Hassani Valiollah, Amniati Saied, Ahmadi Aslan, Mohseni Masood, Sehat-Kashani Saloome, Nikoubakht Nasim, Derakhshan Pooya, Farahmand Rad Reza, Habibi Azadeh
Pain Research Center, Iran University of Medical Sciences, Tehran, Iran.
ENt and Head and Neck Research Centerand Department, The Five Sences Institue, Hazrat Rasoul Hospital, Iran University of Medical Sciences, Tehran, Iran.
Anesth Pain Med. 2020 Jul 5;10(4):e104648. doi: 10.5812/aapm.104648. eCollection 2020 Aug.
Coronavirus disease 2019, known as COVID-19, was first identified in Wuhan, China, in December 2019 and became a pandemic on Mar 11, according to the World Health Organization report. In the epidemic of COVID-19, many patients admitted to hospitals for other reasons may be silent carriers of COVID-19 and have the risk of infecting medical personnel. Thus, meticulous personal protection measures should be considered in suspicious patients, especially when close contact with the patient's airway is anticipated. We introduce two airway trauma patients suspected of COVID-19 who required emergency tracheostomy. Patient one was a 29-year-old man who suffered facial trauma following a car accident. A chest CT scan showed peripheral ground-glass opacities suggestive for COVID-19. The second patient was a young elevator mechanic who experienced maxillofacial trauma after an elevator crash. The methods of anesthesia and airway protection and safety precautions are described.
2019冠状病毒病，即COVID-19，于2019年12月在中国武汉首次被发现，并根据世界卫生组织报告于3月11日成为大流行病。在COVID-19疫情中，许多因其他原因入院的患者可能是COVID-19的无症状携带者，并有感染医务人员的风险。因此，对于可疑患者应考虑采取细致的个人防护措施，尤其是在预期会与患者气道密切接触时。我们介绍两名疑似COVID-19且需要紧急气管切开术的气道创伤患者。患者一是一名29岁男性，在车祸后面部受伤。胸部CT扫描显示外周磨玻璃影，提示可能感染COVID-19。第二名患者是一名年轻的电梯机械师，在电梯坠毁后颌面受伤。文中描述了麻醉方法、气道保护措施及安全预防措施。
