Application of tracheotomy in the treatment of severe cases of COVID-19
10.3760/cma.j.cn115330-20200305-00162
- VernacularTitle:气管切开术在新型冠状病毒肺炎危重型患者救治中的应用
- Author:
Zhifeng DENG
1
;
Ting ZHU
;
Yongjun DING
;
Chenliang ZHOU
;
Yan KANG
;
Jining QU
;
Qingquan HUA
;
Yu XU
Author Information
1. 武汉大学人民医院耳鼻咽喉头颈外科 430060
- Keywords:
COVID-19;
Critical type;
Tracheostomy;
Surgical indications;
Protective measures
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2020;55(6):576-579
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the the effects, indications and protective measures of tracheotomy for severe cases of coronavirus disease 2019 (COVID-19) patients.Methods:A retrospectively analysis was conducted to explore the clinical data of COVID-19 patients who received tracheotomy in February to March 2020, and descriptive statistics were used to analyze the indication of tracheotomy, particularity of intraoperative treatment and protective measures.Results:A total of 4 cases were included in this article. All patients were successfully operated. One case had postoperative incision continuous bleeding, there were not other complications and nosocomial infection among the medical staff. The patient′s condition was relieved in different degrees after the operation, who remained hospitalized.Conclusion:Tracheotomy for severe cases of COVID-19 can achieve certain curative effect, but the occurrence of tracheotomy related complications and nosocomial infection should be effectively controlled, and the risk benefit ratio of tracheotomy should be carefully weighed before surgery.