with mechanical ventilation in ICU.</p>

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“…During tracheostomy, provide adequate sedation such paralysis which eliminates the risk of coughing during the procedure. 39 Ventilation should be paused (apnoea) at the end-expiration when making opening on the trachea where the ventilation circuit is disconnected. A non-fenestrated cuffed tracheostomy tube is better and it keeps the cuff inflated to stop the spread of the virus through the upper airway.…”

Section: Prevention Of Infections During Tracheostomymentioning

confidence: 99%

Indications and timing to perform tracheostomy in COVID-19 patients in intensive care unit: a review

Swain

2021

Int J Adv Med

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Coronavirus disease 2019 (COVID-19) is a fatal and evolving disease and associated with more complication such as respiratory failure and requirement of mechanical ventilation in intensive care unit (ICU). Tracheostomy is a commonly performed surgical procedure done at ICU for prolonged ventilation of the COVID-19 patients. The indications and timing to do tracheostomy on COVID-19 patients are controversial. The requirement of prolonged invasive mechanical ventilation in COVID-19 patients is placing to increased request to perform tracheostomy. The role of performing tracheostomy in COVID-19 patients is exactly not known. Currently, there is no clear-cut evidence for improvement of the clinical course of COVID-19 patients. However, it is confirmed that tracheostomy decreases the ICU stay. Tracheostomy is usually suggested for avoiding potential tracheal injury within 7 to 14 days. Currently, there is uncertainty for timing of tracheotomy, prognosis of the patients and safety of health care professionals. Enhanced personal protective equipment and optimized tracheostomy can make the procedure safe and beneficial in COVID-19 patients. The need of tracheostomy is increasing in current COVID-19 pandemic. We have to perform this surgical procedure in proper time with safe manner for benefit of the patients and health care professionals. This review article focuses on the indications and optimum timing for performing tracheostomy on COVID-19 patients in ICU.

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Performing tracheostomy on COVID-19 pediatric patients at intensive care unit: Our experiences

Cited by 7 publications

References 0 publications

Adolescent Tracheostomy for COVID-19 Respiratory Failure

Adolescent Tracheostomy for COVID-19 Respiratory Failure

Role of early tracheostomy for preventing ventilator associated pneumonia in intensive care unit: a review

Indications and timing to perform tracheostomy in COVID-19 patients in intensive care unit: a review

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