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Perioperative challenges in managing a morbidly obese patient with COVID-19 undergoing an elective tracheostomy.
Teah, Kai Ming; Tsen, Serena Shu Ying; Fong, Kean Khang; Yeap, Tat Boon.
  • Teah KM; Medicine Based Disciplines Department, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.
  • Tsen SSY; Department of Cardiac Anaesthesia and Perfusion, Hospital Queen Elizabeth 2, Kota Kinabalu, Sabah, Malaysia.
  • Fong KK; Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia.
  • Yeap TB; Medicine Based Disciplines Department, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia boontat@ums.edu.my.
BMJ Case Rep ; 14(6)2021 Jun 08.
Article in English | MEDLINE | ID: covidwho-1262388
Semantic information from SemMedBD (by NLM)
1. Obesity PROCESS_OF Patients
Subject
Obesity
Predicate
PROCESS_OF
Object
Patients
2. Tracheostomy procedure TREATS COVID-19
Subject
Tracheostomy procedure
Predicate
TREATS
Object
COVID-19
3. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
4. Interventional procedure TREATS COVID-19
Subject
Interventional procedure
Predicate
TREATS
Object
COVID-19
5. Interventional procedure TREATS Patients
Subject
Interventional procedure
Predicate
TREATS
Object
Patients
6. Critical Illness PROCESS_OF Patients
Subject
Critical Illness
Predicate
PROCESS_OF
Object
Patients
7. Tracheostomy procedure TREATS Critical Illness
Subject
Tracheostomy procedure
Predicate
TREATS
Object
Critical Illness
8. Tracheostomy procedure TREATS Acute respiratory distress syndrome due to disease caused by Severe acute respiratory syndrome coronavirus 2
Subject
Tracheostomy procedure
Predicate
TREATS
Object
Acute respiratory distress syndrome due to disease caused by Severe acute respiratory syndrome coronavirus 2
9. Acute respiratory distress syndrome due to disease caused by Severe acute respiratory syndrome coronavirus 2 PROCESS_OF Patients
Subject
Acute respiratory distress syndrome due to disease caused by Severe acute respiratory syndrome coronavirus 2
Predicate
PROCESS_OF
Object
Patients
10. Tracheostomy procedure TREATS Patients
Subject
Tracheostomy procedure
Predicate
TREATS
Object
Patients
11. Obesity PROCESS_OF Patients
Subject
Obesity
Predicate
PROCESS_OF
Object
Patients
12. Tracheostomy procedure TREATS COVID-19
Subject
Tracheostomy procedure
Predicate
TREATS
Object
COVID-19
13. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
14. Interventional procedure TREATS COVID-19
Subject
Interventional procedure
Predicate
TREATS
Object
COVID-19
15. Interventional procedure TREATS Patients
Subject
Interventional procedure
Predicate
TREATS
Object
Patients
16. Critical Illness PROCESS_OF Patients
Subject
Critical Illness
Predicate
PROCESS_OF
Object
Patients
17. Tracheostomy procedure TREATS Critical Illness
Subject
Tracheostomy procedure
Predicate
TREATS
Object
Critical Illness
18. Tracheostomy procedure TREATS Acute respiratory distress syndrome due to disease caused by Severe acute respiratory syndrome coronavirus 2
Subject
Tracheostomy procedure
Predicate
TREATS
Object
Acute respiratory distress syndrome due to disease caused by Severe acute respiratory syndrome coronavirus 2
19. Acute respiratory distress syndrome due to disease caused by Severe acute respiratory syndrome coronavirus 2 PROCESS_OF Patients
Subject
Acute respiratory distress syndrome due to disease caused by Severe acute respiratory syndrome coronavirus 2
Predicate
PROCESS_OF
Object
Patients
20. Tracheostomy procedure TREATS Patients
Subject
Tracheostomy procedure
Predicate
TREATS
Object
Patients
ABSTRACT
Tracheostomy is an aerosol-generating procedure and performing it in patients with COVID-19 requiring mechanical ventilation raises significant concerns of infection risk to healthcare workers. We herein report a case of tracheostomy in a critically ill patient with severe COVID-19 acute respiratory distress syndrome. This article depicts the use of personal protective equipment, highlighting the common challenges it presents and ways to address them.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Obesity, Morbid / COVID-19 Type of study: Case report Topics: Long Covid Limits: Humans Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-243559

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Obesity, Morbid / COVID-19 Type of study: Case report Topics: Long Covid Limits: Humans Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-243559