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Case Reports
. 2021 Mar 8;13(3):e13769.
doi: 10.7759/cureus.13769.

Percutaneous Dilational Tracheostomy in a Patient With SARS-CoV-2 (COVID-19) Disease: A Case Report With Implications in Staff Safety

Ali Fuat Erdem  1 , Yakup Tomak  2 , Onur Balaban  3 , Gürkan Demir  1
Affiliations
Case Reports

Percutaneous Dilational Tracheostomy in a Patient With SARS-CoV-2 (COVID-19) Disease: A Case Report With Implications in Staff Safety

Ali Fuat Erdem et al. Cureus. .

Abstract

Some patients may need mechanical ventilation support during severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease-2019, COVID-19) infection and may eventually require tracheostomy in the following days. Tracheostomy is considered as a high-risk procedure for surgeons and operative personnel in terms of air contamination. We present a case of percutaneous dilational tracheostomy performed in a patient with COVID-19 pneumonia and the methods we used to reduce contamination risks for the healthcare staff.

Keywords: air-contamination; negative-pressure room; percutaneous dilational tracheostomy; personal protective equipment; sars-cov-2 (covid-19); surgical personnel.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. PPE of the surgical stuff including the protective suit, waterproof cap, protective glasses, and the FFP3 mask.
PPE, personal protective equipment; FFP3, filtering facepiece 3
Figure 2
Figure 2. Transparent plastic sterile drape over the head of the patient where the video laryngoscopy procedure proceeded underneath.
Figure 3
Figure 3. a. Insertion of the needle into the trachea. b. Placement of the tracheostomy tube connected to the mechanical ventilator along with a closed circuit aspiration system.
Figure 4
Figure 4. Flowchart of the tracheostomy procedure including the precautions to reduce COVID-19 virus contamination.
COVID-19, coronavirus disease-2019
See this image and copyright information in PMC

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