Tracheostomy in the coronavirus disease 2019 patient: evaluating feasibility, challenges and early outcomes of the 14-day guidance.
Identifieur interne : 000113 ( Main/Exploration ); précédent : 000112; suivant : 000114Tracheostomy in the coronavirus disease 2019 patient: evaluating feasibility, challenges and early outcomes of the 14-day guidance.
Auteurs : N. Glibbery [Royaume-Uni] ; K. Karamali [Royaume-Uni] ; C. Walker [Royaume-Uni] ; I. Fitzgerald O'Connor [Royaume-Uni] ; B. Fish [Royaume-Uni] ; E. Irune [Royaume-Uni]Source :
- The Journal of laryngology and otology [ 1748-5460 ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Betacoronavirus (isolement et purification), Centres de soins tertiaires (statistiques et données numériques), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (transmission), Infections à coronavirus (virologie), Infections à coronavirus (épidémiologie), Maladie grave (épidémiologie), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (transmission), Pneumopathie virale (virologie), Pneumopathie virale (épidémiologie), Royaume-Uni (épidémiologie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Trachéostomie (effets indésirables), Trachéostomie (méthodes), Trachéostomie (statistiques et données numériques), Unités de soins intensifs (statistiques et données numériques), Ventilation artificielle (effets indésirables), Ventilation artificielle (méthodes), Ventilation artificielle (statistiques et données numériques), Équipement de protection individuelle (normes), Équipement de protection individuelle (ressources et distribution), Études cas-témoins (MeSH), Études prospectives (MeSH).
- MESH :
- effets indésirables : Trachéostomie, Ventilation artificielle.
- isolement et purification : Betacoronavirus.
- méthodes : Trachéostomie, Ventilation artificielle.
- normes : Équipement de protection individuelle.
- ressources et distribution : Équipement de protection individuelle.
- statistiques et données numériques : Centres de soins tertiaires, Trachéostomie, Unités de soins intensifs, Ventilation artificielle.
- virologie : Infections à coronavirus, Pneumopathie virale.
- épidémiologie : Infections à coronavirus, Maladie grave, Pneumopathie virale, Royaume-Uni.
- Adulte, Adulte d'âge moyen, Facteurs de risque, Femelle, Humains, Mâle, Pandémies, Sujet âgé, Sujet âgé de 80 ans ou plus, Études cas-témoins, Études prospectives.
- Wicri :
- geographic : Royaume-Uni.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Betacoronavirus (isolation & purification), Case-Control Studies (MeSH), Coronavirus Infections (epidemiology), Coronavirus Infections (transmission), Coronavirus Infections (virology), Critical Illness (epidemiology), Female (MeSH), Humans (MeSH), Intensive Care Units (statistics & numerical data), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Personal Protective Equipment (standards), Personal Protective Equipment (supply & distribution), Pneumonia, Viral (epidemiology), Pneumonia, Viral (transmission), Pneumonia, Viral (virology), Prospective Studies (MeSH), Respiration, Artificial (adverse effects), Respiration, Artificial (methods), Respiration, Artificial (statistics & numerical data), Risk Factors (MeSH), Tertiary Care Centers (statistics & numerical data), Tracheostomy (adverse effects), Tracheostomy (methods), Tracheostomy (statistics & numerical data), United Kingdom (epidemiology).
- MESH :
- geographic , epidemiology : United Kingdom.
- adverse effects : Respiration, Artificial, Tracheostomy.
- epidemiology : Coronavirus Infections, Critical Illness, Pneumonia, Viral.
- isolation & purification : Betacoronavirus.
- methods : Respiration, Artificial, Tracheostomy.
- standards : Personal Protective Equipment.
- statistics & numerical data : Intensive Care Units, Respiration, Artificial, Tertiary Care Centers, Tracheostomy.
- supply & distribution : Personal Protective Equipment.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- virology : Coronavirus Infections, Pneumonia, Viral.
- Adult, Aged, Aged, 80 and over, Case-Control Studies, Female, Humans, Male, Middle Aged, Pandemics, Prospective Studies, Risk Factors.
