• Eur Arch Otorhinolaryngol · Jul 2020

    Tracheostomy in the COVID-19 pandemic.

    • Francesco Mattioli, Matteo Fermi, Michael Ghirelli, Gabriele Molteni, Nicola Sgarbi, Elisabetta Bertellini, Massimo Girardis, Livio Presutti, and Andrea Marudi.
    • Otolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Via del Pozzo 71, 41100, Modena, Italy. franz318@hotmail.com.
    • Eur Arch Otorhinolaryngol. 2020 Jul 1; 277 (7): 2133-2135.

    PurposeThe role of tracheostomy in COVID-19-related ARDS is unknown. Nowadays, there is no clear indication regarding the timing of tracheostomy in these patients.MethodsWe describe our synergic experience between ENT and ICU Departments at University Hospital of Modena underlining some controversial aspects that would be worth discussing tracheostomies in these patients. During the last 2 weeks, we performed 28 tracheostomies on patients with ARDS due to COVID-19 infection who were treated with IMV.ResultsNo differences between percutaneous and surgical tracheostomy in terms of timing and no case of team virus infection.ConclusionIn our experience, tracheostomy should be performed only in selected patients within 7- and 14-day orotracheal intubation.

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