Proposed Decannulation Criteria for COVID-19 Patients.
Am J Phys Med Rehabil
; 100(8): 730-732, 2021 08 01.
Article
in English
| MEDLINE | ID: covidwho-1310969
ABSTRACT
ABSTRACT A 66-yr-old man had been intubated for 21 days for severe COVID-19 infection. He then underwent tracheotomy, retained the tube for 2 mos, and then was discharged home on 10 liters of O2/min breathing via a tracheostomy collar. We were consulted for tracheostomy tube decannulation. Mechanical insufflation-exsufflation was used via the tracheostomy tube to clear secretions, increase vital capacity, and normalize O2 saturation. He practiced nasal and mouthpiece noninvasive ventilatory support once a capped fenestrated cuffless tracheostomy tube was placed, although he did not need noninvasive ventilatory support after decannulation. He was decannulated despite O2 dependence. Although he required antibiotics for almost 3 mos before decannulation and after it, he had no further episodes of lung infection for at least the next 4 mos from the point of decannulation.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Respiration, Artificial
/
Tracheostomy
/
Ventilator Weaning
/
COVID-19
Type of study:
Case report
/
Experimental Studies
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Am J Phys Med Rehabil
Journal subject:
Physical Medicine
/
Rehabilitation
Year:
2021
Document Type:
Article
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