Comparison of percutaneous dilatational tracheotomy versus open surgical technique in severe COVID-19: complication rates, relative risks and benefits

Patients with acute respiratory failure due to COVID-19 have a high likelihood of needing prolonged intubation and may subsequently require tracheotomy. Usually, the choice of technique (percutaneous dilatational tracheotomy [PDT] versus open surgical tracheotomy [OST]) depends on the preference of surgeons and patient-related factors. In case of COVID-19, airborne spread of viral particles and limited time of apnea must be considered in the choice of the safest technique. The aim of this study is to compare the complication rates and offer an assessment of relative risks and benefits of PDT versus OST in patients with severe COVID-19.

Source: Auris, Nasus, Larynx - October 28, 2020 Category: ENT & OMF Authors: Cecilia Botti, Francesca Lusetti, Tommaso Neri, Stefano Peroni, Andrea Castellucci, Pierpaolo Salsi, Angelo Ghidini Source Type: research