Tracheostomy intervention in intubated COVID positive patients: A survey of current clinical practice among ENT surgeons.
Identifieur interne : 000206 ( Main/Corpus ); précédent : 000205; suivant : 000207Tracheostomy intervention in intubated COVID positive patients: A survey of current clinical practice among ENT surgeons.
Auteurs : Ayman D'Souza ; Ricard Simo ; Alwyn D'Souza ; Francis Vaz ; Andrew Prior ; Rahul KanegaonkarSource :
- Head & neck [ 1097-0347 ] ; 2020.
English descriptors
- KwdEn :
- Airway Management (methods), COVID-19 (MeSH), Coronavirus Infections (epidemiology), Critical Care (methods), Female (MeSH), Hospitals, University (MeSH), Humans (MeSH), Intensive Care Units (MeSH), Internationality (MeSH), Internet (MeSH), Intubation, Intratracheal (methods), Male (MeSH), Otolaryngology (methods), Pandemics (statistics & numerical data), Pneumonia, Viral (epidemiology), Respiration, Artificial (methods), Risk Assessment (MeSH), Surveys and Questionnaires (MeSH), Time Factors (MeSH), Tracheostomy (methods), Tracheotomy (methods), Treatment Outcome (MeSH), United Kingdom (MeSH).
- MESH :
- geographic : United Kingdom.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- methods : Airway Management, Critical Care, Intubation, Intratracheal, Otolaryngology, Respiration, Artificial, Tracheostomy, Tracheotomy.
- statistics & numerical data : Pandemics.
- COVID-19, Female, Hospitals, University, Humans, Intensive Care Units, Internationality, Internet, Male, Risk Assessment, Surveys and Questionnaires, Time Factors, Treatment Outcome.
Abstract
INTRODUCTION
The COVID-19 pandemic has resulted in an unprecedented need for critical care intervention. Prolonged intubation and mechanical ventilation has resulted in the need for tracheostomy in some patients. The purpose of this international survey was to assess optimal timing, technique and outcome for this intervention.
METHODS
An online survey was generated. Otorhinolaryngologists from both the United Kingdom and Abroad were polled with regards to their experience of tracheostomy in COVID-19 positive ventilated patients.
RESULTS
The survey was completed by 50 respondents from 16 nations. The number of ventilated patients totalled 3403, on average 9.7% required a tracheostomy. This was on average performed on day 14 following intubation. The majority of patients were successfully weaned (mean 7.4 days following tracheostomy).
CONCLUSION
The results of this brief survey suggest that tracheostomy is of benefit in selected patients. There was insufficient data to suggest improved outcomes with either percutaneous vs an open surgical technique.
DOI: 10.1002/hed.26274
PubMed: 32501600
PubMed Central: PMC7300738
Links to Exploration step
pubmed:32501600Le document en format XML
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UK.</nlm:affiliation></affiliation></author><author><name sortKey="Vaz, Francis" sort="Vaz, Francis" uniqKey="Vaz F" first="Francis" last="Vaz">Francis Vaz</name><affiliation><nlm:affiliation>Department of Head and Neck Surgery, University College Hospital, London, UK.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Institute of Medical Sciences, Medway Campus, Canterbury Christ Church University, Kent, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Prior, Andrew" sort="Prior, Andrew" uniqKey="Prior A" first="Andrew" last="Prior">Andrew Prior</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, Princess Royal University Hospital, Kent, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Kanegaonkar, Rahul" sort="Kanegaonkar, Rahul" uniqKey="Kanegaonkar R" first="Rahul" last="Kanegaonkar">Rahul Kanegaonkar</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, Princess Royal University Hospital, Kent, UK.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Institute of Medical Sciences, Medway Campus, Canterbury Christ Church University, Kent, UK.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32501600</idno><idno type="pmid">32501600</idno><idno type="doi">10.1002/hed.26274</idno><idno type="pmc">PMC7300738</idno><idno type="wicri:Area/Main/Corpus">000206</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000206</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Tracheostomy intervention in intubated COVID positive patients: A survey of current clinical practice among ENT surgeons.</title><author><name sortKey="D Souza, Ayman" sort="D Souza, Ayman" uniqKey="D Souza A" first="Ayman" last="D'Souza">Ayman D'Souza</name><affiliation><nlm:affiliation>Christ Church, University of Oxford, Oxford, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Simo, Ricard" sort="Simo, Ricard" uniqKey="Simo R" first="Ricard" last="Simo">Ricard Simo</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, Guy's and St Thomas' NHS Foundation Trust, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="D Souza, Alwyn" sort="D Souza, Alwyn" uniqKey="D Souza A" first="Alwyn" last="D'Souza">Alwyn D'Souza</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, University Hospital Lewisham, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Vaz, Francis" sort="Vaz, Francis" uniqKey="Vaz F" first="Francis" last="Vaz">Francis Vaz</name><affiliation><nlm:affiliation>Department of Head and Neck Surgery, University College Hospital, London, UK.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Institute of Medical Sciences, Medway Campus, Canterbury Christ Church University, Kent, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Prior, Andrew" sort="Prior, Andrew" uniqKey="Prior A" first="Andrew" last="Prior">Andrew Prior</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, Princess Royal University Hospital, Kent, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Kanegaonkar, Rahul" sort="Kanegaonkar, Rahul" uniqKey="Kanegaonkar R" first="Rahul" last="Kanegaonkar">Rahul Kanegaonkar</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, Princess Royal University Hospital, Kent, UK.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Institute of Medical Sciences, Medway Campus, Canterbury Christ Church University, Kent, UK.