#ventilator #tracheostomy #covid19 #decannulation

This video lecture offers a brief review of the weaning process for COVID-19 patients who need prolonged mechanical ventilatory support. The topics include causes of prolonged ventilatory support, routine daily weaning practice, tracheotomy indications and benefits, timing of tracheotomy, safety precautions in respect to SARS COV-2 spread in daily care and post-tracheostomy management until the tracheostomy tube is removed. Expert opinion from pulmonary, ENT, and critical care team should be obtained as needed.

Presenters:
Ali Sadoughi, MD
Director, Interventional Pulmonology & Bronchoscopy
Assistant Professor of Medicine
Divisions of Pulmonary and Critical Care

Bradley A. Schiff
Associate Professor,
Department of Otorhinolaryngology - Head & Neck Surgery

Montefiore Medical Center/ Albert Einstein College of Medicine



The protocols and recommendations described in this video were created for internal Montefiore clinical purposes only and cannot be construed to serve as general recommendations or guidelines for anyone outside of Montefiore.

These treatment protocols are recommendations for caring for patients with COVID while Montefiore is operating under its Emergency Procedures for the declared state of emergency for the COVID pandemic. Additionally, these protocols may change as more research data becomes available. Please frequently check for updates.

Clinicians should always rely on the specific patient’s medical condition for clinical decision-making, even if that requires a deviation from the protocol.