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Timing of tracheostomy on COVID-19 patients and its impact: Our experiences at a tertiary care teaching hospital

 Department of Otorhinolaryngology and Head and Neck Surgery, IMS and SUM Hospital, Siksha “O” Anusandhan University, Bhubaneswar, Odisha, India

Correspondence Address:
Santosh Kumar Swain,
Department of Otorhinolaryngology and Head and Neck Surgery, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinga Nagar, Bhubaneswar - 751 003, Odisha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/am.am_71_21

Background: In the current coronavirus disease 2019 (COVID-19) pandemic, tracheostomy is an important surgical procedure on COVID-19 patients at the intensive care unit undergoing prolonged endotracheal intubation. The timing and outcome of tracheostomy in COVID-19 patients with ventilator are still controversial. Objective: The objective of this study was to evaluate the timing and outcome of tracheostomy in the airway management of patients with COVID-19 requiring mechanical ventilation. Materials and Methods: This is a retrospective study where 92 patients enrolled in this study and all were with positive reverse transcriptase–polymerase chain reaction which confirmed COVID-19 infection and requiring mechanical ventilation at a single tertiary care teaching hospital from May 2020 to June 2021. Results: Participants included 92 patients who underwent tracheostomy, 62 males and 30 females with a male-to-female ratio of 2.06:1. The age range of the participants was 18–68 years, with a mean age of 54.2 years. The mean time from onset of the symptoms to intubation was 9.46 days; the day of onset of intubation to day of tracheostomy was 18.34 days. Conclusion: The requirement of tracheostomy in COVID-19 is increasing. The tracheostomy should be performed in appropriate time with safe technique for benefit of the patients,particularly for avoiding transmission of infections to health-care workers.

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