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5. Conservative Management of CSF Leak

Author

Dassi, Camila, Bernal-Sprekelsen, Manuel, Douglas, Richard, AlQahtani, Abdulaziz A., editor, Castelnuovo, Paolo, editor, Casiano, Roy, editor, and Carrau, Ricardo L., editor

Published
2022
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13. EUFOREA/EPOS2020 statement on the clinical considerations for chronic rhinosinusitis with nasal polyps care.

Author

Hellings, Peter W., Alobid, Isam, Anselmo‐Lima, Wilma T., Bernal‐Sprekelsen, Manuel, Bjermer, Leif, Caulley, Lisa, Chaker, Adam, Constantinidis, Jannis, Conti, Diego M., De Corso, Eugenio, Desrosiers, Martin, Diamant, Zuzana, Gevaert, Philippe, Han, Joseph K., Heffler, Enrico, Hopkins, Claire, Landis, Basile N., Lourenco, Olga, Lund, Valerie, and Luong, Amber U.

Subjects
NASAL polyps, ENDOSCOPIC surgery, SINUSITIS, REOPERATION, PHYSICIANS, ASPIRIN
Abstract

Following the European Forum for Research and Education in Allergy and Airway Diseases (EUFOREA) treatment algorithm for chronic rhinosinusitis (CRS) with nasal polyps (CRSwNP), patients suffering from severe uncontrolled CRSwNP are recommended to receive oral corticosteroids, (revision) sinus surgery, systemic biologicals and/or aspirin treatment after desensitization (ATAD). Given the major differences in indications, outcomes, practical considerations, risks and costs of these key pillars of treatment, there is a growing need to define criteria for each treatment option and list the clinically relevant and major considerations for them. This EUFOREA document therefore provides an expert panel overview of the expected outcomes, specific considerations and (contra)indications of the five major treatment arms of severe uncontrolled CRSwNP: oral corticosteroids, primary and revision sinus surgery, biological treatment and ATAD. This overview of treatment considerations is needed to allow physicians and patients to consider the different options in the context of providing optimal and personalized care for severe uncontrolled CRSwNP. In conclusion, the five major treatment options for severe uncontrolled CRSwNP have intrinsic advantages, specific indications and considerations that are of importance to the patient, the physician and the society. This EUFOREA statement supports the unmet need to define criteria for the indication of every treatment pillar of CRSwNP. [ABSTRACT FROM AUTHOR]

Published
2024
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15. Appropriateness for SARS-CoV-2 vaccination for otolaryngologist and head and neck surgeons in case of pregnancy, breastfeeding, or childbearing potential: Yo-IFOS and CEORL-HNS joint clinical consensus statement

Author

Saibene, Alberto Maria, Allevi, Fabiana, Ayad, Tareck, Baudoin, Tomislav, Bernal-Sprekelsen, Manuel, Briganti, Giovanni, Carrie, Sean, Cayé-Thomasen, Per, Dahman Saidi, Sara, Dauby, Nicolas, Fenton, John, Golusiński, Wojciech, Klimek, Ludger, Leclerc, Andrée-Anne, Longtin, Yves, Mannelli, Giuditta, Mayo-Yáñez, Miguel, Meço, Cem, Metwaly, Osama, Mouawad, François, Niemczyk, Kazimierz, Pedersen, Ulrik, Piersiala, Krzysztof, Plzak, Jan, Remacle, Marc, Rommel, Nathalie, Saleh, Hesham, Szpecht, Dawid, Tedla, Miroslav, Tincati, Camilla, Tucciarone, Manuel, Zelenik, Karol, and Lechien, Jerome R.

Published
2021
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16. EUFOREA/EPOS2020 statement on the clinical considerations for CRSwNP care

Author

Hellings, Peter W., primary, Alobid, Isam, additional, Anselmo‐Lima, Wilma T., additional, Bernal‐Sprekelsen, Manuel, additional, Bjermer, Leif, additional, Caulley, Lisa, additional, Chaker, Adam, additional, Constantinidis, Jannis, additional, Conti, Diego M., additional, De Corso, Eugenio, additional, Desrosiers, Martin, additional, Diamant, Zuzana, additional, Gevaert, Philippe, additional, Han, Joseph K., additional, Heffler, Enrico, additional, Hopkins, Claire, additional, Landis, Basile N., additional, Lourenco, Olga, additional, Lund, Valerie, additional, Luong, Amber U., additional, Mullol, Joaquim, additional, Peters, Anju, additional, Philpott, Carl, additional, Reitsma, Sietze, additional, Ryan, Dermot, additional, Scadding, Glenis, additional, Senior, Brent, additional, Tomazic, Peter Valentin, additional, Toskala, Elina, additional, Van Zele, Thibaut, additional, Viskens, An‐Sofie, additional, Wagenmann, Martin, additional, and Fokkens, W. J., additional

