Protocol for percutaneous tracheostomy and prevention of COVID-19 transmission

Am J Otolaryngol. 2021 Nov-Dec;42(6):103090. doi: 10.1016/j.amjoto.2021.103090. Epub 2021 May 25.

Abstract

Introduction: Currently we are faced with countless patients with prolonged invasive mechanical ventilation as a result of the COVID-19 pandemic, with the consequent increase in the need for tracheostomies and the risks that this includes for both patients and staff.

Objective: It is necessary to establish a safety protocol for the performance of percutaneous tracheostomies in order to reduce the associated infections.

Material and methods: 77 patients underwent tracheostomies between March 2020 and March 2021, evaluating the safety of the protocol and the rate of contagion among the staff.

Results: Percutaneous tracheostomy was performed according to the protocol in 72 patients, 5 were excluded due to unfavorable anatomy or other reasons. There were no cases of SARS COVID-19 contagion among health personnel attributable to the procedure during the three-week follow-up period. There were no surgical complications in this series.

Conclusion: The authors recommend implementing security protocols such as the one discussed in this work, given its low contagion rate and ease of implementation.

Keywords: COVID-19; Percutaneous; Tracheostomy.

MeSH terms

  • COVID-19 / epidemiology
  • COVID-19 / prevention & control*
  • COVID-19 / transmission*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Medical Staff / statistics & numerical data
  • Risk
  • Safety
  • Time Factors
  • Tracheostomy / adverse effects*
  • Tracheostomy / methods