Martínez-Arias M, Loyola-García U, Otero-Pérez A, Escobedo-Sánchez E

Language: Spanish
References: 3
Page: 101-104
PDF size: 219.30 Kb.

ABSTRACT

A percentage of patients with COVID-19 infection have required advanced airway management, requiring orotracheal intubation, and the vast majority for a prolonged period. This condition, added to other risk factors such as diabetes, hypertension, steroid use, obesity, among others, increase the risk of tracheal stenosis after the patient's recovery. Therefore, the prevalence of this complication is expected to increase at this time. The current management of tracheal stenosis has proven to be safe. Faced with this new disease, it is necessary to know the evolution of patients with complications such as tracheal stenosis and to know if the SARS-CoV-2 infection itself plays a determining role in the formation of the stenosis. It is important to keep in mind this complication of prolonged intubation, to detect it in a timely manner and give proper management. The first resection and end-to-end anastomosis is presented in the post-COVID era to definitively treat stenosis caused by intubation.

REFERENCES

1. Meng L, Qiu H, Wan L, Ai Y, Xue Z, Guo Q et al. Intubation and ventilation amid the COVID-19 outbreak: Wuhan's experience. Anesthesiology. 2020; 132, 1317-1332: 1-16.

2. Blot F, Similowski T, Trouillet JL, Chardon P, Korach JM, Costa MA et al. Early tracheotomy versus prolonged endotracheal intubation in unselected severely ill ICU patients. Intensive Care Med. 2008; 34(10): 1779-1787.

3. Mattioli F, Fermi M, Ghirelli M, Molteni G, Sgarbi N, Bertellini E et al. Tracheostomy in the COVID-19 pandemic. Eur Arch Oto-Rhino-Laryngology. 2020; (0123456789): 3-5. Available from: https://doi.org/10.1007/s00405-020-05982-0.