Published
2023
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18. Chemosensory dysfunction in COVID-19 out-patients

Author

Rojas-Lechuga, María Jesús, Izquierdo-Domínguez, Adriana, Chiesa-Estomba, Carlos, Calvo-Henríquez, Christian, Villarreal, Ithzel Maria, Cuesta-Chasco, Genoveva, Bernal-Sprekelsen, Manuel, Mullol, Joaquim, and Alobid, Isam

Published
2021
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19. Consensus Document of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC), the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) and the Spanish Society of Anesthesiology and Resuscitation (SEDAR) on Tracheotomy in Patients With COVID-19 Infection

Author

Bernal-Sprekelsen, Manuel, Avilés-Jurado, Francesc Xavier, Álvarez Escudero, Julián, Aldecoa Álvarez-Santuyano, César, de Haro López, Candelaria, Díaz de Cerio Canduela, Pedro, Ferrandis Perepérez, Eduardo, Ferrando Ortolá, Carlos, Ferrer Roca, Ricard, Hernández Tejedor, Alberto, López Álvarez, Fernando, Monedero Rodríguez, Pablo, Ortiz Suñer, Andrea, Parente Arias, Pablo, Planas Roca, Antonio, Plaza Mayor, Guillermo, Rascado Sedes, Pedro, Sistiaga Suárez, Jon Alexander, Vera Ching, Claudia, Villalonga Vadell, Rosa, and Martín Delgado, María Cruz

Published
2020
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20. Documento de consenso de la Sociedad Española de Medicina Intensiva, Crítica, y Unidades Coronarias (SEMICYUC), la Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello (SEORL-CCC) y la Sociedad Española de Anestesiología y Reanimación (SEDAR) sobre la traqueotomía en pacientes con COVID-19

Author

Bernal-Sprekelsen, Manuel, Avilés-Jurado, Francesc Xavier, Álvarez Escudero, Julián, Aldecoa Álvarez-Santuyano, César, de Haro López, Candelaria, Díaz de Cerio Canduela, Pedro, Ferrandis Perepérez, Eduardo, Ferrando Ortolá, Carlos, Ferrer Roca, Ricard, Hernández Tejedor, Alberto, López Álvarez, Fernando, Monedero Rodríguez, Pablo, Ortiz Suñer, Andrea, Parente Arias, Pablo, Planas Roca, Antonio, Plaza Mayor, Guillermo, Rascado Sedes, Pedro, Sistiaga Suárez, Jon Alexander, Vera Ching, Claudia, Villalonga Vadell, Rosa, and Martín Delgado, María Cruz

Published
2020
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21. International Consensus Statement on Allergy and Rhinology: Sinonasal Tumors.

Author

Kuan, Edward C., Wang, Eric W., Adappa, Nithin D., Beswick, Daniel M., London, Nyall R., Su, Shirley Y., Wang, Marilene B., Abuzeid, Waleed M., Alexiev, Borislav, Alt, Jeremiah A., Antognoni, Paolo, Alonso‐Basanta, Michelle, Batra, Pete S., Bhayani, Mihir, Bell, Diana, Bernal‐Sprekelsen, Manuel, Betz, Christian S., Blay, Jean‐Yves, Bleier, Benjamin S., and Bonilla‐Velez, Juliana

Published
2024
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22. EUFOREA/EPOS2020 Statement on the Clinical Considerations for CRSwNP Care

