Delayed Tracheostomy in a Patient With Prolonged Invasive Mechanical Ventilation due to COVID-19

Curēus
Ian C HolmenKatarzyna Mastalerz

Abstract

Coronavirus disease 2019 (COVID-19) can cause acute respiratory distress syndrome (ARDS) that is associated with high mortality among patients requiring invasive mechanical ventilation. We present a case of a 56-year-old male with hypertension and obesity who presented with chest pain from COVID-19. The patient required endotracheal intubation due to worsening hypoxia and remained intubated for 33 days. Tracheostomy placement was delayed in part due to persistent COVID-19 positive testing until hospital day 37. The patient required a total of 52 days in the ICU prior to discharge to a rehabilitation facility. This case highlights the extensive resources needed for critically ill patients with COVID-19 and the long duration that patients may test positive for the virus after onset of symptoms. It also raises questions about the timing and safety of tracheostomy placement among those patients requiring mechanical ventilation from COVID-19.

References

Mar 14, 2012·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Charles C L TongKenneth W Altman
Dec 20, 2017·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Ahmed AdlyHussein M Younis
Jun 21, 2018·Turkish Journal of Emergency Medicine·William Brady, Katya de Souza
Mar 18, 2020·The New England Journal of Medicine·Neeltje van DoremalenVincent J Munster
Apr 17, 2020·Nature Medicine·Xi HeGabriel M Leung
Apr 18, 2020·Critical Care : the Official Journal of the Critical Care Forum·Luciano GattinoniSandra Rossi
Apr 23, 2020·JAMA : the Journal of the American Medical Association·Safiya RichardsonTheodoros P Zanos

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Citations

Apr 27, 2021·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Eric R CarlsonMichael Winstead

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Methods Mentioned

BETA
X-ray

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