Abstract
OBJECTIVES
To report feasibility, early outcomes and challenges of implementing a 14-day threshold for undertaking surgical tracheostomy in the critically ill coronavirus disease 2019 patient.
METHODS
Twenty-eight coronavirus disease 2019 patients underwent tracheostomy. Demographics, risk factors, ventilatory assistance, organ support and logistics were assessed.
RESULTS
The mean time from intubation to tracheostomy formation was 17.0 days (standard deviation = 4.4, range 8-26 days). Mean time to decannulation was 15.8 days (standard deviation = 9.4) and mean time to intensive care unit stepdown to a ward was 19.2 days (standard deviation = 6.8). The time from intubation to tracheostomy was strongly positively correlated with: duration of mechanical ventilation (r(23) = 0.66; p < 0.001), time from intubation to decannulation (r(23) = 0.66; p < 0.001) and time from intubation to intensive care unit discharge (r(23) = 0.71; p < 0.001).
CONCLUSION
Performing a tracheostomy in coronavirus disease 2019 positive patients at 8-14 days following intubation is compatible with favourable outcomes. Multidisciplinary team input is crucial to patient selection.
DOI: 10.1017/S0022215120001759
PubMed: 32758308
PubMed Central: PMC7445460
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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(virology)</term><term>Critical Illness (epidemiology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Intensive Care Units (statistics & numerical data)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Personal Protective Equipment (standards)</term><term>Personal Protective Equipment (supply & distribution)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (transmission)</term><term>Pneumonia, Viral (virology)</term><term>Prospective Studies (MeSH)</term><term>Respiration, Artificial (adverse effects)</term><term>Respiration, Artificial (methods)</term><term>Respiration, Artificial (statistics & numerical data)</term><term>Risk Factors (MeSH)</term><term>Tertiary Care Centers (statistics & numerical data)</term><term>Tracheostomy (adverse effects)</term><term>Tracheostomy (methods)</term><term>Tracheostomy (statistics & numerical data)</term><term>United Kingdom 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numériques)</term><term>Unités de soins intensifs (statistiques et données numériques)</term><term>Ventilation artificielle (effets indésirables)</term><term>Ventilation artificielle (méthodes)</term><term>Ventilation artificielle (statistiques et données numériques)</term><term>Équipement de protection individuelle (normes)</term><term>Équipement de protection individuelle (ressources et distribution)</term><term>Études cas-témoins (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>United Kingdom</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Respiration, Artificial</term><term>Tracheostomy</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Trachéostomie</term><term>Ventilation artificielle</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus 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xml:lang="fr"><term>Infections à coronavirus</term><term>Maladie grave</term><term>Pneumopathie virale</term><term>Royaume-Uni</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Prospective Studies</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Pandémies</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études cas-témoins</term><term>Études prospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Royaume-Uni</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>To report feasibility, early outcomes and challenges of implementing a 14-day threshold for undertaking surgical tracheostomy in the critically ill coronavirus disease 2019 patient.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Twenty-eight coronavirus disease 2019 patients underwent tracheostomy. Demographics, risk factors, ventilatory assistance, organ support and logistics were assessed.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The mean time from intubation to tracheostomy formation was 17.0 days (standard deviation = 4.4, range 8-26 days). Mean time to decannulation was 15.8 days (standard deviation = 9.4) and mean time to intensive care unit stepdown to a ward was 19.2 days (standard deviation = 6.8). The time from intubation to tracheostomy was strongly positively correlated with: duration of mechanical ventilation (r(23) = 0.66; p < 0.001), time from intubation to decannulation (r(23) = 0.66; p < 0.001) and time from intubation to intensive care unit discharge (r(23) = 0.71; p < 0.001).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Performing a tracheostomy in coronavirus disease 2019 positive patients at 8-14 days following intubation is compatible with favourable outcomes. Multidisciplinary team input is crucial to patient selection.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32758308</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>01</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1748-5460</ISSN><JournalIssue CitedMedium="Internet"><Volume>134</Volume><Issue>8</Issue><PubDate><Year>2020</Year><Month>Aug</Month></PubDate></JournalIssue><Title>The Journal of laryngology and otology</Title><ISOAbbreviation>J Laryngol Otol</ISOAbbreviation></Journal><ArticleTitle>Tracheostomy in the coronavirus disease 2019 patient: evaluating feasibility, challenges and early outcomes of the 14-day guidance.