Author

Fokkens, Wytske, primary, Hellings, Peter, additional, Alobid, Isam, additional, Anselmo-Lima, Wilma, additional, Bernal-Sprekelsen, Manuel, additional, Bjermer, Leif, additional, Caulley, Lisa, additional, Chaker, Adam, additional, Constantinidis, Jiannis, additional, Conti, Diego M., additional, E., De Corso, additional, Desrosiers, Martin, additional, Diamant, Zuzana, additional, Gevaert, Philippe, additional, J, Han Han., additional, Heffler, Enrico, additional, Hopkins, Clair, additional, Landis, Basile, additional, Lourenço, Olga, additional, Lund, Valerie, additional, Luong, Amber, additional, Mullol, Joaquim, additional, Peters, Anju, additional, Philpott, Carl, additional, Reitsma, Sietze, additional, Ryan, Dermot, additional, Scadding, Glenis, additional, Senior, Brent, additional, Tomazic, Peter, additional, Toskala, Elina, additional, Zele, Thibaut van, additional, Viskens, Sofie, additional, and Wagenmann, Martin, additional

Published
2023
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23. International consensus statement on allergy and rhinology: Sinonasal tumors

Author

Kuan, Edward C., primary, Wang, Eric W., additional, Adappa, Nithin D., additional, Beswick, Daniel M., additional, London, Nyall R., additional, Su, Shirley Y., additional, Wang, Marilene B., additional, Abuzeid, Waleed M., additional, Alexiev, Borislav, additional, Alt, Jeremiah A., additional, Antognoni, Paolo, additional, Alonso‐Basanta, Michelle, additional, Batra, Pete S., additional, Bhayani, Mihir, additional, Bell, Diana, additional, Bernal‐Sprekelsen, Manuel, additional, Betz, Christian S., additional, Blay, Jean‐Yves, additional, Bleier, Benjamin S., additional, Bonilla‐Velez, Juliana, additional, Callejas, Claudio, additional, Carrau, Ricardo L., additional, Casiano, Roy R., additional, Castelnuovo, Paolo, additional, Chandra, Rakesh K., additional, Chatzinakis, Vasileios, additional, Chen, Simon B., additional, Chiu, Alexander G., additional, Choby, Garret, additional, Chowdhury, Naweed I., additional, Citardi, Martin J., additional, Cohen, Marc A., additional, Dagan, Roi, additional, Dalfino, Gianluca, additional, Dallan, Iacopo, additional, Dassi, Camila Soares, additional, de Almeida, John, additional, Tos, Angelo P. Dei, additional, DelGaudio, John M., additional, Ebert, Charles S., additional, El‐Sayed, Ivan H., additional, Eloy, Jean Anderson, additional, Evans, James J., additional, Fang, Christina H., additional, Farrell, Nyssa F., additional, Ferrari, Marco, additional, Fischbein, Nancy, additional, Folbe, Adam, additional, Fokkens, Wytske J., additional, Fox, Meha G., additional, Lund, Valerie J., additional, Gallia, Gary L., additional, Gardner, Paul A., additional, Geltzeiler, Mathew, additional, Georgalas, Christos, additional, Getz, Anne E., additional, Govindaraj, Satish, additional, Gray, Stacey T., additional, Grayson, Jessica W., additional, Gross, Bradley A., additional, Grube, Jordon G., additional, Guo, Ruifeng, additional, Ha, Patrick K., additional, Halderman, Ashleigh A., additional, Hanna, Ehab Y., additional, Harvey, Richard J., additional, Hernandez, Stephen C., additional, Holtzman, Adam L., additional, Hopkins, Claire, additional, Huang, Zhigang, additional, Huang, Zhenxiao, additional, Humphreys, Ian M., additional, Hwang, Peter H., additional, Iloreta, Alfred M., additional, Ishii, Masaru, additional, Ivan, Michael E., additional, Jafari, Aria, additional, Kennedy, David W., additional, Khan, Mohemmed, additional, Kimple, Adam J., additional, Kingdom, Todd