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Comparative Study
. 2020 Sep;163(3):462-464.
doi: 10.1177/0194599820931801. Epub 2020 May 26.

Safety and Prognosis in Percutaneous vs Surgical Tracheostomy in 27 Patients With COVID-19

Juan Riestra-Ayora  1 , Joaquin Yanes-Diaz  1 , Oscar Penuelas  2   3 , Cristina Molina-Quiros  1 , Ricardo Sanz-Fernández  1 , Eduardo Martin-Sanz  1
Affiliations
Comparative Study

Safety and Prognosis in Percutaneous vs Surgical Tracheostomy in 27 Patients With COVID-19

Juan Riestra-Ayora et al. Otolaryngol Head Neck Surg. 2020 Sep.

Abstract

During the SARS-CoV-2 pandemic, patients in intensive care units who are undergoing long-term intubation may require tracheostomy. There is controversy about indication and health care professionals' safety regarding the conventional or percutaneous technique. We performed a prospective analysis of a series of 27 consecutive patients with COVID-19 comparing both tracheostomy techniques, safety, and prognosis clinical markers. The results show that the techniques are equally safe, without cases of infection in surgeons. The Sequential Organ Failure Assessment score before surgery and the progression in ventilation support during the first 72 hours after tracheostomy are optimal prognostic markers for these patients.

Keywords: COVID-19; SARS-CoV-2; airway management; infectious disease; quality improvement; tracheostomy.

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Comment in

  • Tracheostomy in the COVID-19 Era: The Apneic Approach.
    Papathanakos G, Andrianopoulos I, Zikou X, Papathanasiou A, Koulouras V. Papathanakos G, et al. Otolaryngol Head Neck Surg. 2020 Dec;163(6):1283-1284. doi: 10.1177/0194599820940652. Epub 2020 Jun 30. Otolaryngol Head Neck Surg. 2020. PMID: 32600179 No abstract available.

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