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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.
  • Bassi M; Division of Thoracic Surgery, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy. Electronic address: massimiliano.bassi@uniroma1.it.
  • Anile M; Division of Thoracic Surgery, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
  • Pecoraro Y; Division of Thoracic Surgery, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
  • Ruberto F; Department of Anesthesiology and Intensive Care Unit, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
  • Martelli S; Department of Anesthesiology and Intensive Care Unit, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
  • Piazzolla M; Department of Anesthesiology and Intensive Care Unit, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
  • Pugliese F; Department of Anesthesiology and Intensive Care Unit, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
  • Venuta F; Division of Thoracic Surgery, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
  • De Giacomo T; Division of Thoracic Surgery, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
Ann Thorac Surg ; 110(5): e417-e419, 2020 11.
Article in English | MEDLINE | ID: covidwho-884669
Semantic information from SemMedBD (by NLM)
1. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
2. Wound Healing PROCESS_OF Patients
Subject
Wound Healing
Predicate
PROCESS_OF
Object
Patients
3. Respiratory Distress Syndrom PROCESS_OF C0030705
Subject
Respiratory Distress Syndrom
Predicate
PROCESS_OF
Object
C0030705
4. Conservative Treatment TREATS Mediastinal Emphysema
Subject
Conservative Treatment
Predicate
TREATS
Object
Mediastinal Emphysema
5. Conservative Treatment TREATS Subcutaneous Emphysema
Subject
Conservative Treatment
Predicate
TREATS
Object
Subcutaneous Emphysema
6. Conservative Treatment TREATS Disease
Subject
Conservative Treatment
Predicate
TREATS
Object
Disease
7. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
8. Wound Healing PROCESS_OF Patients
Subject
Wound Healing
Predicate
PROCESS_OF
Object
Patients
9. Respiratory Distress Syndrome, Adult PROCESS_OF Patients
Subject
Respiratory Distress Syndrome, Adult
Predicate
PROCESS_OF
Object
Patients
10. Conservative Treatment TREATS Mediastinal Emphysema
Subject
Conservative Treatment
Predicate
TREATS
Object
Mediastinal Emphysema
11. Conservative Treatment TREATS Subcutaneous Emphysema
Subject
Conservative Treatment
Predicate
TREATS
Object
Subcutaneous Emphysema
12. Conservative Treatment TREATS Disease
Subject
Conservative Treatment
Predicate
TREATS
Object
Disease
ABSTRACT
Severe acute respiratory syndrome coronavirus 2 disease 2019 (COVID-19) has rapidly spread worldwide since December 2019. An acute respiratory distress syndrome develops in a relevant rate of patients, who require hospitalization. Among them, a nonnegligible rate of 9.8% to 15.2% of patients requires tracheal intubation for invasive ventilation. We report the case of a pneumomediastinum and subcutaneous emphysema developing in a COVID-19 patient secondary to postintubation tracheal injury. The management of COVID-19 patients 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 the patient's conditions.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Subcutaneous Emphysema / Trachea / Coronavirus Infections / Thoracic Surgical Procedures / Betacoronavirus / Intubation, Intratracheal / Mediastinal Emphysema Type of study: Diagnostic study / Etiology study Limits: Aged / Humans / Male Language: English Journal: Ann Thorac Surg Year: 2020 Document Type: Article

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Subcutaneous Emphysema / Trachea / Coronavirus Infections / Thoracic Surgical Procedures / Betacoronavirus / Intubation, Intratracheal / Mediastinal Emphysema Type of study: Diagnostic study / Etiology study Limits: Aged / Humans / Male Language: English Journal: Ann Thorac Surg Year: 2020 Document Type: Article