دورية أكاديمية
Performing tracheostomy on COVID-19 pediatric patients at intensive care unit: Our experiences
العنوان: | Performing tracheostomy on COVID-19 pediatric patients at intensive care unit: Our experiences |
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المؤلفون: | Santosh Kumar Swain, Ansuman Sahu |
المصدر: | Indian Journal of Health Sciences and Biomedical Research KLEU, Vol 14, Iss 1, Pp 131-136 (2021) |
بيانات النشر: | Wolters Kluwer Medknow Publications, 2021. |
سنة النشر: | 2021 |
المجموعة: | LCC:Medicine |
مصطلحات موضوعية: | covid-19 infection, intensive care unit, pediatric tracheostomy, Medicine |
الوصف: | Background: The novel coronavirus disease-2019 (COVID-19) is posing unprecedented challenges among health-care workers for managing the pediatric tracheostomy. Tracheostomy and posttracheostomy care are considered as high-risk procedures for contamination of health-care workers and other patients of the intensive care unit (ICU) in COVID-19 pandemic. Objective: The objective of this retrospective study is to evaluate the details of pediatric tracheostomy including patients' profile, surgical steps, complications, and precautions by health-care workers at the ICU of the specially assigned hospital for COVID-19 patients. Materials and Methods: This is a descriptive retrospective study in which 18 COVID-19 pediatric patients underwent bedside surgical tracheostomy at the ICU. Clinical patient's profiles such as age, sex, comorbidities, complication of the tracheostomy, ventilator withdrawal after tracheostomy, and nosocomial infections of the health-care professionals related to tracheostomy were analyzed. Results: Of the 18 patients with COVID-19 infections who underwent tracheostomy, there were 11 male (61.11%) and 7 female (38.88%) with a male-to-female ratio being 17:1. The age ranged from 4 years to 18 years, with a mean age of 11.45 years. The mean duration from the day of the orotracheal intubation to the day of tracheostomy was 12 days. Conclusion: Performing surgical tracheostomy on COVID-19 pediatric patients is a high-risk aerosol-generating procedure for health-care professionals. It should be performed with close association with pediatric otolaryngologists, anesthesiologists, and pediatric intensive care physicians along with adequate personal protective equipment for smooth and safe execution of the procedure. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2542-6214 2542-6222 |
Relation: | http://www.ijournalhs.org/article.asp?issn=2542-6214;year=2021;volume=14;issue=1;spage=131;epage=136;aulast=Swain; https://doaj.org/toc/2542-6214; https://doaj.org/toc/2542-6222 |
DOI: | 10.4103/kleuhsj.kleuhsj_356_20 |
URL الوصول: | https://doaj.org/article/d8663a6ff5aa4880ae0b14b1553bd543 |
رقم الأكسشن: | edsdoj.8663a6ff5aa4880ae0b14b1553bd543 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 25426214 25426222 |
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DOI: | 10.4103/kleuhsj.kleuhsj_356_20 |