Redondo Martínez P, Gijón Herreros N, Delgado García D R, Quílez Caballero E, Porras Muñoz M C, García Del Valle Y Manzano S
Servicio de Anestesiología y Reanimación, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, España.
Servicio de Anestesiología y Reanimación, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, España.
Rev Esp Anestesiol Reanim (Engl Ed). 2020 Oct 26;68(10):597-601. doi: 10.1016/j.redar.2020.10.004.
Iatrogenic tracheal rupture is a serious complication secondary to procedures such as emergent orotracheal intubation or tracheostomy, among others. The management of iatrogenic tracheal rupture depends on the size, extension and location of the injury, along with the patient's respiratory status and comorbidities. The priority of treatment is to keep the airway permeable to ensure adequate ventilation. We present the case of a tracheal rupture after performing a percutaneous tracheostomy, in a patient diagnosed with severe acute respiratory distress syndrome secondary to bilateral interstitial pneumonia due to SARS-CoV-2. The issues are discussed, such as the management (conservative vs. surgical) depending on the features of the injury and the patient, in the extraordinary context that the COVID-19 pandemic has entailed.
医源性气管破裂是诸如紧急经口气管插管或气管切开术等操作继发的严重并发症。医源性气管破裂的处理取决于损伤的大小、范围和位置，以及患者的呼吸状况和合并症。治疗的首要任务是保持气道通畅以确保充分通气。我们报告了1例在对1例因严重急性呼吸综合征冠状病毒2型（SARS-CoV-2）导致双侧间质性肺炎而诊断为严重急性呼吸窘迫综合征的患者进行经皮气管切开术后发生气管破裂的病例。针对在2019冠状病毒病（COVID-19）大流行所带来的特殊背景下，如何根据损伤特点和患者情况进行处理（保守治疗与手术治疗）等问题展开了讨论。
