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Tuesday, November 17, 2020

Is Timing of Tracheotomy a Factor Influencing the Clinical Course in COVID-19 Patients?

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Is Timing of Tracheotomy a Factor Influencing the Clinical Course in COVID-19 Patients?

Ear Nose Throat J. 2020 Nov 10;:145561320974140

Authors: Mesolella M

Abstract
The timing of tracheotomy is a complex decision that requires understanding of the relative risks and benefits as compared with prolonging intubation. The role of tracheotomy during the COVID-19 pandemic remains to be determined. There is no evidence that early tracheostomy improves patient's clinical course and it is not impact on the natural history of these patients. In our opinion, the tracheotomy should be proposed in stable COVID-19 patients after 18th days after orotracheal intubation when the viral load is finished. Only in the case of patients with difficult of intubation do we perform earlier tracheotomies.

PMID: 33172287 [PubMed - as supplied by publisher]

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