EXPERIENCE OF SURGICAL TRACHEOSTOMY IN COVID-19 HOSPITAL

Objective: To share our experience of tracheostomy in COVID-19 positive patients. Study Design: Prospective observational study. Place and Duration of Study: Pak-Emirates Military Hospital, Rawalpindi Pakistan, from Apr to Jul 2020. Methodology: A total of 94 COVID-19 positive cases admitte...

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Autores principales:	Saleem Asif Niazi, Yausra Riaz, Shahzad Maqbool, Zafar Ullah Khan, Asjad Sharif, Muhammad Umar Aasim, Kaswar Sajjad, Shafaq Zaman
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	covid-19 health care workers Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/22fc170a00784b8b9657f16486382bd9
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spelling	oai:doaj.org-article:22fc170a00784b8b9657f16486382bd92021-11-23T03:14:20ZEXPERIENCE OF SURGICAL TRACHEOSTOMY IN COVID-19 HOSPITAL0030-96482411-8842https://doaj.org/article/22fc170a00784b8b9657f16486382bd92021-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/5148/3606https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To share our experience of tracheostomy in COVID-19 positive patients. Study Design: Prospective observational study. Place and Duration of Study: Pak-Emirates Military Hospital, Rawalpindi Pakistan, from Apr to Jul 2020. Methodology: A total of 94 COVID-19 positive cases admitted to the Intensive Care Unit of this hospital, placed on ventilatory support and who ultimately underwent tracheostomy (whether percutaneous or surgical) were included in the study. Patients were included irrespective of any age group or gender. Results: Out of 94 patients placed on ventilator, tracheostomy was performed only in 17 patients. Male predominance was 13 (76%), with mean age of patients as 55.59 ± 12.93 in 12 patients, surgical tracheostomy was performed (70.58%) whereas in 5 (29.4%) cases percutaneous tracheostomy was done. On post-operative follow-up 8 out of 17 (47%) patients recovered and were successfully decannulated whereas 9 (52.9%) patients could not survive. Tracheostomy was successfully performed as early as 8th day of mechanical ventilator support. Health Care Workers (HCWs) involved were subjected to RT-PCR and remained negative for SARS- CoV-2. There was statistically significant association between the type and indication of tracheostomy, p=0.002. Conclusion: Tracheostomy, in COVID-19 positive patients, being aerosol- generating procedure remains a medical hazard for the HCWs. By following strict safety protocols according to the medical resources available and training of the HCWs, it can be performed with complete safety. It can be done as early as 8th day of ventilator support.Saleem Asif NiaziYausra RiazShahzad MaqboolZafar Ullah KhanAsjad SharifMuhammad Umar AasimKaswar SajjadShafaq ZamanArmy Medical College Rawalpindiarticlecovid-19health care workersMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 5, Pp 1713-1717 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	covid-19 health care workers Medicine R Medicine (General) R5-920
spellingShingle	covid-19 health care workers Medicine R Medicine (General) R5-920 Saleem Asif Niazi Yausra Riaz Shahzad Maqbool Zafar Ullah Khan Asjad Sharif Muhammad Umar Aasim Kaswar Sajjad Shafaq Zaman EXPERIENCE OF SURGICAL TRACHEOSTOMY IN COVID-19 HOSPITAL
description	Objective: To share our experience of tracheostomy in COVID-19 positive patients. Study Design: Prospective observational study. Place and Duration of Study: Pak-Emirates Military Hospital, Rawalpindi Pakistan, from Apr to Jul 2020. Methodology: A total of 94 COVID-19 positive cases admitted to the Intensive Care Unit of this hospital, placed on ventilatory support and who ultimately underwent tracheostomy (whether percutaneous or surgical) were included in the study. Patients were included irrespective of any age group or gender. Results: Out of 94 patients placed on ventilator, tracheostomy was performed only in 17 patients. Male predominance was 13 (76%), with mean age of patients as 55.59 ± 12.93 in 12 patients, surgical tracheostomy was performed (70.58%) whereas in 5 (29.4%) cases percutaneous tracheostomy was done. On post-operative follow-up 8 out of 17 (47%) patients recovered and were successfully decannulated whereas 9 (52.9%) patients could not survive. Tracheostomy was successfully performed as early as 8th day of mechanical ventilator support. Health Care Workers (HCWs) involved were subjected to RT-PCR and remained negative for SARS- CoV-2. There was statistically significant association between the type and indication of tracheostomy, p=0.002. Conclusion: Tracheostomy, in COVID-19 positive patients, being aerosol- generating procedure remains a medical hazard for the HCWs. By following strict safety protocols according to the medical resources available and training of the HCWs, it can be performed with complete safety. It can be done as early as 8th day of ventilator support.
format	article
author	Saleem Asif Niazi Yausra Riaz Shahzad Maqbool Zafar Ullah Khan Asjad Sharif Muhammad Umar Aasim Kaswar Sajjad Shafaq Zaman
author_facet	Saleem Asif Niazi Yausra Riaz Shahzad Maqbool Zafar Ullah Khan Asjad Sharif Muhammad Umar Aasim Kaswar Sajjad Shafaq Zaman
author_sort	Saleem Asif Niazi
title	EXPERIENCE OF SURGICAL TRACHEOSTOMY IN COVID-19 HOSPITAL
title_short	EXPERIENCE OF SURGICAL TRACHEOSTOMY IN COVID-19 HOSPITAL
title_full	EXPERIENCE OF SURGICAL TRACHEOSTOMY IN COVID-19 HOSPITAL
title_fullStr	EXPERIENCE OF SURGICAL TRACHEOSTOMY IN COVID-19 HOSPITAL
title_full_unstemmed	EXPERIENCE OF SURGICAL TRACHEOSTOMY IN COVID-19 HOSPITAL
title_sort	experience of surgical tracheostomy in covid-19 hospital
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doaj.org/article/22fc170a00784b8b9657f16486382bd9
work_keys_str_mv	AT saleemasifniazi experienceofsurgicaltracheostomyincovid19hospital AT yausrariaz experienceofsurgicaltracheostomyincovid19hospital AT shahzadmaqbool experienceofsurgicaltracheostomyincovid19hospital AT zafarullahkhan experienceofsurgicaltracheostomyincovid19hospital AT asjadsharif experienceofsurgicaltracheostomyincovid19hospital AT muhammadumaraasim experienceofsurgicaltracheostomyincovid19hospital AT kaswarsajjad experienceofsurgicaltracheostomyincovid19hospital AT shafaqzaman experienceofsurgicaltracheostomyincovid19hospital
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EXPERIENCE OF SURGICAL TRACHEOSTOMY IN COVID-19 HOSPITAL

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