CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2021; 25(03): e459-e462
DOI: 10.1055/s-0041-1731723
Opinion Article
Special Article COVID-19

Tips and Pearls for Tracheostomy during the Covid-19 Pandemic

1   Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
2   Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
1   Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
1   Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
1   Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
3   Department of Anesthesiology and Critical Care, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
,
2   Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
1   Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
› Author Affiliations

Abstract

The number of critically-ill coronavirus disease 2019 (Covid-19) patients requiring mechanical ventilation is on the rise. Most guidelines suggest keeping the patient intubated and delay elective tracheostomy. Although the current literature does not support early tracheostomy, the number of patients undergoing it is increasing. During the pandemic, it is important that surgeons and anesthesiologists know the different aspects of tracheostomy in terms of indication, procedure, tube care and complications. A literature search was performed to identify different guidelines and available evidence on tracheostomy in Covid-19 patients. The purpose of the present article is to generate an essential scientific evidence for life-saving tracheostomy procedures.

Declarations

The authors have no conflict of interests to declare.


The present study received no funding.


The institutional Ethical Committee approved the present study.




Publication History

Received: 14 November 2020

Accepted: 28 May 2021

Article published online:
29 July 2021

© 2021. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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