Cambios ventilatorios después de una traqueotomía en neumonía por COVID-19

Contenido principal del artículo

Juan Antonio Lugo-Machado
Patricia Emiliana García-Ramírez
José Alberto Guerrero-Paz
Oscar Said Rodríguez-Quintana
José Roberto Reina-Loaiza
Edwin Canché-Martín
Noemí Sainz-Fuentes

Resumen

Introducción: existe aún una controversia sobre los efectos en los parámetros ventilatorios en pacientes sometidos a una traqueotomía, y los estudios en casos de pacientes con SARS-CoV-2 son escasos. Objetivo: describir los cambios en los parámetros ventilatorios en pacientes operados de traqueotomía por SARS-CoV-2 en la unidad de cuidados intensivos (UCI). Métodos: se realizó un estudio retrospectivo, descriptivo y longitudinal en el que se incluyeron las variables como edad, sexo, comorbilidades, tiempo de intubación, parámetros ventilatorios, gasométricos y el índice de Kirby. Se utilizó estadística descriptiva con medidas de tendencia central y medidas de dispersión. Resultados: se recibieron 493 casos con COVID-19, 133(26,35 %) ingresaron, 21 fueron operados en la UCI; el género masculino fue 76 % y edad de 56 años; la obesidad y la hipertensión fueron las comorbilidades más comunes, todos con PCR positivo; los parámetros ventilatorios preoperatorios fueron presión positiva al final de la espiración

Descargas

Los datos de descargas todavía no están disponibles.

Detalles del artículo

Cómo citar
1.
Lugo-Machado JA, García-Ramírez PE, Guerrero-Paz JA, Rodríguez-Quintana OS, Reina-Loaiza JR, Canché-Martín E, Sainz-Fuentes N. Cambios ventilatorios después de una traqueotomía en neumonía por COVID-19. Acta otorrinolaringol cir cabeza cuello [Internet]. 30 de junio de 2022 [citado 28 de marzo de 2024];50(2):117-23. Disponible en: https://revista.acorl.org.co/index.php/acorl/article/view/627
Sección
Trabajos Originales

Citas

Chao TN, Harbison SP, Braslow BM, et al. Outcomes After Tracheostomy in COVID-19 Patients. Annals of surgery.

;272(3):e181-e186. doi: 10.1097/SLA.0000000000004166

Hu B, Guo H, Zhou P, Shi ZL. Characteristics of SARSCoV-2 and COVID-19. Nature Reviews Microbiology.

;19(3):141-154. doi: 10.1038/s41579-020-00459-7

Mattioli F, Fermi M, Ghirelli M, et al. Tracheostomy in the COVID-19 pandemic. European Archives of Oto-Rhino-

Laryngology. 2020;277(7):2133-2135. doi: 10.1007/s00405-020-05982-0

Kojicic M, Festic E, Gajic O. Acute respiratory distress syndrome:insights gained from clinical and translational

research. Bosnian journal of basic medical sciences / Udruzenje basicnih mediciniskih znanosti = Association of

Basic Medical Sciences. 2009;9 Suppl 1:59-68. doi: 10.17305/bjbms.2009.2764

Sandoval-Gutiérrez JL. A 40 años de la descripción del índice de Kirby (PaO2/FiO2). Medicina Intensiva. 2015;39(8):521.

doi: 10.1016/j.medin.2015.06.003

Sánchez Casado M, Quintana Díaz M, Palacios D, et al. Relación entre el gradiente alveolo-arterial de oxígeno y la PaO 2/FiO 2 introduciendo la PEEP en el modelo. Medicina Intensiva. 2012;36(5):329-334. doi: 10.1016/j.medin.2011.10.007

Zhang X, Huang Q, Niu X, et al. Safe and effective management of tracheostomy in COVID-19 patients. Head and Neck.

