Bedside Transcervical-Transtracheal Postintubation Injury Repair in a COVID-19 Patient.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 32333850.
- Also identified by DOI 10.1016/j.athoracsur.2020.04.009 and PMC identifier 7175871.
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Abstract
Severe acute respiratory syndrome coronavirus 2 disease 2019 (COVID-19) has rapidly spread worldwide since December 2019. An acute respiratory distress syndrome develops in a relevant rate of patients, who require hospitalization. Among them, a nonnegligible rate of 9.8% to 15.2% of patients requires tracheal intubation for invasive ventilation. We report the case of a pneumomediastinum and subcutaneous emphysema developing in a COVID-19 patient secondary to postintubation tracheal injury. The management of COVID-19 patients can be challenging due to the risk of disease transmission to caregivers and epidemic spread. We performed a bedside tracheal injury surgical repair, after failure of conservative management, with resolution of pneumomediastinum and subcutaneous emphysema and improvement of the patient's conditions.
Medical subject headings
- Betacoronavirus
- Coronavirus Infections
- Intubation, Intratracheal
- Mediastinal Emphysema
- Pneumonia, Viral
- Subcutaneous Emphysema
- Thoracic Surgical Procedures
- Trachea