Evidence map›Paper›PMID 34667848›Full record

ArticleLaryngoscope investigative otolaryngology2021

Safely performing percutaneous dilatational tracheostomies on COVID-19 patients in the intensive care unit: A standardized approach.

Lucas Ribeiro Tenório, Marianne Yumi Nakai, Giancarlo Artese Araújo, Marcelo Benedito Menezes, Antônio Augusto Tupinambá Bertelli, Dominic Romeo, Karthik Rajasekaran, Antonio José Gonçalves

Open access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 2 countries.

Lucas Ribeiro TenórioHead and Neck Surgery Division Santa Casa de São Paulo School of Medical Science São Paulo Brazil.ORCID https://orcid.org/0000-0002-7987-3079
Marianne Yumi NakaiHead and Neck Surgery Division Santa Casa de São Paulo School of Medical Science São Paulo Brazil.
Giancarlo Artese AraújoHead and Neck Surgery Division Santa Casa de São Paulo School of Medical Science São Paulo Brazil.
Marcelo Benedito MenezesHead and Neck Surgery Division Santa Casa de São Paulo School of Medical Science São Paulo Brazil.
Antônio Augusto Tupinambá BertelliHead and Neck Surgery Division Santa Casa de São Paulo School of Medical Science São Paulo Brazil.
Dominic RomeoDepartment of Otorhinolaryngology University of Pennsylvania Philadelphia Pennsylvania USA.
Karthik RajasekaranDepartment of Otorhinolaryngology University of Pennsylvania Philadelphia Pennsylvania USA.ORCID https://orcid.org/0000-0003-2148-1643
Antonio José GonçalvesHead and Neck Surgery Division Santa Casa de São Paulo School of Medical Science São Paulo Brazil.
Faculdade de Ciências Médicas da Santa Casa de São Paulo · BRUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and the resulting coronavirus disease 2019 (COVID-19) have afflicted hundreds of millions of people in a worldwide pandemic. During this pandemic, otolaryngologists have sought to better understand risk factors associated with COVID-19 contamination during surgical procedures involving the airways such as tracheostomies.

objectiveThis study provides a standardized technique of performing an ultrasound (US)-guided percutaneous dilatational tracheostomy (PDT) on COVID-19 patients in the intensive care unit (ICU). It also outlines safety strategies for health care providers that includes proper use of personal protective equipment (PPE) and regular testing of otolaryngologists for COVID-19 contamination.

methodsThis study analyzed data from 44 PDT procedures performed on COVID-19 patients in the ICU of hospitals in Sao Paulo and Santos, Brazil. The PDT procedures were conducted between April 2020 and August 2020, which coincided with a peak of the COVID-19 pandemic in São Paulo, Brazil. Surgeons were tested for COVID-19 using a two-stage serological enzyme-linked immunosorbent assay specific for SARS-CoV-2 antigens.

conclusionThis study describes a safe standardized technique of US-guided PDT for COVID-19 patients in the ICU using a method that also decreases the risk of surgeon contamination.

Indexed as

airway managementCOVID‐19intensive care unitsSars‐cov‐2tracheostomy

Identifiers

PMID34667848
PMCPMC8513415
OpenAlexW3200552510

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.