;42:1374-1381. doi: 10.1002/hed.26261

Wu Z, McGoogan JM. Characteristics of and Important Lessons from the Coronavirus Disease 2019 (COVID-19)

Outbreak in China: Summary of a Report of 72314 Cases from the Chinese Center for Disease Control and Prevention. JAMA.2020;323(13):1239-1242. doi: 10.1001/jama.2020.2648

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus

in Wuhan, China. Lancet. 2020;395(10223):497-506. doi:10.1016/S0140-6736(20)30183-5

Apps.who.int. Clinical management of severe acute respiratory infection when novel coronavirus ( 2019-nCoV) infection is suspected: interim guidance 28 January 2020. 2020 [citado falta la fecha]. Disponible en:

https://apps.who.int/iris/bitstream/handle/10665/330893/WHO-nCoV-Clinical-2020.3-eng.pdf?sequence=1&isAllowed=y

Shiba T, Ghazizadeh S, Chhetri D, st. John M, Long J.Tracheostomy Considerations during the COVID-19

Pandemic. OTO Open. 2020;4(2):2473974X2092252. doi:10.1177/2473974x20922528

Mandal A, Nandi S, Chhebbi M, Basu A, Ray M. A Systematic Review on Tracheostomy in COVID-19 Patients:

Current Guidelines and Safety Measures. Indian Journal of Otolaryngology and Head and Neck Surgery. 2020;28:1-5. doi:

1007/s12070-020-02152-w

Mecham JC, Thomas OJ, Pirgousis P, Janus JR. Utility of Tracheostomy in Patients With COVID-19 and Other Special

Considerations. Laryngoscope. 2020;130(11):2546-2549. doi:10.1002/lary.28734

Saavedra-Mendoza AGM, Akaki-Caballero M. Traqueotomía En Pacientes Con COVID-19: Recomendaciones de La

Sociedad Mexicana de Otorrinolaringología y Cirugía de Cabeza y Cuello. Cuándo y Cómo Realizarla y Cuidados

Posquirúrgicos*. An Orl Mex. 2020;65:1-11.

Koh WY, Lew TWK, Chin NM, Wong MFM. Tracheostomy in a neuro-intensive care setting: Indications and timing.

Anaesthesia and Intensive Care. 1997;25(4):365-368. doi:10.1177/0310057x9702500407

Brochard L, Rua F, Lorino H, Lemaire F, Harf A. Inspiratory pressure support compensates for the additional work of

breathing caused by the endotracheal tube. Anesthesiology.1991;75(5):739-745. doi: 10.1097/00000542-199111000-

Vitacca M, Vianello A, Colombo D, et al. Comparison of two methods for weaning patients with chronic obstructive

pulmonary disease requiring mechanical ventilation for more than 15 days. American Journal of Respiratory and

Critical Care Medicine. 2001;164(2):225-230. doi: 10.1164/ajrccm.164.2.2008160

Brochard L, Rauss A, Benito S, et al. Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. American Journal of Respiratory and Critical Care Medicine. 1994;150(4):896-903.doi: 10.1164/ajrccm.150.4.7921460

Nathan SD, Ishaaya AM, Koerner SK, Belman MJ. Prediction of minimal pressure support during weaning from mechanical ventilation. Chest. 1993;103(4):1215-1219. doi: 10.1378/chest.103.4.1215

MacIntyre NR. Evidence-based ventilator weaning and discontinuation. Respiratory care. 2004;49(7):830-836.