T., additional, Knisely, Anna, additional, Kuo, Ying‐Ju, additional, Lal, Devyani, additional, Lamarre, Eric D., additional, Lan, Ming‐Ying, additional, Le, Hien, additional, Lechner, Matt, additional, Lee, Nancy Y., additional, Lee, Jivianne K., additional, Lee, Victor H., additional, Levine, Corinna G., additional, Lin, Jin‐Ching, additional, Lin, Derrick T., additional, Lobo, Brian C., additional, Locke, Tran, additional, Luong, Amber U., additional, Magliocca, Kelly R., additional, Markovic, Svetomir N., additional, Matnjani, Gesa, additional, McKean, Erin L., additional, Meço, Cem, additional, Mendenhall, William M., additional, Michel, Loren, additional, Na'ara, Shorook, additional, Nicolai, Piero, additional, Nuss, Daniel W., additional, Nyquist, Gurston G., additional, Oakley, Gretchen M., additional, Omura, Kazuhiro, additional, Orlandi, Richard R., additional, Otori, Nobuyoshi, additional, Papagiannopoulos, Peter, additional, Patel, Zara M., additional, Pfister, David G., additional, Phan, Jack, additional, Psaltis, Alkis J., additional, Rabinowitz, Mindy R., additional, Ramanathan, Murugappan, additional, Rimmer, Ryan, additional, Rosen, Marc R., additional, Sanusi, Olabisi, additional, Sargi, Zoukaa B., additional, Schafhausen, Philippe, additional, Schlosser, Rodney J., additional, Sedaghat, Ahmad R., additional, Senior, Brent A., additional, Shrivastava, Raj, additional, Sindwani, Raj, additional, Smith, Timothy L., additional, Smith, Kristine A., additional, Snyderman, Carl H., additional, Solares, C. Arturo, additional, Sreenath, Satyan B., additional, Stamm, Aldo, additional, Stölzel, Katharina, additional, Sumer, Baran, additional, Surda, Pavol, additional, Tajudeen, Bobby A., additional, Thompson, Lester D. R., additional, Thorp, Brian D., additional, Tong, Charles C. L., additional, Tsang, Raymond K., additional, Turner, Justin H., additional, Turri‐Zanoni, Mario, additional, Udager, Aaron M., additional, van Zele, Thibaut, additional, VanKoevering, Kyle, additional, Welch, Kevin C., additional, Wise, Sarah K., additional, Witterick, Ian J., additional, Won, Tae‐Bin, additional, Wong, Stephanie N., additional, Woodworth, Bradford A., additional, Wormald, Peter‐John, additional, Yao, William C., additional, Yeh, Chien‐Fu, additional, Zhou, Bing, additional, Palmer, James N., additional, Abiri, Arash, additional, Adams, Carrie D., additional, Ayoub, Noel F., additional, Bitner, Benjamin F., additional, Boyd, Jacob T., additional, Chang, Michael T., additional, Chapurin, Nikita, additional, Chaskes, Mark B., additional, Chua, Andy, additional, Chung, Sei Y., additional, Contrera, Kevin J., additional, Dilley, Katelyn K., additional, Dutra, André Zanette, additional, Eide, Jacob G., additional, Fenberg, Rachel, additional, Godse, Neal R., additional, Jawad, Basit, additional, Johnson, Jared, additional, Johnson, B. Jake, additional, Judd, Ryan, additional, Khalife, Sarah, additional, Khosravi, Pooya, additional, Kolarski, Mirko Manojlovic, additional, Kong, Keonho A., additional, Kshirsagar, Rijul S., additional, Lee, Joseph S., additional, Lin, Tian‐Yun, additional, McCormick, Justin P., additional, Melder, Katie, additional, Morse, Elliot, additional, Nguyen, Theodore V., additional, Norwood, Timothy G., additional, Pang, Jonathan C., additional, Parsel, Sean M., additional, Patel, Prayag S., additional, Ringel, Barak, additional, Schneider, Alexander L., additional, Spielman, Daniel B., additional, Spock, Todd, additional, and Vasudev, Milind, additional

