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Management of tracheostomy in COVID-19 patients : The Japanese experience

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Title: Management of tracheostomy in COVID-19 patients : The Japanese experience
Authors: Yokokawa, Taizo Browse this author
Ariizumi, Yosuke Browse this author
Hiramatsu, Mariko Browse this author
Kato, Yujin Browse this author
Endo, Kazuhira Browse this author
Obata, Kazufumi Browse this author
Kawashima, Kayoko Browse this author
Sakata, Toshifumi Browse this author
Hirano, Shigeru Browse this author
Nakashima, Torahiko Browse this author
Sekine, Tatsurou Browse this author
Kiyuna, Asanori Browse this author
Uemura, Saeko Browse this author
Okubo, Keisuke Browse this author
Sugimoto, Taro Browse this author
Tateya, Ichiro Browse this author
Fujimoto, Yasushi Browse this author
Horii, Arata Browse this author
Kimura, Yurika Browse this author
Hyodo, Masamitsu Browse this author
Homma, Akihiro Browse this author →KAKEN DB
Keywords: COVID-19
Personal protective equipment
Issue Date: Jun-2021
Publisher: Elsevier
Journal Title: Auris nasus larynx
Volume: 48
Issue: 3
Start Page: 525
End Page: 529
Publisher DOI: 10.1016/j.anl.2021.01.006
Abstract: Objective: Involvement in the tracheostomy procedure for COVID-19 patients can lead to a feeling of fear in medical staff. To address concerns over infection, we gathered and analyzed experiences with tracheostomy in the COVID-19 patient population from all over Japan. Methods: The data for health-care workers involved in tracheostomies for COVID-19-infected patients were gathered from academic medical centers or their affiliated hospitals from all over Japan. Results: Tracheostomies have been performed in 35 COVID-19 patients with a total of 91 surgeons, 49 anesthesiologists, and 49 surgical staff members involved. Twenty-eight (80%) patients underwent surgery more than 22 days after the development of COVID-19-related symptoms (11: 22-28 days and 17: >= 29 days). Thirty (85.7%) patients underwent surgery >= 15 days after intubation (14: 15-21 days, 6: 22-28 days, and 10: >= 29 days). Among the total of 189 health-care workers involved in the tracheostomy procedures, 25 used a powered air-purifying respirator (PAPR) and 164 used a N95 mask and eye protection. As a result, no transmission to staff occurred during the 2 weeks of follow-up after surgery. Conclusion: No one involved in tracheostomy procedures were found to have been infected with COVID-19 in this Japanese study. The reason is thought to be that the timing of the surgery was quite late after the infections, and the surgery was performed using appropriate PPE and surgical procedure. The indications for and timing of tracheostomy for severe COVID-19 patients should be decided through multidisciplinary discussion. (c) 2021 Oto-Rhino-Laryngological Society of Japan Inc. Published by Elsevier B.V. All rights reserved.
Rights: ©2021. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
Type: article (author version)
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 本間 明宏

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