Bleeding Hazard of Percutaneous Tracheostomy in COVID-19 Patients Supported With Venovenous Extracorporeal Membrane Oxygenation: A Case Series
<h3>Objectives</h3><p dir="ltr"><u>Tracheostomy</u> usually is performed to aid <u>weaning from mechanical ventilation</u> and facilitate rehabilitation and secretion clearance. Little is known about the safety of percutaneous tracheostomy in patie...
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2022
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| _version_ | 1864513547407458304 |
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| author | Hussam Elmelliti (17347060) |
| author2 | Dnyaneshwar Pandurang Mutkule (17347063) Muhammad Imran (282621) Nabil Abdelhamid Shallik (17347066) Ali Ait Hssain (11264358) Ahmed Labib Shehatta (17347069) |
| author2_role | author author author author author |
| author_facet | Hussam Elmelliti (17347060) Dnyaneshwar Pandurang Mutkule (17347063) Muhammad Imran (282621) Nabil Abdelhamid Shallik (17347066) Ali Ait Hssain (11264358) Ahmed Labib Shehatta (17347069) |
| author_role | author |
| dc.creator.none.fl_str_mv | Hussam Elmelliti (17347060) Dnyaneshwar Pandurang Mutkule (17347063) Muhammad Imran (282621) Nabil Abdelhamid Shallik (17347066) Ali Ait Hssain (11264358) Ahmed Labib Shehatta (17347069) |
| dc.date.none.fl_str_mv | 2022-12-16T18:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1053/j.jvca.2022.09.084 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Bleeding_Hazard_of_Percutaneous_Tracheostomy_in_COVID-19_Patients_Supported_With_Venovenous_Extracorporeal_Membrane_Oxygenation_A_Case_Series/29126648 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Health sciences Epidemiology Public health COVID-19 extracorporeal membrane oxygenation EMCO percutaneous tracheostomy bleeding safety |
| dc.title.none.fl_str_mv | Bleeding Hazard of Percutaneous Tracheostomy in COVID-19 Patients Supported With Venovenous Extracorporeal Membrane Oxygenation: A Case Series |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Objectives</h3><p dir="ltr"><u>Tracheostomy</u> usually is performed to aid <u>weaning from mechanical ventilation</u> and facilitate rehabilitation and secretion clearance. Little is known about the safety of percutaneous tracheostomy in patients with severe COVID-19 supported on venovenous <u>extracorporeal membrane oxygenation</u> (VV-ECMO). This study aimed to investigate the bleeding risk of bedside percutaneous tracheostomy in patients with COVID-19 infection supported with VV-ECMO. </p><h3>Design</h3><p dir="ltr">A Retrospective review of electronic data for routine care of patients on ECMO. </p><h3>Setting</h3><p dir="ltr">Tertiary, university-affiliated national ECMO center. </p><h3>Participants</h3><p dir="ltr">Patients with COVID-19 who underwent percutaneous tracheostomy while on VV-ECMO support. </p><h3>Interventions</h3><p dir="ltr">No intervention was conducted during this study. </p><h3>Measurements and Main Results</h3><p dir="ltr"><u>Electronic medical records </u>of 16 confirmed patients with COVID-19 who underwent percutaneous tracheostomy while on VV-ECMO support, including patient demographics, severity of illness, clinical variables, procedural complications, and outcomes, were compared with 16 non-COVID-19 patients. The SPSS statistical software was used for statistical analysis. The demographic data were compared using the chi-square test, and normality assumption was tested using the Shapiro-Wilk test. The indications for tracheostomy in all the patients were prolonged <u>mechanical ventilation</u> and sedation management. None of the patients suffered a life-threatening procedural complication within 48 hours. Moderate-to-severe bleeding was similar in both groups. There was no difference in 30- and 90-days mortality between both groups. As per routine screening results, none of the staff involved contracted COVID-19 infection. </p><h3>Conclusions</h3><p dir="ltr">In this case series, percutaneous tracheostomy during VV-ECMO in patients with COVID-19 appeared to be safe and did not pose additional risks to patients or healthcare workers.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Cardiothoracic and Vascular Anesthesia<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1053/j.jvca.2022.09.084" target="_blank">https://dx.doi.org/10.1053/j.jvca.2022.09.084</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_bfedb63ba1a9e7759478896f1e00a19c |
| identifier_str_mv | 10.1053/j.jvca.2022.09.084 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29126648 |
