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OBJECTIVE: To summarize an experience of endoscopy-assisted dilatational tracheostomies in patients with COVID-19 MATERIAL AND METHODS: There were 31 endoscopy-assisted dilatational tracheostomies in patients with COVID-19 for the period from April 17 to June 10, 2020 (11 women and 19 men) Mean age of patients was 66 7 years (range 48-87) Tracheostomy was performed using Ciaglia (22) and Griggs (9) techniques All procedures were carried out at the intensive care unit in elective fashion RESULTS: Tracheostomy was performed in 19 8% of ICU patients or 36 9% of all patients on mechanical ventilation within 6 5+/-2 5 days [min 3, max 11] There were 22 survivors with tracheostomy (70 9%) that is comparable with survival of patients without mechanical ventilation (79 7%) and slightly higher than in patients on ventilation without tracheostomy (65 4%) No complications during the procedure were noted CONCLUSION: Endoscopy-assisted dilatational tracheostomy is preferred for prolonged mechanical ventilation, including patients with COVID-19 The undeniable advantages of this operation are fewer intraoperative complications due to endoscopic control, and lower risk of tracheal strictures
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[Endoscopy-assisted dilatational tracheostomy in patients with COVID-19]
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