</ArticleTitle><Pagination><MedlinePgn>688-695</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1017/S0022215120001759</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To report feasibility, early outcomes and challenges of implementing a 14-day threshold for undertaking surgical tracheostomy in the critically ill coronavirus disease 2019 patient.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Twenty-eight coronavirus disease 2019 patients underwent tracheostomy. Demographics, risk factors, ventilatory assistance, organ support and logistics were assessed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean time from intubation to tracheostomy formation was 17.0 days (standard deviation = 4.4, range 8-26 days). Mean time to decannulation was 15.8 days (standard deviation = 9.4) and mean time to intensive care unit stepdown to a ward was 19.2 days (standard deviation = 6.8). The time from intubation to tracheostomy was strongly positively correlated with: duration of mechanical ventilation (r(23) = 0.66; p < 0.001), time from intubation to decannulation (r(23) = 0.66; p < 0.001) and time from intubation to intensive care unit discharge (r(23) = 0.71; p < 0.001).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Performing a tracheostomy in coronavirus disease 2019 positive patients at 8-14 days following intubation is compatible with favourable outcomes. Multidisciplinary team input is crucial to patient selection.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Glibbery</LastName><ForeName>N</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Head and Neck Surgery, Addenbrooke's Hospital, Cambridge, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Karamali</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Head and Neck Surgery, Addenbrooke's Hospital, Cambridge, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Walker</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Head and Neck Surgery, Addenbrooke's Hospital, Cambridge, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fitzgerald O'Connor</LastName><ForeName>I</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Head and Neck Surgery, Addenbrooke's Hospital, Cambridge, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fish</LastName><ForeName>B</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Head and Neck Surgery, Addenbrooke's Hospital, Cambridge, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Irune</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Head and Neck Surgery, Addenbrooke's Hospital, Cambridge, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Laryngol Otol</MedlineTA><NlmUniqueID>8706896</NlmUniqueID><ISSNLinking>0022-2151</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>AIM</CitationSubset><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="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName><QualifierName UI="Q000302" 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UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000067393" MajorTopicYN="N">Personal Protective Equipment</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName><QualifierName UI="Q000600" MajorTopicYN="N">supply & distribution</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000635" MajorTopicYN="Y">transmission</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012121" MajorTopicYN="N">Respiration, Artificial</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D062606" MajorTopicYN="N">Tertiary Care Centers</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014139" MajorTopicYN="N">Tracheostomy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006113" MajorTopicYN="N" Type="Geographic">United Kingdom</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Coronavirus Disease 2019</Keyword><Keyword MajorTopicYN="N">Critical Care</Keyword><Keyword MajorTopicYN="N">Multidisciplinary Team</Keyword><Keyword MajorTopicYN="N">Personal Protective Equipment</Keyword><Keyword MajorTopicYN="N">SARS-CoV-2</Keyword><Keyword MajorTopicYN="N">Tracheostomy</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32758308</ArticleId><ArticleId IdType="doi">10.1017/S0022215120001759</ArticleId><ArticleId IdType="pii">S0022215120001759</ArticleId><ArticleId IdType="pmc">PMC7445460</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Glibbery, N" sort="Glibbery, N" uniqKey="Glibbery N" first="N" last="Glibbery">N. Glibbery</name></noRegion><name sortKey="Fish, B" sort="Fish, B" uniqKey="Fish B" first="B" last="Fish">B. Fish</name><name sortKey="Fitzgerald O Connor, I" sort="Fitzgerald O Connor, I" uniqKey="Fitzgerald O Connor I" first="I" last="Fitzgerald O'Connor">I. Fitzgerald O'Connor</name><name sortKey="Irune, E" sort="Irune, E" uniqKey="Irune E" first="E" last="Irune">E. Irune</name><name sortKey="Karamali, K" sort="Karamali, K" uniqKey="Karamali K" first="K" last="Karamali">K. Karamali</name><name sortKey="Walker, C" sort="Walker, C" uniqKey="Walker C" first="C" last="Walker">C. Walker</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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