Percutaneous dilatational tracheostomy for saturating influx of COVID-19 patients: Experience of military ENT physicians deployed in Mulhouse, France.
Identifieur interne : 000965 ( Main/Exploration ); précédent : 000964; suivant : 000966Percutaneous dilatational tracheostomy for saturating influx of COVID-19 patients: Experience of military ENT physicians deployed in Mulhouse, France.
Auteurs : J-B Morvan [France] ; D. Rivière [France] ; M. Danguy Des Déserts [France] ; G. Bonfort [France] ; Q. Mathais [France] ; P. Pasquier [France]Source :
- European annals of otorhinolaryngology, head and neck diseases [ 1879-730X ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Femelle (MeSH), France (MeSH), Humains (MeSH), Infections à coronavirus (prévention et contrôle), Infections à coronavirus (thérapie), Infections à coronavirus (transmission), Mâle (MeSH), Médecine militaire (MeSH), Oto-rhino-laryngologie (MeSH), Pandémies (prévention et contrôle), Personnel militaire (MeSH), Pneumopathie virale (prévention et contrôle), Pneumopathie virale (thérapie), Pneumopathie virale (transmission), Sujet âgé (MeSH), Trachéostomie (méthodes), Ventilation artificielle (MeSH), Études de faisabilité (MeSH), Études rétrospectives (MeSH).
- MESH :
- méthodes : Trachéostomie.
- prévention et contrôle : Infections à coronavirus, Pandémies, Pneumopathie virale.
- thérapie : Infections à coronavirus, Pneumopathie virale.
- Adulte, Adulte d'âge moyen, Femelle, France, Humains, Infections à coronavirus, Mâle, Médecine militaire, Oto-rhino-laryngologie, Personnel militaire, Pneumopathie virale, Sujet âgé, Ventilation artificielle, Études de faisabilité, Études rétrospectives.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Coronavirus Infections (prevention & control), Coronavirus Infections (therapy), Coronavirus Infections (transmission), Feasibility Studies (MeSH), Female (MeSH), France (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Military Medicine (MeSH), Military Personnel (MeSH), Otolaryngology (MeSH), Pandemics (prevention & control), Pneumonia, Viral (prevention & control), Pneumonia, Viral (therapy), Pneumonia, Viral (transmission), Respiration, Artificial (MeSH), Retrospective Studies (MeSH), Tracheostomy (methods).
- MESH :
- geographic : France.
- methods : Tracheostomy.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- therapy : Coronavirus Infections, Pneumonia, Viral.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- Adult, Aged, Feasibility Studies, Female, Humans, Male, Middle Aged, Military Medicine, Military Personnel, Otolaryngology, Respiration, Artificial, Retrospective Studies.
Abstract
OBJECTIVES
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.
MATERIAL AND METHODS
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.
RESULTS
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).
CONCLUSION
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.
DOI: 10.1016/j.anorl.2020.06.016
PubMed: 32631724
PubMed Central: PMC7321049
Affiliations:
- France
- Alsace (région administrative), Grand Est, Lorraine (région), Provence-Alpes-Côte d'Azur, Région Bretagne, Île-de-France
- Brest, Metz, Mulhouse, Paris, Toulon
Links toward previous steps (curation, corpus...)
