Pereira Cristiana, Silva Rafael, Campello Glória C, Moura Fernando
Department of Anesthesiology, Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal.
Department of Intensive Care, Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal.
Saudi J Anaesth. 2021 Oct-Dec;15(4):447-449. doi: 10.4103/sja.sja_294_21. Epub 2021 Sep 2.
The number of patients requiring admission in intensive care units and prolonged invasive mechanical ventilation (MV) has increased significantly during the coronavirus disease 2019 (COVID-19) pandemic. Tracheoesophageal fistula (TEF) following prolonged invasive MV is a rare condition. Numerous COVID-19 pathophysiological mechanisms and treatment-related effects might support the increase of tracheal complications in this subgroup of patients. We report a case of TEF in a COVID-19 patient submitted to prolonged invasive MV and discuss its diagnosis and management.
在2019年冠状病毒病(COVID-19)大流行期间,需要入住重症监护病房并接受长时间有创机械通气(MV)的患者数量显著增加。长时间有创机械通气后发生气管食管瘘(TEF)是一种罕见的情况。众多COVID-19的病理生理机制和与治疗相关的影响可能促使该亚组患者气管并发症增加。我们报告一例接受长时间有创机械通气的COVID-19患者发生气管食管瘘的病例,并讨论其诊断和管理。