Postintubation Tracheal Perforation While on Long-Term Steroid Therapy: A Case Report

Akeely, Yahia; Vilke, Gary M.; Alzahrani, Hassan; Alshowaihi, Ibrahim; Alsaadani, Ashraf; Rabah, Abdulrahman; Turkistani, Abdulrahman; Abosamak, Mohammed Fawzi

doi:10.1016/j.jemermed.2020.11.001

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…Only a few cases of spontaneous tracheal perforations have been reported 2 4. More commonly, tracheal perforations are caused by either iatrogenic or traumatic injuries following a thyroidectomy, traumatic intubation, percutaneous tracheostomy procedure, insertion of an oesophageal stent, oesophageal corrosive injury and sharp and blunt trauma 1 3 5–19. Tracheal perforations may be managed conservatively but often require surgical intervention.…”

Section: Descriptionmentioning

confidence: 99%

“…Tracheal perforations may be managed conservatively but often require surgical intervention. This may depend on whether a patient is haemodynamically stable or unstable—based on vital signs being within or outside of normal limits—as well as the site of the perforation 4 5 7 9 10 16 17. Schneider et al performed a retrospective analysis of 29 patients with iatrogenic tracheobronchial injuries 20.…”

Section: Descriptionmentioning

confidence: 99%

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Spontaneous tracheal perforation following a sneeze

Misirovs,

Hoey,

Carruthers

et al. 2023

BMJ Case Rep

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Section: Descriptionmentioning

confidence: 99%

Section: Descriptionmentioning

confidence: 99%

Spontaneous tracheal perforation following a sneeze

Misirovs,

Hoey,

Carruthers

et al. 2023

BMJ Case Rep

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Prednisolone/prednisone

2021

Reactions Weekly

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Difficulties in the Treatment of Complications and Rehabilitation after COVID-19. A Clinical Case

Andreichenko

Slepukhina

Bychinin

et al. 2022

Vestn. anesteziol. reanimatol.

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The severe course of the new coronavirus infection (COVID-19) is associated with multiple life-threatening complications that lead to delayed initiation of active rehabilitation and unfavorable long-term treatment outcomes. Tracheoesophageal fistula is one of these complications. The specific feature of this event in COVID-19 is delayed tissue regeneration which requires a non-standard approach to management of such patients.The article presents a clinical case of a pregnant patient after a complicated severe course of COVID-19 with the development of tracheoesophageal fistula, sepsis, and weakness syndrome acquired in ICU. The combination of complications of the disease led to a prolonged (about five months) period of rehabilitation.Modern standard components of intensive therapy of such patients including regular monitoring of endotracheal/tracheostomy tube cuff pressure, dynamic assessment of nutritional status and its correction, rational antimicrobial therapy, screening of psychiatric disorders and early rehabilitation, will minimize the number of both early and delayed complications of COVID-19.

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Postintubation Tracheal Perforation While on Long-Term Steroid Therapy: A Case Report

Cited by 3 publications

References 10 publications

Spontaneous tracheal perforation following a sneeze

Spontaneous tracheal perforation following a sneeze

Prednisolone/prednisone

Difficulties in the Treatment of Complications and Rehabilitation after COVID-19. A Clinical Case

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