Published
2023
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26. Consensus criteria for chronic rhinosinusitis disease control: an international Delphi Study.

Author

Sedaghat, Ahmad R., Fokkens, Wytske J., Lund, Valerie J., Hellings, Peter W., Kern, Robert C., Reitsma, Sietze, Toppila-Salmi, Sanna, Bernal-Sprekelsen, Manuel, Mullol, Joaquim, Gevaert, Philippe, Teeling, Thijs, Alobid, Isam, Anselmo-Lima, Wilma T., Baroody, Fuad M., Cervin, Anders, Cohen, Noam A., Constantinidis, Jannis, De Gabory, Ludovic, Desrosiers, Martin, and Harvey, Richard J.

Published
2023
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31. Anatomy and Physiology of the Larynx and Hypopharynx

Author

Piazza, Cesare, Ribeiro, João Carlos, Bernal-Sprekelsen, Manuel, Paiva, António, Peretti, Giorgio, Arnold, Wolfgang, editor, Ganzer, Uwe, editor, Anniko, Matti, editor, Bernal-Sprekelsen, Manuel, editor, Bonkowsky, Viktor, editor, Bradley, Patrick J., editor, and Iurato, Salvatore, editor

Published
2010
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32. Endoscopic Repair of Anterior Skull Base Defects

Author

Bernal-Sprekelsen, Manuel, Alobid, Isam, Mullol, Joaquim, Garcia-Piñero, Alfonso, Arnold, Wolfgang, editor, Ganzer, Uwe, editor, Anniko, Matti, editor, Bernal-Sprekelsen, Manuel, editor, Bonkowsky, Viktor, editor, Bradley, Patrick J., editor, and Iurato, Salvatore, editor

Published
2010
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33. Trauma of the Paranasal Sinuses and Orbit

Author

Mariño Sánchez, Franklin Santiago, Obando, Andrés, Bernal-Sprekelsen, Manuel, Arnold, Wolfgang, Arnold, Wolfgang, editor, Ganzer, Uwe, editor, Anniko, Matti, editor, Bernal-Sprekelsen, Manuel, editor, Bonkowsky, Viktor, editor, Bradley, Patrick J., editor, and Iurato, Salvatore, editor

Published
2010
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35. Diseases of the Outer and Inner Nose

Author

Martinez-Vidal, Brígida, Rusieka, Michalina, Bernal-Sprekelsen, Manuel, Arnold, Wolfgang, editor, Ganzer, Uwe, editor, Anniko, Matti, editor, Bernal-Sprekelsen, Manuel, editor, Bonkowsky, Viktor, editor, Bradley, Patrick J., editor, and Iurato, Salvatore, editor

Published
2010
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40. Congenital Choanal Atresia

Author

Molina-Martínez, Cristina, Guilemany-Toste, José-María, Cervera-Escario, Javier, Bernal-Sprekelsen, Manuel, Stucker, Fred J., editor, de Souza, Chris, editor, Kenyon, Guy S., editor, Lian, Timothy S., editor, Draf, Wolfgang, editor, and Schick, Bernhard, editor

Published
2009
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42. Complications of Endoscopic DCR

Author

Bernal-Sprekelsen, Manuel, Alobid, Isam, Miret, Joaquin Mullol, Weber, R. K., editor, Keerl, R., editor, Schaefer, S. D., editor, and Della Rocca, R. C., editor

Published
2007
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43. Dacryocystorhinostomy Surgical Technique

Author

Bernal-Sprekelsen, Manuel, Alobid, Isam, Tomás-Barberán, Manuel, Della Rocca, R. C., Schaefer, S. D., Weber, R. K., editor, Keerl, R., editor, Schaefer, S. D., editor, and Della Rocca, R. C., editor

Published
2007
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48. Outcome of 1890 tracheostomies for critical COVID-19 patients: a national cohort study in Spain

