• Login
    View Item 
    •   Home
    • UMass Chan Faculty and Staff Research and Publications
    • COVID-19 Publications by UMass Chan Authors
    • View Item
    •   Home
    • UMass Chan Faculty and Staff Research and Publications
    • COVID-19 Publications by UMass Chan Authors
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of eScholarship@UMassChanCommunitiesPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywordsThis CollectionPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywords

    My Account

    LoginRegister

    Help

    AboutSubmission GuidelinesData Deposit PolicySearchingAccessibilityTerms of UseWebsite Migration FAQ

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Healthcare Personnel Safety During Percutaneous Tracheostomy in Patients With COVID-19: Proof-of-Concept Study

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Authors
    Sood, Rahul N.
    Dudiki, Natasha
    Alape, Daniel
    Maxfield, Mark W.
    UMass Chan Affiliations
    Department of Surgery, Division of Thoracic Surgery
    Department of Internal Medicine
    Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine
    Document Type
    Journal Article
    Publication Date
    2020-12-16
    Keywords
    COVID-19
    safety
    tracheostomy tube
    Critical Care
    Health Services Administration
    Infectious Disease
    Surgery
    Surgical Procedures, Operative
    Virus Diseases
    
    Metadata
    Show full item record
    Link to Full Text
    https://doi.org/10.1177/0885066620980384
    Abstract
    BACKGROUND: Covid-19 pandemic has resulted in the development of severe and persistent respiratory failure requiring long term ventilatory support. This necessitates the need for a reliable and easy to implement tracheostomy protocol given the concern for viral transmission risk to the involved healthcare personnel due to the aerosol generating nature of the procedure. We describe a protocol with unique and novel modifications to the Ciaglia dilatational percutaneous tracheostomy, effectively implemented during the Covid-19 pandemic at our institution. METHODS: We describe the baseline characteristics of our initial 11 patients who underwent the procedure. Outlined are the healthcare personnel involved and the steps which are organized into 4 phases: planning, pre-procedure, intra-procedure and post-procedure. We have tracked procedural duration, provider safety as well as the development of new complications. RESULTS: We describe use of this protocol for 11 bedside percutaneous tracheostomies performed on patients with COVID-19. The average total procedural duration as well as incision to tracheostomy tube placement times was 32.6 minutes and 5.8 minutes respectively. All 3 providers performing the tracheostomies remained asymptomatic with negative COVID-19 RT-PCR testing at 3 weeks. CONCLUSIONS: We report an efficacious and adaptable protocol for elective bedside percutaneous tracheostomies for patients with persistent ventilatory requirements due to COVID-19 with an intent to provide standardized and safe care for the patient and the involved healthcare personnel.
    Source

    Sood RN, Dudiki N, Alape D, Maxfiel MW. Healthcare Personnel Safety During Percutaneous Tracheostomy in Patients With COVID-19: Proof-of-Concept Study. J Intensive Care Med. 2020 Dec 16:885066620980384. doi: 10.1177/0885066620980384. Epub ahead of print. PMID: 33323033. Link to article on publisher's site

    DOI
    10.1177/0885066620980384
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/27364
    PubMed ID
    33323033
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1177/0885066620980384
    Scopus Count
    Collections
    COVID-19 Publications by UMass Chan Authors

    entitlement

    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Lamar Soutter Library, UMass Chan Medical School | 55 Lake Avenue North | Worcester, MA 01655 USA
    Quick Guide | escholarship@umassmed.edu
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.