Izvorni znanstveni članak
https://doi.org/10.20471/acc.2023.62.s1.07
Percutaneous Dilatational Tracheostomy in COVID-19 Patients in the Covid Hospital Intensive Care Unit: The University Clinical Center of Vojvodina Experience
Aleksandra Plećaš Đurić
; University Clinical Center of Vojvodina, Novi Sad, Serbia; Medical Faculty, University of Novi Sad, Novi Sad, Serbia
Vladimir Dolinaj
; University Clinical Center of Vojvodina, Novi Sad, Serbia; Medical Faculty, University of Novi Sad, Novi Sad, Serbia
Sanja Maričić Prijić
; University Clinical Center of Vojvodina, Novi Sad, Serbia; Medical Faculty, University of Novi Sad, Novi Sad, Serbia
Radmila Popović
; University Clinical Center of Vojvodina, Novi Sad, Serbia; Medical Faculty, University of Novi Sad, Novi Sad, Serbia
Davor Križanović
; University Clinical Center of Vojvodina, Novi Sad, Serbia
Velibor Čabarkapa
; University Clinical Center of Vojvodina, Novi Sad, Serbia; Medical Faculty, University of Novi Sad, Novi Sad, Serbia
Sažetak
Patients with acute respiratory distress syndrome due to COVID-19 require intensive
care unit (ICU) admission with consecutive endotracheal intubation and invasive mechanical
ventilation. In patients with long-term mechanical ventilation, percutaneous dilatational tracheostomy
(PDT) may be considered. This retrospective analysis includes clinical data on patients treated at
the ICUs of the COVID Hospital of the Clinical Center of Vojvodina in the period from September
3, 2021 to May 1, 2022, and underwent PDT. Patients were predominantly male (n=48; 65.8%).
Weaning from mechanical ventilation was achieved in 31 (42.5%) and decannulation in 25 (34.2%)
patients. The mean time from polymerase chain reaction SARS CoV-2 positivity until PDT was
15.59±6.85 days. The mean time of endotracheal intubation before the PDT procedure was 7.37±4.89
days. The mean weaning time from mechanical ventilation was 10.45±7.92 days. Twenty-five (34.2%)
patients were decannulated at the mean time of 19.60±11.81 days. The complications were tracheostomy
related bleeding (2 patients), pneumothorax (4 patients), subcutaneous emphysema (1 patient)
and cricoid cartilage injury (1 patient). PDT is a simple, safe, and effective procedure performed in
COVID-19 patients in the ICU.
Ključne riječi
COVID-19; Percutaneous dilatational tracheostomy; Mechanical ventilation; Decannulation
Hrčak ID:
307449
URI
Datum izdavanja:
1.4.2023.
Posjeta: 234 *