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Tracheostomy in Covid-19 Patients: Surgical Concerns and Considerations
Susan K Sebastian1, Priyanka Schilling Amar1, Rijusree Sharma2
1Department of ENT and Head & Neck Surgery, St. Stephen's Hospital, 110054 Delhi, India.
Summary
Performing tracheostomy in COVID-19 patients, an aerosol-generating procedure, poses risks to healthcare workers. Modified surgical techniques effectively reduced these risks and improved outcomes in ten ARDS patients.
Area of Science:
- Medicine
- Surgery
- Infectious Diseases
Background:
- Tracheostomy in COVID-19 patients is an aerosol-generating procedure.
- This procedure poses significant risks to healthcare workers due to potential viral exposure.
Purpose of the Study:
- To evaluate the efficacy of modified tracheostomy techniques in COVID-19 patients.
- To assess the impact of these modifications on healthcare worker safety and surgical outcomes.
Main Methods:
- Retrospective study involving ten COVID-19 patients with Acute Respiratory Distress Syndrome (ARDS).
- Implementation of modified surgical techniques during tracheostomy procedures.
- Analysis of risk mitigation for healthcare workers and surgical outcomes.
Main Results:
- Modified tracheostomy techniques demonstrated efficacy in limiting the spread of the virus to healthcare workers.
- Improved surgical outcomes were observed in patients undergoing the modified procedures.
- The study highlights the feasibility and safety of tracheostomy in selected COVID-19 patients.
Conclusions:
- Modified tracheostomy techniques are effective in reducing risks associated with aerosol generation in COVID-19 patients.
- These surgical modifications enhance safety for healthcare personnel and improve patient surgical outcomes.
- Tracheostomy can be performed safely in COVID-19 patients with ARDS using adapted surgical approaches.
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