Author

Martin-Villares, Cristina, Perez Molina-Ramirez, Carmen, Bartolome-Benito, Margarita, Bernal-Sprekelsen, Manuel, Perez-Fernandez, Aranzazu, Alcantara-Armenteros, Sara, Monjas-Cánovas, Irene, Sancho-Mestre, Manuela, Alemán-Lopez, Oscar, Deola-Trasserra, M Dolors, Villarraga-Cova, Vanessa, Carreras-Alcaraz, Azor, Montaner-Sala, Esther, Sota-Eguizabal, Esther, Tolosa, Aihnoa, De la Iglesia, Belen, Garcia-Sardon, Rafael, Diez, Laura, Lehrer, Eduardo, Aviles-Jurado, Francisco Xavier, Tudela-Cabello, Kiara, Huguet-Llull, Gabriel, Mesalles-Ruíz, Marta, Jimenez-Montoya, Ramon, Navazo-Eguïa, Ana, Galindo-Torres, Blanca, Fernandez-Pello, Marta, Rodriguez-Prado, Nuria, Salazar, Carmen, Ramos, Francisco, Amor-Dorado, Juan Carlos, Faubel-Serra, Marta, Nuñez-Carrasco, Valery, Agüero-Medina, Adriana, Carlos-Villatoro, Juan, Lopez-Diu, Roser, Gonzalez-Melgan, Selvyn, Uzcanga-Lacabe, María, Cardier-Suárez, Marisela, Úbeda-Fernández, Esther, Alañon-Fernández, Miguel Ángel, Sanchez-Herrero, Carlos, Municio-Martin, Jose Antonio, Pascua-Gomez, Luis, Andrino-Martin, Sergio, Ayala-Mejias, Sandra, Molina-Gil, Bárbara, De Abajo-Larriba, Jorge, Piñeiro-Aguín, Zenaida, Gil-Carcedo, Elisa, Herrero-Agustín, Javier, Freijanes-Otero, Jorge, Cuetos-Azcona, Mario, Garcia-Fernandez, Alfredo, Jimenez-Huerta, Ignacio, Babarro-Fernández, Rosa, Junjgohann-Jofre, Felipe, Martel-Lopez, Antonio, Martin-Sanchez, Maria Dolores, Benitez-del Rosario, Jesus, Luorido, Diana, Granda, Monica, Tejeda, Jose Miguel, Martinez Ruiz-Coello, Antonio, Almodovar-Iniesta, Antonio, Bonnin, Jesus, Chao-Vietes, Jacobo, Hernández-Garcia, Estefanía, Plaza, Guillermo, Villacampa-Auba, Jose Miguel, Campos-Gonzalez, Alfonso, Casqueiro, Jose Carlos, Baguena-Campos, Lucia, Encinas-Vicente, Alberto, Rubio-Yanguas, Raul, Lowy-Benoliel, Alejandro, Poletti-Serafini, Daniel, Pasamontes-Pingarron, Juan Antonio, Aristegui-Ruiz, Miguel, Hernando-Cuñado, Monica, Souviron-Encabo, Rosalia, Martinez-Guirado, Tomas, Fernandez-Fernandez, Mario, Gonzalez-Orus, Ricardo, Molina-Montes, Beatriz, De la Fuente-Hernandez, Raquel, Crovato-Rojas, Jesús, Ruminot, Cristian, Laguado, Daniella, Acosta, Hander, Hernández-Garcia, María José, Zuaza-Gonzalez, Alejandro, Domingo-Carrasco, Carlos, Valor-García, Cristina, Lopez-Martin, Javier, Mogollon-Cano, Tomas, Meler-Claramonte, Carla, Flores-Martín, Juan Carlos, Arzok del Toro, Juanjo, Garcia-Piñero, Alfonso, Muñoz-Fernandez, Noelia, del Palacio, Antonio, Mateos-Serrano, Blanca, Garcia-Lopez, Isabel, Rodrigañez-Riesco, Laura, Aragon, Paula, Rivera, Teresa, Eisenberg-Plaza, Gustavo, Fernandez-Robledo, Inmaculada, Prada-Pendolero, Jorge, Alvarez-Alvarez, Ignacio, Puente-Verez, Maria, Quintana-Sanjuas, Ana, Parente-Arias, Pablo, García-Cordoba, Francisco, Garcia-Purriños, Francisco Jose, Morales-Angulo, Carmelo, Rodriguez-Rondon, Simara, Lopez-Lopez, Diana, Fernandez-Liesa, Rafael, Lázaro-Sánchez, Amaya, Alonso-Alonso, I, Rusiecka, Michalina, Ramirez, Rosa Delia, Vila, Javier, Bellmunt-Fontanet, Angela, Montoro-Martinez, Victoria, Piqueras, Francisco, Novoa-Morales, Vania, Simonetti, Gabriela, Guillen-Lozada, Enrique, Velasco, Maria Jesus, Alonso-Castiñeira, Ignacio, Hernandez, Maria, Rovira-Ramos, Carlota, Diaz-Argüello, Juan Jose, Escamilla-Carpintero, Yolanda, Torrico-Roman, Pablo, Calvo-Navarro, Carlos, Viza-Puiggros, Ignacio, Vaduva, Cristina, Higuera-Lucas, Juan, Tato, Jose Ignacio, Rivera-Rodriguez, Teresa, Rodriguez-Contreras, Diego, Caravaca-Garcia, Antonio, Ayala, Alejandra, Morales-Puebla, José Manuel, Ruiz-Escudero, Carlos, Lozano-Reina, E, Maza-Solano, Juan Manuel, Alfaro-Garcia, Jorge, Sanchez, Fatima, Montes-Jovellar, Luordes, Medina, Mar, Barbera, Rafael, Marco-Garrido, Alfonso, Cremades-Navalon, Isabel, García-Callejo, Javier, Bastida, C Garcia, Gutierrez-Fonseca, Raimundo, Muñoz-Herrera, Angel, Calvo, Marta, Rosal-Fraga, Carmen, Iglesias-Moreno, Mari Cruz, Gimeno-Hernández, Jesus, Vázquez-Romero, Cristina A, Alzate-Amaya, Fabian, Palomino, Laura, Alcaraz, Marta, Romeu-Figuerola, Coia, Foglia-Fernandez, Maria, Dios-Loureiro, Cristina, Gonzalez-Guijarro, Isabel, Vera-Llao, Rafael, Sancho-Calvo, Rosa, Ramos-Fernandez, Jesus Jose, Lasso-delaVega, Mar, Martinez-Pascual, Paula, Dominguez-Ovejas, Silvia, Morera-Senra, Eduardo, Alba-Mesquida, Jacoba, Bonilla, Alfonso, Martinez-Subias, Javier, Martinez-Salazar, Jesus M, Martinez-Lapeña, Antonio, Corrales-Millan, Rocio, Ruiz, Rosario, Mata, Nieves, Espinosa, Alfredo, Cianci-Jaimes, Laura Gerarda, Zapater-Latorre, Enrique, Alba-Garcia, Jose Ramon, Oishi-Konari, Miriam Natsuki, Pallares-Marti, Beatriz, Rubio-Fernandez, Andrea, Santos-Pérez, Jaime, Idigora-Planas, Albert, Sanchez-Barrueco, Alvaro, Alcala-Rueda, Ignacio, Jara-Rubio, Ruben, Lozano, Estefanía, Tirado-Zamora, Isabel, Coscaron-Blanco, Enrique, Suarez-Ortega, Soledad, Gil-Grasa, Guillermo, Lavilla-Martin de Valmaseda, Maria Jose, Sebastian, Jose Miguel, Nijim, Hazem, Dominguez-Calvo, Jesus, Gonzalez-Gimeno, Maria Jose, Carvajal-Urueña, Ana, Anel, Luis, and Gonzalo-Orden, Manuel

