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Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2020, Number 2-3

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Rev Mex Cir Bucal Maxilofac 2020; 16 (2-3)

Systematic approach for tracheostomy in patients with COVID-19 by the Maxillofacial Surgery Service of the 'Lic. Adolfo López Mateos' Medical Center: protocol proposal and literature review

Reyes CEG, Garduño MJE, Díaz MJA, Soto OJI

Language: Spanish
References: 19
Page: 51-60
PDF size: 244.16 Kb.


ABSTRACT

In late 2019, cases of pneumonia associated with a new, highly contagious strain of coronavirus called COVID-19 (SARS-CoV-2) appeared, starting in a market in Wuhan, China. On January 30, 2020, the World Health Organization (WHO) declared COVID-19 the sixth public health emergency of international concern. Currently, the 2019-nCoV epidemic is crossing a critical period with more than 8,242,999 people infected. Testing for SARS-CoV-2 has been well recognized as causing mild to severe respiratory symptoms secondary to viral pneumonia and in some cases progression to acute respiratory distress syndrome (ARDS). In relation to the clinical manifestation, approximately 5% of the infected persons have a critical course, which deserves admission to the Intensive Care Unit (ICU) and mechanical ventilatory support, this population is suitable for tracheotomy. Objective: To establish a protocol made by the service of maxillofacial surgery of the Medical Center "Lic. Adolfo López Mateos" for the accomplishment of tracheostomy in patients with COVID-19 within the Mexican Republic. Results: Four patients with COVID-19 were identified, of whom three were men and one was woman, all of whom presented acute respiratory distress syndrome with mechanical ventilation support. These patients underwent tracheostomy due to the need for prolonged intubation in a period from May to June 2020.


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