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Review paper

Tracheostomy in COVID-19 patients and its effect on laboratory parameters: a retrospective case series

By
Amel Krkalić Orcid logo
Amel Krkalić
Contact Amel Krkalić

Department of Otorhinolaryngology and Maxillofacial Surgery, Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina

Abstract

Aim
To evaluate characteristics of COVID-19 tracheostomy and its effect on laboratory parameters.
Methods
Demographic parameters, duration indicators, and laboratory parameters before and after tracheostomy were analysed in
a series of 17 patients with COVID-19 patients.
Results
Of the 17 patients, four were males and 13 females with a mean age of 59 years. The average length of total hospitalization was 12 days, the length of stay in intensive care was 10 days, the length of endotracheal intubation was 9 days; tracheostomy was mostly performed on the seventh day. There was a significant correlation between comorbidities and outcomes; however, laboratory parameters did not show statistical significance.
Conclusion
Open surgical tracheostomy is recommended in all COVID-19 critically ill patients within 1 or 2 weeks after endotracheal intubation; it can be performed in terms of renal laboratory parameters, lactate and D-dimer. These patients had a lower
possibility of weaning from mechanical ventilation.

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