Subjects
medicine.medical_specialty, Percutaneous, medicine.medical_treatment, law.invention, Cohort Studies, 03 medical and health sciences, Tracheostomy, Mechanical ventilation, 0302 clinical medicine, law, medicine, Humans, Weaning, Intensive care unit, 030223 otorhinolaryngology, Retrospective Studies, SARS-CoV-2, business.industry, General surgery, COVID-19, General Medicine, Respiration, Artificial, Otorhinolaryngology, Spain, 030220 oncology & carcinogenesis, Cohort, Observational study, Neurosurgery, business, Head and Neck
Abstract

Background The question of an optimal strategy and outcomes in COVID-19 tracheostomy has not been answered yet. The critical focus in our case study is to evaluate the outcomes of tracheostomy on intubated COVID-19 patients. Methods A multicentric prospective observational study of 1890 COVID-19 patients undergoing tracheostomy across 120 hospitals was conducted over 7 weeks in Spain (March 28 to May 15, 2020). Data were collected with an innovative approach: instant messaging via WhatsApp. Outcome measurements: complications, achieved weaning and decannulation and survival. Results We performed 1,461 surgical (81.3%) and 429 percutaneous tracheostomies. Median timing of tracheostomy was 12 days (4–42 days) since orotracheal intubation. A close follow-up of 1616/1890 (85.5%) patients at the cut-off time of 1-month follow-up showed that in 842 (52.1%) patients, weaning was achieved, while 391 (24.2%) were still under mechanical ventilation and 383 (23.7%) patients had died from COVID-19. Decannulation among those in whom weaning was successful (n = 842) was achieved in 683 (81%) patients. Conclusion To the best of our knowledge, this is the largest cohort of COVID-19 patients undergoing tracheostomy. The critical focus is the unprecedented amount of tracheostomies: 1890 in 7 weeks. Weaning could be achieved in over half of the patients with follow-up. Almost one out of four tracheotomized patients died from COVID-19.

Published
2020

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