Curis inopinata opera usus postulet modo. Mutata in XIX-COVID coronavirus pandemic modus agendi. Factus est omnis operatio magis quam ante. Inquisitores in current UK gessit circumspectis in orci in usu et motu tracheostomy intubation COVID in XIX-aegris.

Ut nos omnes scitis, COVID XIX De pneumonia et cursim pandemic in eventus acuti respiratorii Progrediatur a gravibus syndrome. [III] multi aegris conditionibus, ut coronavirus positivum aegros, qui saepe requiritur intubation, et mechanica evacuatione. Sed oportet illos, qui longum differentur aegris ullo spiramento sit tracheostomy oportet accipere bonum. [V] Beneficia soror Tafnes Genebath includit regularis et pulmonis latrina in eorum airway requiring suctione in Intensive cura unitatis. Tracheostomy in aegris esse intubated suscepimus plerumque inter VII et X dies post intubation. Autem, lariorum UK guidelines sunt agnita cautela opus est in faciendo tracheostomy COVID in XIX-aegris. [VIII] Inquisitores a sequentibus published the UK universitatibus in aliquet orci ut identify exercitia.

XIX-in experientia COVID aegris intubation, quae habemus,

Aut aperta via est quae manu redditur appropinquatio potest tracheostomy suscepimus et percutaneously, plerumque in lecto. [VII] Autem, paulo posterius aditu exitus notitia ostendere quod bene uentilandam positive in aegris COVID-XIX. Fines de quibus in China developed got ledo maxime a pandemic propriam, melius agnoscant, quam ut optimus curo COVID XIX positivum aegris. Quorum usus est in primo beneficium aliis institutions pandemic exolvuntur. Patientes estote non solum in terms of planning et vias curis opibus, sed etiam praedicere eventus. Et inquisitores, conducted per internationalis aliquet dolor, Rubellius durante motu tracheostomy intubation COVID in XIX-positive in aegris lariorum chirurgi.

 

Lariorum medici, tracheostomy intubation in in XIX-COVID aegris, methodos et fructus

Hoc est a aliquet ipsum et ipsum de Department of Service Development Project adeptus rex NHS 's College hospitalis spera Foundation, London. Inquisitores launched Philip an constans sequentes quaestiones:

1. In quam terra / regionem fundatur es?
2. Quam multi-uentilandam COVID XIX aegris hospitium tibi cum tuo?
3. Recipis partem quid requiratur ut de aegris intubated tracheostomy?
4. In mediocris erat in die quo fecit tracheostomy (eg, ab intubation die VII)?
5. Quousque tracheostomy postquam ablactaverat, patientes estote ad esse off in ventilator?
6. Quid percentage of aegros non obstante tracheostomy mortuus est?
7. In omni eventus magis specifica ars tracheostomy (eg, manu nos percutaneous)?

Quaestionario vulgata fuit, in March 27th, usque ad MMXX, et notitia accepit April 2020, 15. aegroti et productio involved in publico non huius articuli vel aliquet.

In aliquet erat, a summa perficitur ex utraque respondentibus L Britanniae (n = VIII) quod signa Internationalis (Figura 50.) Quod ventilari multis aegris erat LXVIII MMMCDIII cum aegris hospitalis per Unit / spera (range 8-1). Recipis intubated aegris requiring tracheostomy fui in mediocris 3403% (-68 range 0%%) tracheostomy cum vicis desererentur intubation ad medium de his diebus 600 (range 9.65-0).

Respondentibus, Hic est instructa a XXVIII MMDCCI intubated et ventilari de aegris (Figura II). Feliciter, et ablactatus est aegris cum mediocris de 28 diebus post tracheostomy (2701-2 diebus range). Quamvis tracheostomy mediocris de 7.4% de aegris mortuus est (XIV de conventi instructa multitudo fidelium ex MDCLXXXVII intubated et ventilari aegris). Per ipsum ad deum tracheostomy exitus ars et, respondentibus, laudantibus dederunt preference III de L ad percutaneous tracheostomy. Quae manu redditur appropinquatio est apertum a VIII dignatus erat, respondentibus, laudantibus L e. Aliis respondentibus (1/16) nec prius quam cum reliquis 13.5/14 conferre possunt.

 

Quod hoc per intubation tracheostomy circumspectis in in XIX-COVID aegris take?

Data Wuhan suggerit tempus medianum ab hospitali admissione ad mortem facta 5 dies primis mensibus pandemici, id est 11 dies. COVID-14 pandemia consecuta est in singularibus postulationibus ad officia critica curanda ac necessitatem intubationis et evacuationis mechanicae. Qui critico facti sunt, intubationem mechanicam et evacuationem mechanicam exigunt propter rapidam peripleumoniae progressionem. Fit in acrem acrem respiratoriorum angustia syndrome ducens ad defectum respiratorii et mortem.

American Academy of published guidelines Current Otorhinolaryngology in capite, Neck Lorem quod non potest fieri, ut prior surgery tracheostomy ad XIV diebus intubation. [XV] Eventus id suadeant ut circumspectis omnibus, qui circa I de intubated et ventilari COVID X, XIX de aegris tracheostomy requirere. Aliae unitates praecessi ut suadeant ut a similis adoptare consilium cum incepto primo pauci tracheostomy profundam tristitia noctem petit.

Autem, in conscientiam habemus ut potential periculum diuturna non potest, qui VENTILATIO in die ablactationis eius. Nuper arteriam includit haec ulcera proficit, item stenosis et esophageal tracheo-fistulam convenit. [V] Acquiritur discrimine cura morbos est etiam verisimile fiet in pluribus. [XVI]

Magis aegris erit requirere quaesito diu proelio evacuatione. Musculus ATROPHIA Haec causa est quod ne aut soror Tafnes Genebath, ut longo tempore. [XVII] Renuntiationes glottic est et exulcerata est et superbia supraglottic potest etiam prohibere et extubation trahi opus intubation, sedation et evacuatione. Et hoc per tracheostomy superare potest.

Sed hoc pertinet ad bonum circumspectis defecit constituere aliquem clarum tracheostomy ars. Qui respondents per Comments explicavit factus sumpta ex causa, et per causam in manu redditur usum dependens in loci. Limitations includit numero sunt conventi COVID XIX-positive in aegris specifica signa contulerat. Multum illi gratum habentes authores respondere tempus ut aliquet suscipere iudicium collegarum impendit.

 

AUTHORS

Ayman D'Souza: Christus Ecclesiae University of Oxford, Oxford, UK

Simo Ricard FRCS (Virus-HNS) de Department Otorhinolaryngology, and Guy est scriptor S. Thomae NHS spera Foundation, London, UK

Alwyn D'Souza FRCS (Virus-HNS) de Department Otorhinolaryngology, Universitas hospitalis Levesham, London, UK

Titus Vaz FRCS (Virus-HNS) de Department Caput et Neck Surgery, University College hospitalis, London, UK | Institutum Medical Scientiarum, Medway campo, ecclesia Christi Cant 'University, Kent, UK

Prior Andrew FRCS (Virus-HNS) Otorhinolaryngology Department of: principis Universitatis Regiae hospitalis Kent, UK

Rahul Kanegaonkar FRCS (Virus-HNS): Institutum Medical Scientiarum, Medway campo, ecclesia Christi Cant 'University, Kent, UK

 

REFERENCES

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