Tracheomediastinal emphysema after tracheostomy in a post-COVID-19 patient: a case report
dc.authorid | bicakcioglu, murat/0000-0001-9101-6857; | |
dc.authorwosid | bicakcioglu, murat/AAA-8149-2022 | |
dc.authorwosid | Yucel, Aysegul/A-1860-2018 | |
dc.contributor.author | Bicakcioglu, M. | |
dc.contributor.author | Demircan, S. | |
dc.contributor.author | Yucel, A. | |
dc.contributor.author | Ozer, A. B. | |
dc.date.accessioned | 2024-08-04T20:51:56Z | |
dc.date.available | 2024-08-04T20:51:56Z | |
dc.date.issued | 2022 | |
dc.department | İnönü Üniversitesi | en_US |
dc.description.abstract | OBJECTIVE: There are no reports of tracheomediastinal fistula development after tracheostomy. CASE REPORT: A 72-year-old female patient with post acute COVID-19 was transferred to our intensive care unit. After two unsuccessful weaning attempts, a tracheostomy was performed at hospitalization on day 32. The patient's body mass index was 35 kg/m2 and she had a narrow neck anatomy. A percutaneous tracheostomy was performed using the Griggs method without any problems. Pneumothorax, pneumomediastinum, subcutaneous emphysema, and hemorrhage were not observed. Twenty-two days after the tracheostomy, the patient developed subcutaneous emphysema and experienced a sudden decrease in oxygen saturation. Bedside anterior-posterior chest X-ray did not detect pneumothorax and a tracheoesophageal fistula was found via esophageal endoscopy. A tracheomediastinal fistula was observed just below the cannula distal end via computed tomography. CONCLUSIONS: There are multiple reasons why a tracheomediastinal fistula could develop after tracheostomy. Therefore, this condition should be considered in cases of sudden subcutaneous emphysema and oxygen deterioration following tracheostomy. | en_US |
dc.identifier.doi | 10.26355/eurrev_202205_28758 | |
dc.identifier.endpage | 3376 | en_US |
dc.identifier.issn | 1128-3602 | |
dc.identifier.issue | 9 | en_US |
dc.identifier.pmid | 35587091 | en_US |
dc.identifier.scopus | 2-s2.0-85130225582 | en_US |
dc.identifier.scopusquality | Q2 | en_US |
dc.identifier.startpage | 3374 | en_US |
dc.identifier.uri | https://doi.org/10.26355/eurrev_202205_28758 | |
dc.identifier.uri | https://hdl.handle.net/11616/100655 | |
dc.identifier.volume | 26 | en_US |
dc.identifier.wos | WOS:000832946400039 | en_US |
dc.identifier.wosquality | Q2 | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.indekslendigikaynak | PubMed | en_US |
dc.language.iso | en | en_US |
dc.publisher | Verduci Publisher | en_US |
dc.relation.ispartof | European Review For Medical and Pharmacological Sciences | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Tracheomediastinal fistula | en_US |
dc.subject | Tracheostomy | en_US |
dc.subject | Complication | en_US |
dc.subject | COVID-19 | en_US |
dc.title | Tracheomediastinal emphysema after tracheostomy in a post-COVID-19 patient: a case report | en_US |
dc.type | Article | en_US |