Surgical tracheostomies in SARS-CoV-2-positive patients: The otolaryngologists' perspective

Aims: Operating under personal protective equipment (PPE) has become the new norm. This study aims at assessing how the ear, nose, and throat surgeons coped with the changes, with tracheostomy as the procedure of interest. Materials and Methods: Chart review of 30 patients who underwent tracheostomy from March 23, 2020, to December 31, 2020, was done. A questionnaire was given to the senior residents in charge of the procedures after each tracheostomy and their experience on the various aspects of the procedure. The responses were compiled and various factors affecting the surgical experience and outcome were analyzed. Results: Vast majority of patients underwent tracheostomy for prolonged intubation (90%), which made preoperative assessment of cases difficult. The average time was 12.33 ± 2.54 min. Delay in procedures and difficulties of operating under PPEs made COVID-positive tracheostomy challenging. Conclusions: It is possible to perform aerosol-generating procedures safely with adequate protective gears. Tracheostomy in COVID-19 patients needs to be after careful considerations by intensive care specialists and streamlining of various logistical factors is very essential for effective utilization of Operation theatre and surgeons' time.