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2021, Number 5

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Med Crit 2021; 35 (5)

Tracheal injury, tension pneumothorax and pneumomediastinum, after percutaneous tracheostomy in COVID-19: report of a case

Díaz-del BMA, Vega-Bravo AH, López-Zamora VN, Céspedes-Meneses EE, Hernández PJA, Nares TMÁ
Full text How to cite this article 10.35366/102356

DOI

DOI: 10.35366/102356
URL: https://dx.doi.org/10.35366/102356

Language: Spanish
References: 8
Page: 269-272
PDF size: 231.50 Kb.


Key words:

COVID-19, acute respiratory failure syndrome, percutaneous tracheostomy, pneumothorax.

ABSTRACT

Percutaneous tracheostomy is a generally safe procedure, although not without risk of complications, it is considered the procedure of choice in critically ill patients with prolonged mechanical ventilation. We present the case of a woman with acute respiratory failure syndrome secondary to COVID-19 pneumonia who required percutaneous tracheostomy due to prolonged ventilation. The patient developed significant complications that required surgical intervention.


REFERENCES

  1. Rashid AO, Islam S. Percutaneous tracheostomy: a comprehensive review. J Thorac Dis. 2017;9(9):S1128-S1138.

  2. Deganello A, Sofra MC, Facciolo F, Spriano G. Tracheotomy-related posterior tracheal wall rupture, trans-tracheal repair. Acta Otorhinolaryngol Ital. 2007;27(5):258-262.

  3. Saavedra-Mendoza AGM, Akaki-Caballero M, Caretta-Barradas S, León MRC, Piña-Uribe G, Aguirre-Mariscal H, et al. Traqueotomía en pacientes con COVID-19: recomendaciones de la Sociedad Mexicana de Otorrinolaringología y Cirugía de Cabeza y Cuello. Cuándo y cómo realizarla y cuidados posquirúrgicos. An Orl Mex. 2020;65:1-11.

  4. Mehta C, Mehta Y. Percutaneous tracheostomy. Ann Card Anaesth. 2017;20:S19-S25.

  5. Guillén MA, Moreno-Arrones TR, Smilg NC, Fages CN, Antunes DD, Muñoz GI, et al. Enfisema subcutáneo masivo, neumotórax a tensión y neumomediastino tras traqueotomía percutánea. Rev Otorrinolaringol Cir Cabeza Cuello. 2017;77(3):307-310.

  6. McGrath BA, Brenner MJ, Warrillow SJ, Pandian V, Arora A, Cameron TS, et al. Tracheostomy in the COVID-19 era: global and multidisciplinary guidance. Lancet Respir Med. 2020;8(7):717-725.

  7. Plata P, Gaszy?ski T. Ultrasound-guided percutaneous tracheostomy. Anaesthesiol Intensive Ther. 2019;51(2):126-132.

  8. Gobatto ALN, Besen BAMP, Cestari M, Pelosi P, Malbouisson LMS. Ultrasound-guided percutaneous dilational tracheostomy: a systematic review of randomized controlled trials and meta-analysis. J Intensive Care Med. 2020;35(5):445-452.




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Med Crit. 2021;35