SARS-Co-2 disease 2019 (COVID-19) has rapidly spread worldwide since December 2019. A relevant rate of patients develops an acute respiratory distress syndrome that require hospitalization. Among them, a non-negligible rate (9.8%-15.2%) requires tracheal intubation for invasive ventilation. We report the case of a COVID-19 patient developing pneumomediastinum and subcutaneous emphysema secondary to post-intubation tracheal injury. The management of COVID-19 patient 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 patient's conditions.

Bedside transcervical transtracheal postintubation injury repair in a COVID-19 patient / Bassi, Massimiliano; Anile, Marco; Pecoraro, Ylenia; Ruberto, Franco; Martelli, Sabina; Piazzolla, Mario; Pugliese, Francesco; Venuta, Federico; De Giacomo, Tiziano. - In: ANNALS OF THORACIC SURGERY. - ISSN 0003-4975. - (2020). [10.1016/j.athoracsur.2020.04.009]

Bedside transcervical transtracheal postintubation injury repair in a COVID-19 patient

Bassi, Massimiliano
;
Anile, Marco;Pecoraro, Ylenia;Ruberto, Franco;Piazzolla, Mario;Pugliese, Francesco;Venuta, Federico;De Giacomo, Tiziano
2020

Abstract

SARS-Co-2 disease 2019 (COVID-19) has rapidly spread worldwide since December 2019. A relevant rate of patients develops an acute respiratory distress syndrome that require hospitalization. Among them, a non-negligible rate (9.8%-15.2%) requires tracheal intubation for invasive ventilation. We report the case of a COVID-19 patient developing pneumomediastinum and subcutaneous emphysema secondary to post-intubation tracheal injury. The management of COVID-19 patient 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 patient's conditions.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1407305
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