Imperial College London
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Dr Marcela P. Vizcaychipi

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

+44 (0)20 3315 8903m.vizcaychipi Website

 
 
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Location

 

3.21Chelsea and Westminster HospitalChelsea and Westminster Campus

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Summary

 

Publications

Citation

BibTex format

@article{Courtney:2021:10.1177/2473974X20984998,
author = {Courtney, A and Lignos, L and Ward, P and Vizcaychipi, MP},
doi = {10.1177/2473974X20984998},
journal = {OTO Open},
title = {Surgical Tracheostomy Outcomes in COVID-19–Positive Patients},
url = {http://dx.doi.org/10.1177/2473974X20984998},
volume = {5},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - ObjectiveThe aim of this case series was to demonstrate that surgical tracheostomy can be undertaken safely in critically ill mechanically ventilated patients with coronavirus disease 2019 (COVID-19) and that it is an effective weaning tool.Study DesignRetrospective case series.SettingSingle academic teaching hospital in London.MethodsAll adult patients admitted to the adult intensive care unit (AICU), diagnosed with severe COVID-19 infection and requiring surgical tracheostomy between the March 10, 2020, and May 1, 2020, were included. Data collection focused upon patient demographics, AICU admission data, tracheostomy-specific data, and clinical outcomes.ResultsTwenty patients with COVID-19 underwent surgical tracheostomy. The main indication for tracheostomy was to assist in respiratory weaning. Patients had undergone mechanical ventilation for a median of 16.5 days prior to surgical tracheostomy. Tracheostomy remained in situ for a median of 12.5 days. Sixty percent of patients were decannulated at the end of the data collection period. There were no serious immediate or short-term complications. Surgical tracheostomy facilitated significant reduction in intravenous sedation at 48 hours after tracheostomy formation. There was no confirmed COVID-19 infection or reported sickness in the operating surgical or anesthetic teams.ConclusionSurgical tracheostomy has been demonstrated to be an effective weaning tool in patients with severe COVID-19 infection.
AU  - Courtney,A
AU  - Lignos,L
AU  - Ward,P
AU  - Vizcaychipi,MP
DO  - 10.1177/2473974X20984998
PY  - 2021///
TI  - Surgical Tracheostomy Outcomes in COVID-19–Positive Patients
T2  - OTO Open
UR  - http://dx.doi.org/10.1177/2473974X20984998
UR  - https://journals.sagepub.com/doi/full/10.1177/2473974X20984998
UR  - http://hdl.handle.net/10044/1/85395
VL  - 5
ER  -
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