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Sociedad Mexicana de Cirujanos Torácicos Genrales S.C.

2021, Number 1

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Rev Mex Cir Torac Gen 2021; 2 (1)

Impact of tracheostomy on survival of patients with COVID-19

López-Corrales MA, Pelayo-Avendaño CI, Olivares-Torres CA, Salazar-Otaola GF, Paipilla-Monroy OA, Manrique-Maldonado F

Language: Spanish
References: 19
Page: 5-10
PDF size: 200.37 Kb.


ABSTRACT

Introduction: Adequate timing to perform tracheotomies on COVID-19 patients in order to optimize mechanical ventilation has yet to be standardized. Thus, with the goal of optimizing resources and to make more ICU beds available, surgeons are being called upon to perform tracheostomies more frequently resulting in increased risk of infection. With this in mind, evidence is needed to improve tracheostomy practices during the current pandemic. Objective: To compare the mortality in COVID-19 patients, who underwent a tracheostomy before and after 14 days. Material and methods: Retrospective observational study, twenty-nine COVID-19 patients were included, the mortality associated with the time of mechanical ventilation prior to tracheostomy was assessed. Results: Of 29 patients submitted to tracheostomy, nine were performed early and twenty were performed late. Mortality among those who tracheostomies were performed early was 77 and 40% in those underwent late. It was observed that a presurgical APACHE II ≥ 17 points mortality was 100%. Conclusions: We recommend to not performing tracheostomies prior to 14 days of mechanical ventilation. Until we have more evidence, we suggest not using the APACHE II scale in patients with COVID-19.


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