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Tracheostomy in Patients with covid-19: Current Recommendations

Faruk Hernández Sampayo*,Weimar Oswaldo Ortiz Jauregui , María del Mar Mariduena, Serigo Antanio Barahona Botache, Sofía Doria Castro, Néstor Fabián Sanabria Duarte, SteveMuñoz and Julio Cesar Cabeza Morales

Background: COVID-19 continues to present uncertainty regarding the possibilities of treatment in critically ill patients, due to the uncontrolled spread of the pandemic, intensivists and acute care surgeons have had difficulties treating patients with COVID-19 who are critically ill; Tracheostomy is a common procedure in these patients who require a prolonged period of mechanical ventilation and there are various recommendations and precautions that must be taken when it is necessary to implement it.

Methodology: A narrative review was carried out through various databases in August 2021, the search and selection of articles was carried out in journals indexed in first and second languages.

Results: Currently, due to the high morbidity rate due to the COVID-19 pandemic, many of the most serious patients have required vital interventions to prolong their lives, among which the tracheostomy helps to reduce the incidence of ventilator-acquired pneumonia, reducing the mortality, duration of mechanical ventilation, ICU stay, sedation and laryngotracheal stenosis in survivors, this procedure, its due recommendations, provides a faster and more effective recovery.

Conclusions: Tracheostomy is a procedure that is highly described in the literature, with precise and well-defined indications for its performance; at the time of carrying it out, we must have special measures in case it is carried out in patients with COVID-19.