Hybrid modified percutaneous dilatational tracheostomy reduces the risk
of COVID-19 aerosol dissemination to healthcare workers; a prospective
single centre study
Background Conventional tracheostomy and percutaneous dilatational
tracheostomy (PDT) present risks of exposing health care workers to
coronavirus disease (COVID‐19). We report a hybrid modified percutaneous
dilatational tracheostomy (hybrid MPDT) to reduce this risk of COVID-19
aerosol transmission. Methods We performed tracheostomy using a hybrid
MPDT involving a combination of conventional tracheostomy and PDT.
Hybrid MPDT requires a small incision and minimal dissection like
conventional tracheostomy, followed by PDT without bronchoscope guidance
and the use of an endotracheal tube cuffed at cricoid. Results Hybrid
MPDT was successfully performed in 20 patients with COVID‐19. The
infection rate to medical staff was 0% and the average operation time
was 6.45±1.02 min. Conclusion Hybrid MPDT may ensure rapid and safe
airway management in critically ill COVID-19 patients.