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Head & neck</title><idno type="eISSN">1097-0347</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Airway Management (methods)</term><term>COVID-19 (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Critical Care (methods)</term><term>Female (MeSH)</term><term>Hospitals, University (MeSH)</term><term>Humans (MeSH)</term><term>Intensive Care Units (MeSH)</term><term>Internationality (MeSH)</term><term>Internet (MeSH)</term><term>Intubation, Intratracheal (methods)</term><term>Male (MeSH)</term><term>Otolaryngology (methods)</term><term>Pandemics (statistics & numerical data)</term><term>Pneumonia, Viral (epidemiology)</term><term>Respiration, Artificial (methods)</term><term>Risk Assessment (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Time Factors (MeSH)</term><term>Tracheostomy (methods)</term><term>Tracheotomy (methods)</term><term>Treatment Outcome (MeSH)</term><term>United Kingdom (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>United Kingdom</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Airway Management</term><term>Critical Care</term><term>Intubation, Intratracheal</term><term>Otolaryngology</term><term>Respiration, Artificial</term><term>Tracheostomy</term><term>Tracheotomy</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Pandemics</term></keywords><keywords scheme="MESH" xml:lang="en"><term>COVID-19</term><term>Female</term><term>Hospitals, University</term><term>Humans</term><term>Intensive Care Units</term><term>Internationality</term><term>Internet</term><term>Male</term><term>Risk Assessment</term><term>Surveys and Questionnaires</term><term>Time Factors</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>The COVID-19 pandemic has resulted in an unprecedented need for critical care intervention. Prolonged intubation and mechanical ventilation has resulted in the need for tracheostomy in some patients. The purpose of this international survey was to assess optimal timing, technique and outcome for this intervention.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>An online survey was generated. Otorhinolaryngologists from both the United Kingdom and Abroad were polled with regards to their experience of tracheostomy in COVID-19 positive ventilated patients.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The survey was completed by 50 respondents from 16 nations. The number of ventilated patients totalled 3403, on average 9.7% required a tracheostomy. This was on average performed on day 14 following intubation. The majority of patients were successfully weaned (mean 7.4 days following tracheostomy).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The results of this brief survey suggest that tracheostomy is of benefit in selected patients. There was insufficient data to suggest improved outcomes with either percutaneous vs an open surgical technique.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32501600</PMID><DateCompleted><Year>2020</Year><Month>07</Month><Day>22</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-0347</ISSN><JournalIssue CitedMedium="Internet"><Volume>42</Volume><Issue>7</Issue><PubDate><Year>2020</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Head & neck</Title><ISOAbbreviation>Head Neck</ISOAbbreviation></Journal><ArticleTitle>Tracheostomy intervention in intubated COVID positive patients: A survey of current clinical practice among ENT surgeons.</ArticleTitle><Pagination><MedlinePgn>1382-1385</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/hed.26274</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The COVID-19 pandemic has resulted in an unprecedented need for critical care intervention. Prolonged intubation and mechanical ventilation has resulted in the need for tracheostomy in some patients. The purpose of this international survey was to assess optimal timing, technique and outcome for this intervention.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">An online survey was generated. Otorhinolaryngologists from both the United Kingdom and Abroad were polled with regards to their experience of tracheostomy in COVID-19 positive ventilated patients.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The survey was completed by 50 respondents from 16 nations. The number of ventilated patients totalled 3403, on average 9.7% required a tracheostomy. This was on average performed on day 14 following intubation. The majority of patients were successfully weaned (mean 7.4 days following tracheostomy).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The results of this brief survey suggest that tracheostomy is of benefit in selected patients. There was insufficient data to suggest improved outcomes with either percutaneous vs an open surgical technique.</AbstractText><CopyrightInformation>© 2020 The Authors. Head & Neck published by Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>D'Souza</LastName><ForeName>Ayman</ForeName><Initials>A</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-2965-1619</Identifier><AffiliationInfo><Affiliation>Christ Church, University of Oxford, Oxford, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Simo</LastName><ForeName>Ricard</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Guy's and St Thomas' NHS Foundation Trust, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>D'Souza</LastName><ForeName>Alwyn</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, University Hospital Lewisham, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vaz</LastName><ForeName>Francis</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Head and Neck Surgery, University College Hospital, London, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute of Medical Sciences, Medway Campus, Canterbury Christ Church University, Kent, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Prior</LastName><ForeName>Andrew</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Princess Royal University Hospital, Kent, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kanegaonkar</LastName><ForeName>Rahul</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Princess Royal University Hospital, Kent, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute of Medical Sciences, Medway Campus, Canterbury Christ Church University, Kent, 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