Consensus document of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC), the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) and the Spanish Society of Anesthesiology and Resuscitation (SEDAR) on tracheotomy in patients with COVID-19 infection

• Published in: Medicina intensiva Vol. 44; no. 8; p. 493
• Main Authors: Martín Delgado, M C, Avilés-Jurado, F X, Álvarez Escudero, J, Aldecoa Álvarez-Santuyano, C, de Haro López, C, Díaz de Cerio Canduela, P, Ferrandis Perepérez, E, Ferrando Ortolá, C, Ferrer Roca, R, Hernández Tejedor, A, López Álvarez, F, Monedero Rodríguez, P, Ortiz Suñer, A, Parente Arias, P, Planas Roca, A, Plaza Mayor, G, Rascado Sedes, P, Sistiaga Suárez, J A, Vera Ching, C, Villalonga Vadell, R, Bernal-Sprekelsen, M
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.11.2020
• Subjects: Anesthesiology; Betacoronavirus; Bronchoscopy - adverse effects; Bronchoscopy - standards; Consensus; Contraindications, Procedure; Coronary Care Units; Coronavirus Infections - epidemiology; COVID-19; Elective Surgical Procedures - standards; Emergencies; Humans; Intensive Care Units; Otolaryngology; Otorhinolaryngologic Surgical Procedures; Pandemics; Pneumonia, Viral - epidemiology; Postoperative Care - methods; Postoperative Care - standards; Respiration, Artificial - standards; Resuscitation; SARS-CoV-2; Societies, Medical; Spain - epidemiology; Time Factors; Tracheostomy - adverse effects; Tracheostomy - methods; Tracheostomy - standards; Spain; COVID-19; Pandemic; Tracheotomy; Mechanical ventilation
• ISSN: 2173-5727; 1578-6749
• DOI: 10.1016/j.medin.2020.05.002

The current COVID-19 pandemic has rendered up to 15% of patients under mechanical ventilation. Because the subsequent tracheotomy is a frequent procedure, the three societies mostly involved (SEMICYUC, SEDAR and SEORL-CCC) have setup a consensus paper that offers an overview about indications and contraindications of tracheotomy, be it by puncture or open, clarifying its respective advantages and enumerating the ideal conditions under which they should be performed, as well as the necessary steps. Regular and emergency situations are displayed together with the postoperative measures.