Tracheomediastinal emphysema after tracheostomy in a post-COVID-19 patient: a case report.
Eur Rev Med Pharmacol Sci
; 26(9): 3374-3376, 2022 05.
Article
in English
| MEDLINE | ID: covidwho-1856624
ABSTRACT
OBJECTIVE:
There are no reports of tracheomediastinal fistula development after tracheostomy. CASE REPORT A 72-year-old female patient with post acute COVID-19 was transferred to our intensive care unit. After two unsuccessful weaning attempts, a tracheostomy was performed at hospitalization on day 32. The patient's body mass index was 35 kg/m2 and she had a narrow neck anatomy. A percutaneous tracheostomy was performed using the Griggs method without any problems. Pneumothorax, pneumomediastinum, subcutaneous emphysema, and hemorrhage were not observed. Twenty-two days after the tracheostomy, the patient developed subcutaneous emphysema and experienced a sudden decrease in oxygen saturation. Bedside anterior-posterior chest X-ray did not detect pneumothorax and a tracheoesophageal fistula was found via esophageal endoscopy. A tracheomediastinal fistula was observed just below the cannula distal end via computed tomography.CONCLUSIONS:
There are multiple reasons why a tracheomediastinal fistula could develop after tracheostomy. Therefore, this condition should be considered in cases of sudden subcutaneous emphysema and oxygen deterioration following tracheostomy.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumothorax
/
Subcutaneous Emphysema
/
Fistula
/
COVID-19
Type of study:
Case report
Topics:
Long Covid
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Eur Rev Med Pharmacol Sci
Journal subject:
Pharmacology
/
Toxicology
Year:
2022
Document Type:
Article
Affiliation country:
Eurrev_202205_28758
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