Le document en format XML
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Pasquier</name><affiliation wicri:level="3"><nlm:affiliation>Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Percy, Clamart, France; École du Val-de-Grâce, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Percy, Clamart, France; École du Val-de-Grâce, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32631724</idno><idno type="pmid">32631724</idno><idno type="doi">10.1016/j.anorl.2020.06.016</idno><idno type="pmc">PMC7321049</idno><idno type="wicri:Area/Main/Corpus">000A75</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000A75</idno><idno type="wicri:Area/Main/Curation">000A75</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000A75</idno><idno type="wicri:Area/Main/Exploration">000A75</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Percutaneous dilatational tracheostomy for saturating influx of COVID-19 patients: Experience of military ENT physicians deployed in Mulhouse, France.</title><author><name sortKey="Morvan, J B" sort="Morvan, J B" uniqKey="Morvan J" first="J-B" last="Morvan">J-B Morvan</name><affiliation wicri:level="3"><nlm:affiliation>Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital d'Instruction des Armées Sainte-Anne, Toulon, France; Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France. Electronic address: jbmorvan@hotmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital d'Instruction des Armées Sainte-Anne, Toulon, France; Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Mulhouse</settlement></placeName></affiliation></author><author><name sortKey="Riviere, D" sort="Riviere, D" uniqKey="Riviere D" first="D" last="Rivière">D. Rivière</name><affiliation wicri:level="3"><nlm:affiliation>Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital d'Instruction des Armées Sainte-Anne, Toulon, France; Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital d'Instruction des Armées Sainte-Anne, Toulon, France; Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Mulhouse</settlement></placeName></affiliation></author><author><name sortKey="Danguy Des Deserts, M" sort="Danguy Des Deserts, M" uniqKey="Danguy Des Deserts M" first="M" last="Danguy Des Déserts">M. Danguy Des Déserts</name><affiliation wicri:level="3"><nlm:affiliation>Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Clermont Tonnerre, Brest, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Clermont Tonnerre, Brest</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Bonfort, G" sort="Bonfort, G" uniqKey="Bonfort G" first="G" last="Bonfort">G. Bonfort</name><affiliation wicri:level="3"><nlm:affiliation>Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital d'Instruction des Armées Legouest, Metz, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital d'Instruction des Armées Legouest, Metz</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Metz</settlement></placeName></affiliation></author><author><name sortKey="Mathais, Q" sort="Mathais, Q" uniqKey="Mathais Q" first="Q" last="Mathais">Q. Mathais</name><affiliation wicri:level="3"><nlm:affiliation>Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Sainte-Anne, Toulon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Sainte-Anne, Toulon</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Toulon</settlement></placeName></affiliation></author><author><name sortKey="Pasquier, P" sort="Pasquier, P" uniqKey="Pasquier P" first="P" last="Pasquier">P. Pasquier</name><affiliation wicri:level="3"><nlm:affiliation>Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Percy, Clamart, France; École du Val-de-Grâce, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Percy, Clamart, France; École du Val-de-Grâce, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">European annals of otorhinolaryngology, head and neck diseases</title><idno type="eISSN">1879-730X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Coronavirus Infections (prevention & control)</term><term>Coronavirus Infections (therapy)</term><term>Coronavirus Infections (transmission)</term><term>Feasibility Studies (MeSH)</term><term>Female (MeSH)</term><term>France (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Military Medicine (MeSH)</term><term>Military Personnel (MeSH)</term><term>Otolaryngology (MeSH)</term><term>Pandemics (prevention & control)</term><term>Pneumonia, Viral (prevention & control)</term><term>Pneumonia, Viral (therapy)</term><term>Pneumonia, Viral (transmission)</term><term>Respiration, Artificial (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Tracheostomy (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>France (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (prévention et contrôle)</term><term>Infections à coronavirus (thérapie)</term><term>Infections à coronavirus (transmission)</term><term>Mâle (MeSH)</term><term>Médecine militaire (MeSH)</term><term>Oto-rhino-laryngologie (MeSH)</term><term>Pandémies (prévention et contrôle)</term><term>Personnel militaire (MeSH)</term><term>Pneumopathie virale (prévention et contrôle)</term><term>Pneumopathie virale (thérapie)</term><term>Pneumopathie virale (transmission)</term><term>Sujet âgé (MeSH)</term><term>Trachéostomie (méthodes)</term><term>Ventilation artificielle (MeSH)</term><term>Études de faisabilité (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Tracheostomy</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Trachéostomie</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term><term>Pandemics</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Infections à coronavirus</term><term>Pandémies</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Feasibility Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Military Medicine</term><term>Military Personnel</term><term>Otolaryngology</term><term>Respiration, Artificial</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>France</term><term>Humains</term><term>Infections à coronavirus</term><term>Mâle</term><term>Médecine militaire</term><term>Oto-rhino-laryngologie</term><term>Personnel militaire</term><term>Pneumopathie virale</term><term>Sujet âgé</term><term>Ventilation artificielle</term><term>Études de faisabilité</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>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).