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Timing of Tracheotomy in Covid-19 Patients

Timing of Tracheotomy in Covid-19 Patients

Recruiting
18 years and older
All
Phase N/A

Overview

Critically ill covid-19 patients may require respiratory support including mechanical ventilation. After an initial period with an endotracheal tube, a tracheotomy is performed in order to reduce potential airway complications, reduce the need of sedation and facilitate the monitoring and recovery. The optimal timing of this surgical procedure is, however, still unknown. The aim of this randomized, controlled trial is to compare the outcome of early (within 7 days) vs late (after at least 10 days) tracheotomy in covid-19 patients. The need for mechanical ventilation, sedation, additional oxygen support, frequency of complications, duration at the ICU and mortality will be evaluated and compared.

Eligibility

Inclusion Criteria:

  • Verified Covid-19 infection
  • Intubated due to respiratory insufficiency and need for mechanical ventilation
  • Informed consent from patient or relative

Exclusion Criteria:

  • Age below 18 years
  • Need for mechanical ventilation less than 14 days
  • Tracheotomy not possible within 7 days
  • Tracheotomy not possible due to anatomical or other medical reasons

Study details
    Respiratory Failure
    Respiratory Failure
    ADULT RESPIRATORY DISTRESS SYNDROME
    Tracheostomy Complication
    Corona Virus Infection
    Covid 19

NCT04412356

Sahlgrenska University Hospital, Sweden

5 August 2020

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