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Revista Mexicana de Cirugía Torácica General

Sociedad Mexicana de Cirujanos Torácicos Genrales S.C.
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2020, Number 3

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Rev Mex Cir Torac Gen 2020; 1 (3)

Tracheostomy during the COVID-19 pandemic

Carranza-Martínez I, Martínez-Arias MA, Otero-Pérez A, Escobedo-Sánchez E, Loyola-García U
Full text How to cite this article 10.35366/101477

DOI

DOI: 10.35366/101477
URL: https://dx.doi.org/10.35366/101477

Language: Spanish
References: 13
Page: 91-94
PDF size: 156.41 Kb.


Key words:

COVID-19, tracheostomy, obesity, SARS-CoV-2.

ABSTRACT

Due to the dissemination's mechanism of COVID-19, the tracheostomy procedure is classified like high risk ones because of their capacity of generate aerosols. Patients with severe types of the disease who needs mechanical ventilation present a mortality of 76.4 to 97%. México has an overweight-obese rate of 78%, which forces us to realize several modifications to the global recommendations for performing a tracheostomy.


REFERENCES

  1. Ministerio de Salud Pública. Hospital de Especialidades Eugenia Espejo. Guía de manejo y recomendaciones para traqueostomía en pacientes sospechosos y confirmados de COVID19. Versión 1.0. 2020; p. 13.

  2. Zhou F, Yu T, Du R et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020; 395(10229): 1054-1062.

  3. Richardson S, Hirsch JS, Narasimhan M et al. Presenting characteristics, comorbidities, and outcomes among 5700 patients hospitalized with COVID-19 in the New York city area. JAMA. 2020; 323(20): 2052-2059.

  4. Chao TN, Braslow BM, Martin ND et al. Tracheotomy in ventilated patients with COVID-19. Ann Surg. 2020; 272(1): e30-e32.

  5. Zou L, Ruan F, Huang M et al. SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med. 2020; 382(12): 1177-1179.

  6. Huang Y, Chen S, Yang Z et al. SARS-CoV-2 viral load in clinical samples from critically ill patients. Am J Respir Crit Care Med. 2020; 201(11): 1435-1438.

  7. Shiba T, Ghazizadeh S, Chhetri D, St John M, Long J. Tracheostomy considerations during the COVID-19 pandemic. OTO Open. 2020; 4(2): 2473974X20922528. Published 2020 Apr 21.

  8. Chow VLY, Chan JYW, Ho VWY et al. Tracheostomy during COVID-19 pandemic-Novel approach. Head Neck. 2020; 42(7): 1367-1373.

  9. Instituto Nacional de Salud Pública. Encuesta Nacional de Salud y Nutrición 2018 (ENSANUT). Disponible en: www.ensanut.insp.mx

  10. Parker NP, Schiff BA, Fritz MA et al. AAO position statement: tracheotomy recommendations during the COVID-19 pandemic. Updated 2020. [Accessed April 22, 2020] Available in: https://www.entnet.org/content/aao-position-statement-tracheotomy-recommendations-during-covid-19-pandemic.

  11. Sociedad de Cirujanos de Chile. Departamento de Cirugía de Tórax. Recomendaciones para el manejo de cirugía de tórax en la pandemia de COVID-19. 2020.

  12. Xiao H, Zhong Y, Zhang X, Cai F, Varvares MA. How to avoid nosocomial spread during tracheostomy for COVID-19 patients. Head Neck. 2020; 42(6): 1280-1281.

  13. Miles BA, Schiff B, Ganly I et al. Tracheostomy during SARS-CoV-2 pandemic: recommendations from the New York Head and Neck Society. Head Neck. 2020; 42(6): 1282-1290.




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