Percutaneous Dilatational Tracheostomy in COVID-19 Patients in the Covid Hospital Intensive Care Unit: The University Clinical Center of Vojvodina Experience
Patients with acute respiratory distress syndrome due to COVID-19 require intensive care unit (ICU) admission with consecutive endotracheal intubation and invasive mechanical ventilation. In patients with long-term mechanical ventilation, percutaneous dilatational tracheostomy (PDT) may be consid...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2023-01-01
|
| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/443849 |
| _version_ | 1797206362408615936 |
|---|---|
| author | Aleksandra Plećaš Đurić Vladimir Dolinaj Sanja Maričić Prijić Radmila Popović Davor Križanović Velibor Čabarkapa |
| author_facet | Aleksandra Plećaš Đurić Vladimir Dolinaj Sanja Maričić Prijić Radmila Popović Davor Križanović Velibor Čabarkapa |
| author_sort | Aleksandra Plećaš Đurić |
| collection | DOAJ |
| description | Patients with acute respiratory distress syndrome due to COVID-19 require intensive
care unit (ICU) admission with consecutive endotracheal intubation and invasive mechanical
ventilation. In patients with long-term mechanical ventilation, percutaneous dilatational tracheostomy
(PDT) may be considered. This retrospective analysis includes clinical data on patients treated at
the ICUs of the COVID Hospital of the Clinical Center of Vojvodina in the period from September
3, 2021 to May 1, 2022, and underwent PDT. Patients were predominantly male (n=48; 65.8%).
Weaning from mechanical ventilation was achieved in 31 (42.5%) and decannulation in 25 (34.2%)
patients. The mean time from polymerase chain reaction SARS CoV-2 positivity until PDT was
15.59±6.85 days. The mean time of endotracheal intubation before the PDT procedure was 7.37±4.89
days. The mean weaning time from mechanical ventilation was 10.45±7.92 days. Twenty-five (34.2%)
patients were decannulated at the mean time of 19.60±11.81 days. The complications were tracheostomy
related bleeding (2 patients), pneumothorax (4 patients), subcutaneous emphysema (1 patient)
and cricoid cartilage injury (1 patient). PDT is a simple, safe, and effective procedure performed in
COVID-19 patients in the ICU. |
| first_indexed | 2024-04-24T09:05:49Z |
| format | Article |
| id | doaj.art-17ccfa7c14bf465688185f7a5c51426c |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:05:49Z |
| publishDate | 2023-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-17ccfa7c14bf465688185f7a5c51426c2024-04-15T18:50:27ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512023-01-0162.Supplement 1556110.20471/acc.2023.62.s1.07Percutaneous Dilatational Tracheostomy in COVID-19 Patients in the Covid Hospital Intensive Care Unit: The University Clinical Center of Vojvodina ExperienceAleksandra Plećaš Đurić0Vladimir Dolinaj1Sanja Maričić Prijić2Radmila Popović3Davor Križanović4Velibor Čabarkapa5University Clinical Center of Vojvodina, Novi Sad, Serbia; Medical Faculty, University of Novi Sad, Novi Sad, SerbiaUniversity Clinical Center of Vojvodina, Novi Sad, Serbia; Medical Faculty, University of Novi Sad, Novi Sad, SerbiaUniversity Clinical Center of Vojvodina, Novi Sad, Serbia; Medical Faculty, University of Novi Sad, Novi Sad, SerbiaUniversity Clinical Center of Vojvodina, Novi Sad, Serbia; Medical Faculty, University of Novi Sad, Novi Sad, SerbiaUniversity Clinical Center of Vojvodina, Novi Sad, SerbiaUniversity Clinical Center of Vojvodina, Novi Sad, Serbia; Medical Faculty, University of Novi Sad, Novi Sad, SerbiaPatients with acute respiratory distress syndrome due to COVID-19 require intensive care unit (ICU) admission with consecutive endotracheal intubation and invasive mechanical ventilation. In