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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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