Moscovici da Cruz V, Demarzo SE, Sobrinho JBB, Amato MBP, Kowalski LP, Deheinzelin D. Effects of tracheotomy

on respiratory mechanics in spontaneously breathing patients. European Respiratory Journal. 2002;20(1):112-117. doi:

1183/09031936.02.01342001

Sofi K, Wani T. Effect of tracheostomy on pulmonary mechanics: An observational study. Saudi Journal of

Anaesthesia. 2010;4(1):2. doi: 10.4103/1658-354x.62606

Amygdalou A, Dimopoulos G, Moukas M, et al. Immediate post-operative effects of tracheotomy on respiratory function

during mechanical ventilation. Critical care (London, England).2004;8(4). doi: 10.1186/cc2886

Diehl JL, el Atrous S, Touchard D, Lemaire F, Brochard L. Changes in the work of breathing induced by tracheotomy in

ventilator- dependent patients. American Journal of Respiratory and Critical Care Medicine. 1999;159(2):383-388. doi: 10.1164/ajrccm.159.2.9707046

Mohr AM, Rutherford EJ, Cairns BA, Boysen PG. The role of dead space ventilation in predicting outcome of successful

weaning from mechanical ventilation. Journal of Trauma.2001;51(5):843-848. doi: 10.1097/00005373-200111000-00004

Davis K, Campbell RS, Johannigman JA, Valente JF, Branson RD. Changes in respiratory mechanics after tracheostomy.

Archives of Surgery. 1999;134(1):59-62. doi: 10.1001/archsurg.134.1.59

Wang D, Hu B, Hu C, et al. Clinical Characteristics of 138 Hospitalized Patients with 2019 Novel Coronavirus-Infected

Pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-1069. doi: 10.1001/jama.2020.1585

Petrilli CM, Jones SA, Yang J, et al. Factors associated with hospital admission and critical illness among 5279 people with coronavirus disease 2019 in New York City: Prospective cohort study. The BMJ. 2020;369. doi: 10.1136/bmj.m1966

Ranieri VM, Rubenfeld GD, Thompson BT, et al. Acute respiratory distress syndrome: The Berlin definition. JAMA.

;307(23):2526-2533. doi: 10.1001/jama.2012.5669

Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus

pneumonia in Wuhan, China: a descriptive study. The Lancet. 2020;395(10223):507-513. doi: 10.1016/S0140-

(20)30211-7

Grasselli G, Zangrillo A, Zanella A, et al. Baseline Characteristics and Outcomes of 1591 Patients Infected with SARS-CoV-2 Admitted to ICUs of the Lombardy Region, Italy. JAMA.2020;323(16):1574-1581. doi: 10.1001/jama.2020.5394

Jiang F, Deng L, Zhang L, Cai Y, Cheung CW, Xia Z. Review of the Clinical Characteristics of Coronavirus Disease

(COVID-19). Journal of General Internal Medicine.2020;35(5):1545-1549. doi: 10.1007/s11606-020-05762-w

Yang J, Zheng Y, Gou X, Pu K, Chen Z, Guo Q, et al. Prevalence of comorbidities and its effects in patients infected with SARSCoV-2: a systematic review and meta-analysis. Int J Infect Dis. 2020;94:91-95. doi: 10.1016/j.ijid.2020.03.017

Singh AK, Gupta R, Misra A. Comorbidities in COVID-19:Outcomes in hypertensive cohort and controversies with

renin angiotensin system blockers. Diabetes and Metabolic Syndrome: Clinical Research and Reviews. 2020;14(4):283-

doi: 10.1016/j.dsx.2020.03.016

Turri-Zanoni M, Battaglia P, Czaczkes C, Pelosi P, Castelnuovo P, Cabrini L. Elective Tracheostomy During Mechanical

Ventilation in Patients Affected by COVID-19: Preliminary Case Series From Lombardy, Italy. Otolaryngology - Head

and Neck Surgery (United States). 2020;163(1):135-137. doi:10.1177/0194599820928963

Heather Carmichael, Franklin L Wright, Robert C McIntyreThomas Vogler, Shane Urban, Sarah E Jolley,Ellen

L Burnham,4 Whitney Firth, Catherine G Velopulos, Juan Pablo Idrovo,Early ventilator liberation and decreased

sedationneeds after tracheostomy in patients withCOVID-19 infection,Trauma Surg Acute Care Open 2021;6:e000591.

doi:10.1136/tsaco-2020-000591

Artículos más leídos del mismo autor/a