Related Experiment Video

Updated: Dec 21, 2025

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
10:06

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

Published on: May 18, 2019

5.9K

Safe and effective management of tracheostomy in COVID-19 patients

Xiaomeng Zhang1, Qiling Huang1, Xun Niu1

  • 1Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Head & Neck
|May 20, 2020
PubMed

Insights

Tracheostomy is safe and effective for COVID-19 patients, with successful procedures and no healthcare worker infections. Comprehensive care ensures patient benefit and worker protection during the pandemic.

Area of Science:

  • Critical Care Medicine
  • Surgical Procedures
  • Infectious Diseases

Background:

  • Rising COVID-19 cases necessitate tracheostomy for patient recovery and emergency care.
  • Tracheostomy management in COVID-19 patients requires balancing patient needs with healthcare worker safety.
  • Exploring safe and effective tracheostomy protocols is crucial during the pandemic.

Purpose of the Study:

  • To evaluate the safety and efficacy of tracheostomy in hospitalized COVID-19 patients.
  • To assess the risk of nosocomial infection for healthcare workers involved in tracheostomy procedures.
  • To identify optimal management strategies for tracheostomy in the context of COVID-19.

Main Methods:

  • Retrospective analysis of 11 hospitalized COVID-19 patients who underwent tracheostomy.
  • Evaluation of patient clinical features, ventilator weaning post-tracheostomy, and surgical complications.
  • Monitoring of healthcare worker SARS-CoV-2 infection status related to tracheostomy procedures.

Main Results:

  • Successful tracheostomy in 100% of cases (11/11 patients).
  • Percutaneous tracheostomy performed in 54.5% (6/11) and open tracheostomy in 45.5% (5/11).
  • No severe postoperative complications and no confirmed SARS-CoV-2 infections among healthcare workers.

Conclusions:

  • Pre-procedure evaluation, optimized surgical techniques, and post-procedure care are key to safe tracheostomy in COVID-19 patients.
  • Tracheostomy can be performed safely and beneficially in COVID-19 patients.
  • Effective management protocols protect both patients and healthcare workers.
Abstract

Keywords:
COVID-19nosocomial infectionopenpercutaneoustracheostomy

More Related Videos

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

21.9K
An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient07:16

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

4.3K

Related Concept Videos

Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
787
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
2.3K
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
1.0K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
4.5K
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
864
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
1.7K