Late bilateral vocal cord palsy following endotracheal intubation due to COVID-19 pneumonia.

Autor: Curros Mata N; Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario A Coruña, A Coruña, España., Alvarado de la Torre S; Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario A Coruña, A Coruña, España., Carballo Fernández J; Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario A Coruña, A Coruña, España., Martínez Morán A; Servicio de Otorrinolaringología, Complejo Hospitalario Universitario A Coruña, A Coruña, España., Álvarez Refojo F; Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario A Coruña, A Coruña, España., Rama-Maceiras P; Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario A Coruña, A Coruña, España. Electronic address: pablo.rama.maceiras@sergas.es.
Jazyk: English; Spanish; Castilian
Zdroj: Revista espanola de anestesiologia y reanimacion [Rev Esp Anestesiol Reanim (Engl Ed)] 2020 Dec 26. Date of Electronic Publication: 2020 Dec 26.
DOI: 10.1016/j.redar.2020.11.010
Abstrakt: Vocal cord paralysis is a rare but severe complication after orotracheal intubation. The most common cause is traumatic, due to compression of the recurrent laryngeal nerve between the orotracheal tube cuff and the thyroid cartilage. Other possible causes are direct damage to the vocal cords during intubation, dislocation of the arytenoid cartilages, or infections, especially viral infections. It is usually due to a recurrent laryngeal nerve neuropraxia, and the course is benign in most patients. We present the case of a man who developed late bilateral vocal cord paralysis after pneumonia complicated with respiratory distress due to SARS-CoV-2 that required orotracheal intubation for 11 days. He presented symptoms of dyspnea 20 days after discharge from hospital with subsequent development of stridor, requiring a tracheostomy. Due to the temporal evolution, a possible contribution of the SARS-CoV- 2 infection to the picture is pointed out.
(Copyright © 2020 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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