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>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.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32631724</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>10</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-730X</ISSN><JournalIssue CitedMedium="Internet"><Volume>137</Volume><Issue>4</Issue><PubDate><Year>2020</Year><Month>Sep</Month></PubDate></JournalIssue><Title>European annals of otorhinolaryngology, head and neck diseases</Title><ISOAbbreviation>Eur Ann Otorhinolaryngol Head Neck Dis</ISOAbbreviation></Journal><ArticleTitle>Percutaneous dilatational tracheostomy for saturating influx of COVID-19 patients: Experience of military ENT physicians deployed in Mulhouse, France.</ArticleTitle><Pagination><MedlinePgn>263-268</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1879-7296(20)30156-3</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.anorl.2020.06.016</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">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.</AbstractText><AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">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).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">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.</AbstractText><CopyrightInformation>Copyright © 2020. Published by Elsevier Masson SAS.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Morvan</LastName><ForeName>J-B</ForeName><Initials>JB</Initials><AffiliationInfo><Affiliation>Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital d'Instruction des Armées Sainte-Anne, Toulon, France; Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France. Electronic address: jbmorvan@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rivière</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital d'Instruction des Armées Sainte-Anne, Toulon, France; Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Danguy des Déserts</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Clermont Tonnerre, Brest, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bonfort</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital d'Instruction des Armées Legouest, Metz, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mathais</LastName><ForeName>Q</ForeName><Initials>Q</Initials><AffiliationInfo><Affiliation>Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Sainte-Anne, Toulon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pasquier</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Percy, Clamart, France; École du Val-de-Grâce, Paris, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Eur Ann Otorhinolaryngol Head Neck Dis</MedlineTA><NlmUniqueID>101531465</NlmUniqueID><ISSNLinking>1879-7296</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005240" MajorTopicYN="N">Feasibility Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008887" MajorTopicYN="Y">Military Medicine</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008889" MajorTopicYN="N">Military Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010036" MajorTopicYN="Y">Otolaryngology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012121" MajorTopicYN="Y">Respiration, Artificial</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014139" MajorTopicYN="N">Tracheostomy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">ENT physician</Keyword><Keyword MajorTopicYN="N">Military</Keyword><Keyword MajorTopicYN="N">Percutaneous tracheostomy</Keyword><Keyword MajorTopicYN="N">SARS-CoV-2</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>7</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32631724</ArticleId><ArticleId IdType="pii">S1879-7296(20)30156-3</ArticleId><ArticleId IdType="doi">10.1016/j.anorl.2020.06.016</ArticleId><ArticleId IdType="pmc">PMC7321049</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Alsace (région administrative)</li><li>Grand Est</li><li>Lorraine (région)</li><li>Provence-Alpes-Côte d'Azur</li><li>Région Bretagne</li><li>Île-de-France</li></region><settlement><li>Brest</li><li>Metz</li><li>Mulhouse</li><li>Paris</li><li>Toulon</li></settlement></list><tree><country name="France"><region name="Grand Est"><name sortKey="Morvan, J B" sort="Morvan, J B" uniqKey="Morvan J" first="J-B" last="Morvan">J-B Morvan</name></region><name sortKey="Bonfort, G" sort="Bonfort, G" uniqKey="Bonfort G" first="G" last="Bonfort">G. Bonfort</name><name sortKey="Danguy Des Deserts, M" sort="Danguy Des Deserts, M" uniqKey="Danguy Des Deserts M" first="M" last="Danguy Des Déserts">M. Danguy Des Déserts</name><name sortKey="Mathais, Q" sort="Mathais, Q" uniqKey="Mathais Q" first="Q" last="Mathais">Q. Mathais</name><name sortKey="Pasquier, P" sort="Pasquier, P" uniqKey="Pasquier P" first="P" last="Pasquier">P. Pasquier</name><name sortKey="Riviere, D" sort="Riviere, D" uniqKey="Riviere D" first="D" last="Rivière">D. Rivière</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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