Tracheoesophageal Fistula in a COVID-19 Ventilated Patient: A Challenging Therapeutic Decision
| Autor: | Maria Rosa Calvi, Riccardo Rosati, Luigi Beretta, Paola De Nardi, Antonio Dell'Acqua, Elena Scarparo, Ugo Elmore |
|---|---|
| Přispěvatelé: | Rosati, Riccardo, De Nardi, Paola, Dell’Acqua, Antonio, Calvi, Maria Rosa, Elmore, Ugo, Scarparo, Elena, Beretta, Luigi |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
RD1-811 Coronavirus disease 2019 (COVID-19) medicine.medical_treatment Case Report Tracheoesophageal fistula law.invention 03 medical and health sciences 0302 clinical medicine law medicine Pharmacology (medical) Intensive care medicine Mechanical ventilation business.industry Tracheal intubation medicine.disease Intensive care unit Surgery 030228 respiratory system Respiratory failure 030220 oncology & carcinogenesis Cohort Complication business |
| Zdroj: | Case Reports in Surgery, Vol 2021 (2021) Case Reports in Surgery |
| ISSN: | 2090-6919 2090-6900 |
| Popis: | COVID-19 associated severe respiratory failure frequently requires admission to an intensive care unit, tracheal intubation, and mechanical ventilation. Among the risks of prolonged mechanical ventilation under these conditions, there is the development of tracheoesophageal fistula. We describe a case of a severe COVID-19 associated respiratory failure, who developed a tracheoesophageal fistula. We hypothesized that one of the mechanisms for tracheoesophageal fistula, along with other local and general risk factors, is the local infection due to the location of the virus itself in the tracheobronchial tree. The patient was managed successfully with surgical intervention. This case highlights the increased risk of this potentially life-threatening complication among the COVID-19 patient cohort and suggests a management strategy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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