| publishDate | 2022 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Bleeding Hazard of Percutaneous Tracheostomy in COVID-19 Patients Supported With Venovenous Extracorporeal Membrane Oxygenation: A Case SeriesHussam Elmelliti (17347060)Dnyaneshwar Pandurang Mutkule (17347063)Muhammad Imran (282621)Nabil Abdelhamid Shallik (17347066)Ali Ait Hssain (11264358)Ahmed Labib Shehatta (17347069)Biomedical and clinical sciencesClinical sciencesHealth sciencesEpidemiologyPublic healthCOVID-19extracorporeal membrane oxygenationEMCOpercutaneous tracheostomybleedingsafety<h3>Objectives</h3><p dir="ltr"><u>Tracheostomy</u> usually is performed to aid <u>weaning from mechanical ventilation</u> and facilitate rehabilitation and secretion clearance. Little is known about the safety of percutaneous tracheostomy in patients with severe COVID-19 supported on venovenous <u>extracorporeal membrane oxygenation</u> (VV-ECMO). This study aimed to investigate the bleeding risk of bedside percutaneous tracheostomy in patients with COVID-19 infection supported with VV-ECMO. </p><h3>Design</h3><p dir="ltr">A Retrospective review of electronic data for routine care of patients on ECMO. </p><h3>Setting</h3><p dir="ltr">Tertiary, university-affiliated national ECMO center. </p><h3>Participants</h3><p dir="ltr">Patients with COVID-19 who underwent percutaneous tracheostomy while on VV-ECMO support. </p><h3>Interventions</h3><p dir="ltr">No intervention was conducted during this study. </p><h3>Measurements and Main Results</h3><p dir="ltr"><u>Electronic medical records </u>of 16 confirmed patients with COVID-19 who underwent percutaneous tracheostomy while on VV-ECMO support, including patient demographics, severity of illness, clinical variables, procedural complications, and outcomes, were compared with 16 non-COVID-19 patients. The SPSS statistical software was used for statistical analysis. The demographic data were compared using the chi-square test, and normality assumption was tested using the Shapiro-Wilk test. The indications for tracheostomy in all the patients were prolonged <u>mechanical ventilation</u> and sedation management. None of the patients suffered a life-threatening procedural complication within 48 hours. Moderate-to-severe bleeding was similar in both groups. There was no difference in 30- and 90-days mortality between both groups. As per routine screening results, none of the staff involved contracted COVID-19 infection. </p><h3>Conclusions</h3><p dir="ltr">In this case series, percutaneous tracheostomy during VV-ECMO in patients with COVID-19 appeared to be safe and did not pose additional risks to patients or healthcare workers.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Cardiothoracic and Vascular Anesthesia<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1053/j.jvca.2022.09.084" target="_blank">https://dx.doi.org/10.1053/j.jvca.2022.09.084</a></p>2022-12-16T18:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1053/j.jvca.2022.09.084https://figshare.com/articles/journal_contribution/Bleeding_Hazard_of_Percutaneous_Tracheostomy_in_COVID-19_Patients_Supported_With_Venovenous_Extracorporeal_Membrane_Oxygenation_A_Case_Series/29126648CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/291266482022-12-16T18:00:00Z |
| spellingShingle | Bleeding Hazard of Percutaneous Tracheostomy in COVID-19 Patients Supported With Venovenous Extracorporeal Membrane Oxygenation: A Case Series Hussam Elmelliti (17347060) Biomedical and clinical sciences Clinical sciences Health sciences Epidemiology Public health COVID-19 extracorporeal membrane oxygenation EMCO percutaneous tracheostomy bleeding safety |
| status_str | publishedVersion |
| title | Bleeding Hazard of Percutaneous Tracheostomy in COVID-19 Patients Supported With Venovenous Extracorporeal Membrane Oxygenation: A Case Series |
| title_full | Bleeding Hazard of Percutaneous Tracheostomy in COVID-19 Patients Supported With Venovenous Extracorporeal Membrane Oxygenation: A Case Series |
| title_fullStr | Bleeding Hazard of Percutaneous Tracheostomy in COVID-19 Patients Supported With Venovenous Extracorporeal Membrane Oxygenation: A Case Series |
| title_full_unstemmed | Bleeding Hazard of Percutaneous Tracheostomy in COVID-19 Patients Supported With Venovenous Extracorporeal Membrane Oxygenation: A Case Series |
| title_short | Bleeding Hazard of Percutaneous Tracheostomy in COVID-19 Patients Supported With Venovenous Extracorporeal Membrane Oxygenation: A Case Series |
| title_sort | Bleeding Hazard of Percutaneous Tracheostomy in COVID-19 Patients Supported With Venovenous Extracorporeal Membrane Oxygenation: A Case Series |
| topic | Biomedical and clinical sciences Clinical sciences Health sciences Epidemiology Public health COVID-19 extracorporeal membrane oxygenation EMCO percutaneous tracheostomy bleeding safety |