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Fikkers, Bernard G.; Staatsen, Marieke; Lardenoije, Sabine G G F; Hoogen, F.J.A. van den; Hoeven, Johannes G. van der

doi:10.1186/cc2907

Cited by 42 publications

(10 citation statements)

References 27 publications

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“…This was probably due to the lower visibility during the procedure as a result of fogging of the protective face shield. The overall complication rate of 15% [7] and 22% [11] in patients while cannulated, which is found in other studies, is in line with our numbers, although in our study we did not experience any major complications. One study of tracheostomy in COVID-19 patients, by Angel et al, not yet published at the time of writing this article but seen as a journal pre-proof, showed no intra-procedural complications and only minimal post-procedural complications (5.1%), but with one patient needing a surgical exploration and two accidental decannulations [18].…”

Section: Discussionsupporting

confidence: 93%

“…From the demographic data of our patients, age, BMI, and higher percentage male population correspond with being risk factors for COVID-19 viral infection. Intubation time until tracheostomy is longer in comparison to other studies in non-COVID-19 patients [7,11]. In general, long-term ventilation in ICU means mechanical ventilation for more than 10 to 14 days.…”

Section: Discussionmentioning

confidence: 76%

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Percutaneous tracheostomy for long-term ventilated COVID-19-patients: rationale and first clinical-safe for all-experience

Jonckheere¹,

Mekeirele²,

Hendrickx³

et al. 2020

ait

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Background COVID-19 infection has resulted in thousands of critically ill patients admitted to ICUs and treated with mechanical ventilation. Percutaneous tracheostomy is a well-known technique utilised as a strategy to wean critically ill patients from mechanical ventilation. Worldwide differences exist in terms of methods, operators, and settings, and questions remain regarding timing and indications. If tracheostomy is to be performed in COVID-19 patients, a safe environment is needed for optimal care. Methods We present a guidewire dilating forceps tracheostomy procedure in COVID-19 patients that was optimised including apnoea-moments, protective clothing, checklists, and clear protocols. We performed a retrospective analysis of the outcome after tracheostomy in COVID-19 patients between March 2020 and May 2020. Results The follow-up of the first 16 patients, median age 62 years, revealed a median intubation time until tracheostomy of 18 days and median cannulation time of 20 days. The overall perioperative complication rate and complication rate while cannulated was 19%, mainly superficial bleeding. None of the healthcare providers involved in performing the procedure developed any symptoms of the disease. Conclusions This COVID-19-centred strategy based on flexibility, preparation, and cooperation between healthcare providers with different backgrounds facilitated percutaneous tracheostomy in COVID-19 patients without an increase in the overall complication rate or evidence of risk to healthcare providers. Our findings provide initial evidence that tracheostomy can be performed safely as a standard of care for COVID-19 patients requiring prolonged mechanical ventilation as was standard practice in ICU patients prior to the COVID-19 pandemic to promote ventilator weaning and patient recovery.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 76%

Percutaneous tracheostomy for long-term ventilated COVID-19-patients: rationale and first clinical-safe for all-experience

Jonckheere¹,

Mekeirele²,

Hendrickx³

et al. 2020

ait

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“…Only two prospective randomized trials have been published comparing these techniques; however, these trials were small, were not adequately randomized, or did not investigate late complications [ 5 , 6 ]. Previously, we retrospectively compared these techniques in 342 patients, and concluded that they were comparable [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Early and late outcome after single step dilatational tracheostomy versus the guide wire dilating forceps technique: a prospective randomized clinical trial

et al. 2011

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PurposePercutaneous tracheostomy is frequently performed in long-term ventilated patients in the intensive care unit (ICU). Unfortunately, despite many years of experience, the optimal technique is still unknown, especially considering the occurrence of late complications. The purpose of this study was to determine which of the two most frequently used percutaneous tracheostomy techniques performs best with the emphasis on late complications.MethodsThis prospective randomized trial involved 120 patients, comparing two techniques of percutaneous tracheostomy, the guide wire dilating forceps (GWDF) and the single step dilatational tracheostomy (SSDT) technique.ResultsSixty patients in each group underwent a percutaneous tracheostomy and were followed for up to 3 months after decannulation. The majority of complications in both groups were minor (58.3% in the GWDF group and 61.7% in the SSDT group). We found a trend towards more major perioperative complications in the GWDF group versus the SSDT group, 10.0 versus 1.7% (p = 0.06). One patient in the SSDT group developed a significant tracheal stenosis. However, this may also have been related to prolonged translaryngeal intubation. Results of magnetic resonance imaging (MRI) investigations showed only minor tracheal changes. Only 37.5% of patients in the GWDF group and 31.8% in the SSDT group had no complaints after their percutaneous tracheostomy.ConclusionCompared with the GWDF, the SSDT shows a trend toward less major perioperative complications with a comparable long-term outcome.

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“…Despite numerous measures in the field of noise abatement at European, national and local levels, the noise-level has not decreased. Without additional measures, more people will be exposed to higher sound levels in future decades [ 2 ]. Since noise is one of the environmental stressors purported to have adverse effects on human health and well-being [ 3 ], the noise-related disease burden is expected to rise [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Neurobehavioral effects of transportation noise in primary schoolchildren: a cross-sectional study

et al. 2010

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BackgroundDue to shortcomings in the design, no source-specific exposure-effect relations are as yet available describing the effects of noise on children's cognitive performance. This paper reports on a study investigating the effects of aircraft and road traffic noise exposure on the cognitive performance of primary schoolchildren in both the home and the school setting.MethodsParticipants were 553 children (age 9-11 years) attending 24 primary schools around Schiphol Amsterdam Airport. Cognitive performance was measured by the Neurobehavioral Evaluation System (NES), and a set of paper-and-pencil tests. Multilevel regression analyses were applied to estimate the association between noise exposure and cognitive performance, accounting for demographic and school related confounders.ResultsEffects of school noise exposure were observed in the more difficult parts of the Switching Attention Test (SAT): children attending schools with higher road or aircraft noise levels made significantly more errors. The correlational pattern and factor structure of the data indicate that the coherence between the neurobehavioral tests and paper-and-pencil tests is high.ConclusionsBased on this study and previous scientific literature it can be concluded that performance on simple tasks is less susceptible to the effects of noise than performance on more complex tasks.

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Untitled

Cited by 42 publications

References 27 publications

Percutaneous tracheostomy for long-term ventilated COVID-19-patients: rationale and first clinical-safe for all-experience

Percutaneous tracheostomy for long-term ventilated COVID-19-patients: rationale and first clinical-safe for all-experience

Early and late outcome after single step dilatational tracheostomy versus the guide wire dilating forceps technique: a prospective randomized clinical trial

Neurobehavioral effects of transportation noise in primary schoolchildren: a cross-sectional study

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