medigraphic.com

2023, Number 2

<< Back Next >>

Rev Mex Anest 2023; 46 (2)

Anesthesia in a case of tracheal stenosis sequelae of COVID-19, to a tracheoplasty procedure

Martínez-Molina A, López-Cabrera NG, Palacios-Ríos D, Alvarado-Gamboa S

Language: Spanish
References: 16
Page: 133-136
PDF size: 207.52 Kb.


ABSTRACT

Introduction: the COVID-19 pandemic is a predominantly respiratory disease that has affected worldwide and has left more than 151 million cases, which usually require mechanical ventilation management with the intention of managing the upper airways for ventilation adequate oxygenation of people with COVID-19 and that reduces the risk of contagion for medical personnel. Objective: to describe the anesthetic approach for the induction and maintenance of a tracheoplasty derived from tracheal stenosis secondary to COVID-19. Material and methods: the description of a case and the guidelines that have been given for the management of tracheal stenosis are addressed. Conclusions: timely anesthetic management and installation of a laryngeal splint is appropriate for the management of tracheal stenosis secondary to the process of prolonged mechanical intubation due to COVID-19.


REFERENCES

  1. Wu F, Zhao S, Yu B, Chen YM, Wang W, Song ZG, et al. A new coronavirus associated with human respiratory disease in China. Nature. 2020; 579: 265-269.

  2. WHO. COVID-19 Dashboard 2021. Available in: https://covid19.who.int/

  3. Guo G, Ye L, Pan K, Chen Y, Xing D, Yan K, et al. New insights of emerging SARS-CoV-2: epidemiology, etiology, clinical features, clinical treatment, and prevention. Front Cell Dev Biol. 2020;8: 410.

  4. Boutou AK, Georgopoulou A, Pitsiou G, Stanopoulos I, Kontakiotis T, Kioumis I. Changes in the respiratory function of COVID-19 survivors during follow-up: a novel respiratory disorder on the rise? Int J Clin Pract. 2021; 75: e14301.

  5. Tapias LF, Lanuti M, Wright CD, Hron TA, Ly A, Mathisen DJ, et al. COVID-19 related post-intubation tracheal stenosis: early experience with surgical treatment. Annals of Surgery. 9000;Publish Ahead of Print.

  6. Valadez-Caballero D, Pérez-Romo A, González V, Flores-Calderón O, Borrego R, Peña JF, et al. Tratamiento quirúrgico de la estenosis traqueal. Cirujano General. 2009; 31: 239-243.

  7. Koizumi M, Ishimaru M, Matsui H, Fushimi K, Yamasoba T, Yasunaga H. Factors associated with the occurrence of stomal stenosis after tracheostomy in adults. Auris Nasus Larynx. 2021; 48: 973-977.

  8. Yang R, Yu Y. Glucocorticoids are double-edged sword in the treatment of COVID-19 and cancers. Int J Biol Sci. 2021; 17: 1530-1537.

  9. Mendoza-López R, Nieto-Rodríguez M, Motta-Amézquita L. Manejo anestésico en cirugía de traqueoplastía en un paciente con estenosis traqueal por intubación prolongada. Revista de Sanidad Militar. 2017; 71: 559-564.

  10. Boglione M, Reusmann A, Cadario M, GiuSeppucci C, Botto H, Nieto M, et al. Tratamiento quirúrgico de la estenosis traqueal. Reporte de 11 años en un hospital pediátrico. Cir Pediatr. 2017; 30: 77-82.

  11. García APJ, García AAP, Santana AJ, Ravelo GO, González GI. Traqueoplastía de urgencia en estenosis baja con aplicación de ventilación mecánica independiente: presentación de dos casos. Revista Archivo Médico de Camagüey. 2015; 19: 635-645.

  12. Piazza C, Filauro M, Dikkers FG, Nouraei SAR, Sandu K, Sittel C, et al. Long-term intubation and high rate of tracheostomy in COVID-19 patients might determine an unprecedented increase of airway stenoses: a call to action from the European Laryngological Society. Eur Arch Otorhinolaryngol. 2021; 278: 1-7.

  13. Monnier P, Dikkers FG, Eckel H, Sittel C, Piazza C, Campos G, et al. Preoperative assessment and classification of benign laryngotracheal stenosis: a consensus paper of the European Laryngological Society. Eur Arch Otorhinolaryngol. 2015; 272: 2885-2896.

  14. Dettorre GM, Patel M, Gennari A, Pentheroudakis G, Romano E, Cortellini A, et al. The systemic pro-inflammatory response: targeting the dangerous liaison between COVID-19 and cancer. ESMO open. 2021; 6: 100123.

  15. Prince ADP, Cloyd BH, Hogikyan ND, Schechtman SA, Kupfer RA. Airway management for endoscopic laryngotracheal stenosis surgery during COVID-19. Otolaryngology Head Neck Surg. 2020; 163: 78-80.

  16. Liu J, Zhang X, Gong W, Li S, Wang F, Fu S, Zhang M, Hang Y. Correlations between controlled endotracheal tube cuff pressure and postprocedural complications: a multicenter study. Anesth Analg. 2010; 111: 1133-1137.




2020     |     www.medigraphic.com