• Ann. Thorac. Surg. · Nov 2020

    Case Reports

    BEDSIDE TRANSCERVICAL-TRANSTRACHEAL POST-INTUBATION INJURY REPAIR IN A COVID-19 PATIENT.

    • Massimiliano Bassi, Marco Anile, Ylenia Pecoraro, Franco Ruberto, Sabina Martelli, Mario Piazzolla, Francesco Pugliese, Federico Venuta, and Tiziano De Giacomo.
    • Division of Thoracic Surgery, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy. Electronic address: massimiliano.bassi@uniroma1.it.
    • Ann. Thorac. Surg. 2020 Nov 1; 110 (5): e417-e419.

    AbstractSevere 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.© 2020 by The Society of Thoracic Surgeons Published by Elsevier.

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