Tracheomediastinal emphysema after tracheostomy in a post-COVID-19 patient: a case report

dc.authoridbicakcioglu, murat/0000-0001-9101-6857;
dc.authorwosidbicakcioglu, murat/AAA-8149-2022
dc.authorwosidYucel, Aysegul/A-1860-2018
dc.contributor.authorBicakcioglu, M.
dc.contributor.authorDemircan, S.
dc.contributor.authorYucel, A.
dc.contributor.authorOzer, A. B.
dc.date.accessioned2024-08-04T20:51:56Z
dc.date.available2024-08-04T20:51:56Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractOBJECTIVE: 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.doi10.26355/eurrev_202205_28758
dc.identifier.endpage3376en_US
dc.identifier.issn1128-3602
dc.identifier.issue9en_US
dc.identifier.pmid35587091en_US
dc.identifier.scopus2-s2.0-85130225582en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage3374en_US
dc.identifier.urihttps://doi.org/10.26355/eurrev_202205_28758
dc.identifier.urihttps://hdl.handle.net/11616/100655
dc.identifier.volume26en_US
dc.identifier.wosWOS:000832946400039en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical and Pharmacological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTracheomediastinal fistulaen_US
dc.subjectTracheostomyen_US
dc.subjectComplicationen_US
dc.subjectCOVID-19en_US
dc.titleTracheomediastinal emphysema after tracheostomy in a post-COVID-19 patient: a case reporten_US
dc.typeArticleen_US

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