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

Yokokawa, Taizo; Ariizumi, Yosuke; Hiramatsu, Mariko; Kato, Yujin; Endo, Kazuhira; Obata, Kazufumi; Kawashima, Kayoko; Sakata, Toshifumi; Hirano, Shigeru; Nakashima, Torahiko; Sekine, Tatsurou; Kiyuna, Asanori; Uemura, Saeko; Okubo, Keisuke; Sugimoto, Taro; Tateya, Ichiro; Fujimoto, Yasushi; Horii, Arata; Kimura, Yurika; Hyodo, Masamitsu; Homma, Akihiro

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

Yokokawa, Taizo; Ariizumi, Yosuke; Hiramatsu, Mariko et al.

Auris nasus larynx, 2021, 48(3), 525-529

Permalink : https://hdl.handle.net/2115/85685

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アクセス権	open access
URI	https://hdl.handle.net/2115/85685
タイトル	Management of tracheostomy in COVID-19 patients : The Japanese experience
著者	Yokokawa, Taizo ; Ariizumi, Yosuke ; Hiramatsu, Mariko ; Kato, Yujin ; Endo, Kazuhira ; Obata, Kazufumi ; Kawashima, Kayoko ; Sakata, Toshifumi ; Hirano, Shigeru ; Nakashima, Torahiko ; Sekine, Tatsurou ; Kiyuna, Asanori ; Uemura, Saeko ; Okubo, Keisuke ; Sugimoto, Taro ; Tateya, Ichiro ; Fujimoto, Yasushi ; Horii, Arata ; Kimura, Yurika ; Hyodo, Masamitsu ; Homma, Akihiro
著者名 Yokokawa, Taizo
著者名 Ariizumi, Yosuke
著者名 Hiramatsu, Mariko
著者名 Kato, Yujin
著者名 Endo, Kazuhira
著者名 Obata, Kazufumi
著者名 Kawashima, Kayoko
著者名 Sakata, Toshifumi
著者名 Hirano, Shigeru
著者名 Nakashima, Torahiko
著者名 Sekine, Tatsurou
著者名 Kiyuna, Asanori
著者名 Uemura, Saeko
著者名 Okubo, Keisuke
著者名 Sugimoto, Taro
著者名 Tateya, Ichiro
著者名 Fujimoto, Yasushi
著者名 Horii, Arata
著者名 Kimura, Yurika
著者名 Hyodo, Masamitsu
e-Rad_Researcher 30312359 著者名 Homma, Akihiro
言語	英語
キーワード	COVID-19
	Tracheostomy
	Safety
	Personal protective equipment
発行日	2021-06
出版者	Elsevier
収録物名	Auris nasus larynx
巻(号)	48(3)
ページ	525-529
抄録	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.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
権利情報	©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/
PISSN	0385-8146
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1016/j.anl.2021.01.006