| 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 |
| Tracheostomy |
| Safety |
| 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 http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| Type: | article (author version) |
| URI: | http://hdl.handle.net/2115/85685 |
| 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)
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