Ventilatory changes after a tracheostomy in COVID-19 pneumonia
Article Sidebar
Main Article Content
Abstract
Introduction: Controversy continues to exist regarding the effects on ventilatory parameters
in patients undergoing tracheostomy, and studies in cases with SARS-CoV-2
are scarce. Objective: To describe changes in ventilatory parameters in patients
undergoing tracheostomy for SARS-CoV-2 in the intensive care unit. Methods: A
retrospective, descriptive, longitudinal study was carried out. Variables such as age,
sex, comorbidities, time of IOT, ventilatory parameters, blood gases and the Kirby
index were included.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Este artículo es publicado por la Revista Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello.
Este es un artículo de acceso abierto, distribuido bajo los términos de la LicenciaCreativeCommons Atribución-CompartirIgual 4.0 Internacional.( http://creativecommons.org/licenses/by-sa/4.0/), que permite el uso no comercial, distribución y reproducción en cualquier medio, siempre que la obra original sea debidamente citada.
eISSN: 2539-0856
ISSN: 0120-8411
References
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:
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