Timing of Tracheotomy in Covid-19 Patients

  • STATUS
    Recruiting
  • participants needed
    180
  • sponsor
    Sahlgrenska University Hospital, Sweden
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Updated on 5 August 2020
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critical illness
mechanical ventilation
respiratory insufficiency
covid-19
critically ill

Summary

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.

Details
Condition Respiratory Failure, Respiratory Failure, ADULT RESPIRATORY DISTRESS SYNDROME, Tracheostomy Complication, Corona Virus Infection, Covid 19
Age 18years - 100years
Treatment Tracheotomy
Clinical Study IdentifierNCT04412356
SponsorSahlgrenska University Hospital, Sweden
Last Modified on5 August 2020

Eligibility

 Yes No Not Sure

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
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