patients with long-term mechanical ventilation, percutaneous dilatational tracheostomy (PDT) may be considered. This retrospective analysis includes clinical data on patients treated at the ICUs of the COVID Hospital of the Clinical Center of Vojvodina in the period from September 3, 2021 to May 1, 2022, and underwent PDT. Patients were predominantly male (n=48; 65.8%). Weaning from mechanical ventilation was achieved in 31 (42.5%) and decannulation in 25 (34.2%) patients. The mean time from polymerase chain reaction SARS CoV-2 positivity until PDT was 15.59±6.85 days. The mean time of endotracheal intubation before the PDT procedure was 7.37±4.89 days. The mean weaning time from mechanical ventilation was 10.45±7.92 days. Twenty-five (34.2%) patients were decannulated at the mean time of 19.60±11.81 days. The complications were tracheostomy related bleeding (2 patients), pneumothorax (4 patients), subcutaneous emphysema (1 patient) and cricoid cartilage injury (1 patient). PDT is a simple, safe, and effective procedure performed in COVID-19 patients in the ICU.https://hrcak.srce.hr/file/443849COVID-19Percutaneous dilatational tracheostomyMechanical ventilationDecannulation |
| spellingShingle | Aleksandra Plećaš Đurić Vladimir Dolinaj Sanja Maričić Prijić Radmila Popović Davor Križanović Velibor Čabarkapa Percutaneous Dilatational Tracheostomy in COVID-19 Patients in the Covid Hospital Intensive Care Unit: The University Clinical Center of Vojvodina Experience Acta Clinica Croatica COVID-19 Percutaneous dilatational tracheostomy Mechanical ventilation Decannulation |
| title | Percutaneous Dilatational Tracheostomy in COVID-19 Patients in the Covid Hospital Intensive Care Unit: The University Clinical Center of Vojvodina Experience |
| title_full | Percutaneous Dilatational Tracheostomy in COVID-19 Patients in the Covid Hospital Intensive Care Unit: The University Clinical Center of Vojvodina Experience |
| title_fullStr | Percutaneous Dilatational Tracheostomy in COVID-19 Patients in the Covid Hospital Intensive Care Unit: The University Clinical Center of Vojvodina Experience |
| title_full_unstemmed | Percutaneous Dilatational Tracheostomy in COVID-19 Patients in the Covid Hospital Intensive Care Unit: The University Clinical Center of Vojvodina Experience |
| title_short | Percutaneous Dilatational Tracheostomy in COVID-19 Patients in the Covid Hospital Intensive Care Unit: The University Clinical Center of Vojvodina Experience |
| title_sort | percutaneous dilatational tracheostomy in covid 19 patients in the covid hospital intensive care unit the university clinical center of vojvodina experience |
| topic | COVID-19 Percutaneous dilatational tracheostomy Mechanical ventilation Decannulation |
| url | https://hrcak.srce.hr/file/443849 |
| work_keys_str_mv | AT aleksandraplecasđuric percutaneousdilatationaltracheostomyincovid19patientsinthecovidhospitalintensivecareunittheuniversityclinicalcenterofvojvodinaexperience AT vladimirdolinaj percutaneousdilatationaltracheostomyincovid19patientsinthecovidhospitalintensivecareunittheuniversityclinicalcenterofvojvodinaexperience AT sanjamaricicprijic percutaneousdilatationaltracheostomyincovid19patientsinthecovidhospitalintensivecareunittheuniversityclinicalcenterofvojvodinaexperience AT radmilapopovic percutaneousdilatationaltracheostomyincovid19patientsinthecovidhospitalintensivecareunittheuniversityclinicalcenterofvojvodinaexperience AT davorkrizanovic percutaneousdilatationaltracheostomyincovid19patientsinthecovidhospitalintensivecareunittheuniversityclinicalcenterofvojvodinaexperience AT veliborcabarkapa percutaneousdilatationaltracheostomyincovid19patientsinthecovidhospitalintensivecareunittheuniversityclinicalcenterofvojvodinaexperience |