Recomendaciones para realización de traqueostomías y atención de los pacientes traqueostomizados en Colombia durante la pandemia COVID-19

Torres, Andrey Moreno; Gutiérrez, Andrés Rojas; Escobar, Judith Vásconez; Rueda, Ricardo Silva; Rubio, Luis Morales; Chaparro, Jorge Augusto Herrera; Sabogal, Carlos Rodríguez; Díaz, Luis Humberto Jiménez

doi:10.30944/20117582.617

Rev Colomb Cir

2020

DOI: 10.30944/20117582.617

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Recomendaciones para realización de traqueostomías y atención de los pacientes traqueostomizados en Colombia durante la pandemia COVID-19

Andrey Moreno Torres

Andrés Rojas Gutiérrez

Judith Vásconez Escobar

et al.

Abstract: Establecer una serie de recomendaciones para la realización de las traqueostomías, que se centren en la seguridad de los pacientes y de los equipos de atención médica durante la pandemia de COVID-19, minimizando el riesgo, la exposición viral y agotamiento del equipo de protección personal (EPP). Este documento está destinado a proporcionar los antecedentes, consideraciones y recomendaciones basadas en la literatura e información de primera línea de esta etapa de la pandemia. Estas recomendaciones pueden… Show more

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“…All these patients were surveyed on the day of the procedure. All health personnel who treated them were fully complied with the personal protection elements (PPE) that had been stipulated by the health agencies at the national level [ 8 ].…”

mentioning

confidence: 99%

Bariatric and metabolic surgery in Colombia during COVID–19, is it a risk? – Correspondence

Domínguez-Alvarado

Mesa²,

Calvache³

et al. 2022

International Journal of Surgery

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mentioning

confidence: 99%

Bariatric and metabolic surgery in Colombia during COVID–19, is it a risk? – Correspondence

Domínguez-Alvarado

Mesa²,

Calvache³

et al. 2022

International Journal of Surgery

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Impact of tracheostomy in patients with severe acute respiratory syndrome due to coronavirus infection

Lugo-Machado¹,

Guerrero-Paz²,

Fuentes³

et al. 2022

Romanian Journal of Rhinology

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OBJECTIVE. To estimate the effect of tracheostomy on ventilation in patients with COVID-19. MATERIAL AND METHODS. An observational, retrospective, analytical, longitudinal study of a consecutive series of cases was carried out between April 2020 and March 2021. The study included data about different variables, such as age, sex, comorbidities, time of orotracheal intubation, place of surgery, complications and death, ventilatory parameters, blood gas and time of the weaning after tracheostomy. Descriptive statistics were used with measures of central tendency, measures of dispersion and the Wilcoxon test to see differences in the ventilatory parameters. RESULTS. The study was performed on 130 patients admitted to the ICU with intubation to manage their critical condition. From these patients, the study group included 31 who underwent tracheostomy, 25 males (80.64%) with a mean age of 57.1±13.395 years and with 20.52±6.722 days in orotracheal intubation. Among the most frequent comorbidities, we encountered: arterial hypertension (51.6%), obesity (35.4%), diabetes mellitus (22.5%), hypothyroidism (6.4%), asthma (3.2%), pregnancy (3.2%), chronic obstructive pulmonary disease (3.2%) and obstructive sleep apnea syndrome (3.2%). The main complications were bleeding (12.9%) and decannulation (3.2%). The survival rate was 90.32%. Comparing the pre-surgical and postoperative outcomes of the ventilatory parameters and blood gas, statistically significant differences were found only in case of PEEP (p = 0.033), FiO2 (p = 0.001) and O2 saturation (p = 0.001). The average removal of the ventilator was 4.3±2.437 days. CONCLUSION. There were no significant changes in the ventilatory parameters, however, they were sufficient to wean the patients from the ventilation team and discharge them to the internal medicine department to continue their management outside the intensive care unit.

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Recomendaciones para realización de traqueostomías y atención de los pacientes traqueostomizados en Colombia durante la pandemia COVID-19

Cited by 2 publications

References 20 publications

Bariatric and metabolic surgery in Colombia during COVID–19, is it a risk? – Correspondence

Bariatric and metabolic surgery in Colombia during COVID–19, is it a risk? – Correspondence

Impact of tracheostomy in patients with severe acute respiratory syndrome due to coronavirus infection

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