Abstract

MEDINA LOPEZ, Jorge Luis et al. Experience in 24 patients with vertical incision tracheostomy technique for a lowing visibility for protection security equipment in COVID intensive care respiratory. Med. crít. (Col. Mex. Med. Crít.) [online]. 2023, vol.37, n.2, pp.69-71.  Epub May 13, 2024. ISSN 2448-8909.  https://doi.org/10.35366/110438.

The use of personal protective equipment, especially eye protection, limits vision when performing surgical procedures in the COVID area, these limitations force us to make modifications to usual procedures, on this occasion a modification is made to the usual incision of the procedure open tracheostomy. A modification described in previous bibliographies was made, modifying the orientation of the incision, changing the usual orientation of the horizontal incision to a vertical incision, preserving the rest of the technique and dissection of the usual planes as well as placement of the cannula. The modification of the technique aims to reduce the risk of complications caused by poor vision due to personal protective equipment, within these complications to reduce the risk of injury to large vessels that by anatomy are in the anatomical site of the procedure, improve the vision conditions as it is a single muscle and aponeurotic dissection plane, reduce transoperative bleeding by incising in the midline, thereby reducing the risk of complications, improving the operator’s vision conditions and reducing the risk of infection of personal health.

Keywords : incision; vertical tracheotomy; surgical time; transoperative bleeding; coagulation time.