Evidence map›Paper›PMID 32631724›Full record

ArticleEuropean annals of otorhinolaryngology, head and neck diseases2020

Percutaneous dilatational tracheostomy for saturating influx of COVID-19 patients: Experience of military ENT physicians deployed in Mulhouse, France.

J-B Morvan, D Rivière, M Danguy des Déserts, G Bonfort, Q Mathais, P Pasquier

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European annals of otorhinolaryngology, head and neck diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Observational
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

J-B MorvanService d'ORL et de Chirurgie Cervico-Faciale, Hôpital d'Instruction des Armées Sainte-Anne, Toulon, France; Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France. Electronic address: jbmorvan@hotmail.com.
D RivièreService d'ORL et de Chirurgie Cervico-Faciale, Hôpital d'Instruction des Armées Sainte-Anne, Toulon, France; Elément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France.
M Danguy des DésertsElément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Clermont Tonnerre, Brest, France.
G BonfortElément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital d'Instruction des Armées Legouest, Metz, France.
Q MathaisElément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Sainte-Anne, Toulon, France.
P PasquierElément Militaire de Réanimation du Service de Santé des Armées EMRSSA, Mulhouse, France; Service d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Percy, Clamart, France; École du Val-de-Grâce, Paris, France.
Service de Santé des Armées · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe main objective was to demonstrate the feasibility of percutaneous tracheostomy performed under difficult conditions by military ENT physicians during their deployment in the military intensive care field hospital of the French Military Medical Service in Mulhouse to confront the exceptional COVID-19 pandemic. The secondary objective was to assess reliability and safety for patient and caregivers, with a risk of iatrogenic viral contamination. MATERIAL AND

methodsA single-center retrospective study was conducted between March 25 and April 25, 2020, in 47 COVID-19 patients requiring prolonged mechanical ventilation. The inclusion criterion was having undergone percutaneous tracheostomy.

resultsEighteen consecutively included patients had successfully undergone percutaneous tracheostomy despite unfavorable anatomical conditions (short neck: 83.3%, overweight or obese: 88.9%). Median time to completion was 11 days after intubation, with an average duration of 7minutes. The procedure was technically compliant in 83.3% of cases, and considered easy (on self-assessment) in 72.2%, with 2 minor per-procedural complications. No crossover to surgery was required. There was only 1 major post-procedural complication (late hemorrhage).

conclusionThis study showed the feasibility of percutaneous tracheostomy by an ENT physician under COVID-19 biohazard conditions. The technique was fast, easy and safe and met safety requirements for patient and staff.

Indexed as

Military MedicineOtolaryngologyRespiration, ArtificialAdultAgedCoronavirus InfectionsCOVID-19Feasibility StudiesFemaleFranceHumansMaleMiddle AgedMilitary PersonnelPandemicsPneumonia, ViralCOVID-19ENT physicianMilitaryPercutaneous tracheostomySARS-CoV-2

Identifiers

PMID32631724
PMCPMC7321049
OpenAlexW3037914870

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.