Perioperative response to surgical tracheostomy in new coronavirus-positive patients （COVID-19）

DOI Web Site 5 References Open Access
  • Michizuka Tomohiko
    Department of Otolaryngology-Head and Neck Surgery, Asahikawa Medical University
  • Kumai Takumi
    Department of Innovative Head ＆ Neck Cancer Research and Treatment （IHNCRT）, Asahikawa Medical University
  • Sako Sumiko
    Department of Anesthesiology and Intensive Care, Asahikawa Medical University
  • Takahara Miki
    Department of Otolaryngology-Head and Neck Surgery, Asahikawa Medical University
  • Katada Akihiro
    Department of Otolaryngology-Head and Neck Surgery, Asahikawa Medical University
  • Hayashi Tatsuya
    Department of Innovative Head ＆ Neck Cancer Research and Treatment （IHNCRT）, Asahikawa Medical University
  • Fujita Satoshi
    Department of Emergency Medicine, Asahikawa Medical University
  • Harabuchi Yasuaki
    Department of Otolaryngology-Head and Neck Surgery, Asahikawa Medical University

Bibliographic Information

Other Title
  • 新型コロナウイルス陽性患者（COVID-19）における外科的気管切開術の周術期対応について

Description

We experienced two cases of tracheostomy for a new coronavirus positive patient （COVID-19）. Case 1 was a man in his 80s. Long-term tracheal intubation management was required, so a tracheostomy was performed with full PPE using an N95 mask. Case 2 was a man in his 60s. Given that it was difficult to secure a visual field in the first tracheostomy, a surgical tracheotomy was performed under a powered air-purifying respirator （PAPR）. By using the PAPR, we were able to solve the problem of securing the visual field when performing surgical tracheostomy with full PPE, and it was considered to be useful for surgical tracheostomy under safe infection control.

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