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Revista Cubana de Pediatría

versión impresa ISSN 0034-7531versión On-line ISSN 1561-3119


CABRERA REYES, Javier. Tracheostomy in pediatric patients with COVID-19. Rev Cubana Pediatr [online]. 2020, vol.92, suppl.1, e1153.  Epub 20-Jul-2020. ISSN 0034-7531.

Patients confirmed with COVID-19 that demand mechanical ventilation are vulnerable to undergo a tracheotomy, which represents particular challenges being a kind- of-procedure big generator of aerosols potentially contagious for health workers. The aim of this work is to provide information on its indication, the proper time and place of performance, and also some technical and protection elements. The indication for the performance of tracheotomy must be carefully established by a multidisciplinary team, proposing it, although there is no evidence based data, fourteen days after intubation. It should be generally performed in the intensive care unit. It is recommended the use of individual protection equipment and to avoid cut and coagulation systems that generate aerosols. At the same time, it is proposed to delay the change of the cannula to after 30 days of being performed the procedure or at least until the test for the virus detection will be negative. In patients that underwent a tracheostomy once disconnected from the mechanical ventilation, it is recommended to put a surgical mask over the trach. The health staff involved in the intervention should accomplish the isolation regime established. If all the recommended aspects are taken into account, the risk of infection for the health workers decreases and it will be provided a safe tracheostomy for the patient.

Palabras clave : tracheostomy; COVID-19; children.

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