Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 5  |  Issue : 2  |  Page : 73--77

Surgical tracheostomies in SARS-CoV-2-positive patients: The otolaryngologists' perspective


Manjul Muraleedharan1, Naresh Kumar Panda1, Sourabha Kumar Patro1, Vikas Sharma1, Neemu Hage2 
1 Department of Otolaryngology Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Otorhinolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, Bibinagar, Telangana, India

Correspondence Address:
Dr. Neemu Hage
Department of Otorhinolaryngology, All India Institute of Medical Sciences, Bibinagar - 508 126, Telangana
India

Aims: Operating under personal protective equipment (PPE) has become the new norm. This study aims at assessing how the ear, nose, and throat surgeons coped with the changes, with tracheostomy as the procedure of interest. Materials and Methods: Chart review of 30 patients who underwent tracheostomy from March 23, 2020, to December 31, 2020, was done. A questionnaire was given to the senior residents in charge of the procedures after each tracheostomy and their experience on the various aspects of the procedure. The responses were compiled and various factors affecting the surgical experience and outcome were analyzed. Results: Vast majority of patients underwent tracheostomy for prolonged intubation (90%), which made preoperative assessment of cases difficult. The average time was 12.33 ± 2.54 min. Delay in procedures and difficulties of operating under PPEs made COVID-positive tracheostomy challenging. Conclusions: It is possible to perform aerosol-generating procedures safely with adequate protective gears. Tracheostomy in COVID-19 patients needs to be after careful considerations by intensive care specialists and streamlining of various logistical factors is very essential for effective utilization of Operation theatre and surgeons' time.


How to cite this article:
Muraleedharan M, Panda NK, Patro SK, Sharma V, Hage N. Surgical tracheostomies in SARS-CoV-2-positive patients: The otolaryngologists' perspective.Ann Indian Acad Otorhinolaryngol Head Neck Surg 2021;5:73-77


How to cite this URL:
Muraleedharan M, Panda NK, Patro SK, Sharma V, Hage N. Surgical tracheostomies in SARS-CoV-2-positive patients: The otolaryngologists' perspective. Ann Indian Acad Otorhinolaryngol Head Neck Surg [serial online] 2021 [cited 2022 Jan 21 ];5:73-77
Available from: https://www.aiaohns.in/article.asp?issn=2589-3505;year=2021;volume=5;issue=2;spage=73;epage=77;aulast=Muraleedharan;type=0