Kuwahara Masaatsu, Otagaki Hiroko, Imanaka Hideaki
Department of Emergency Medicine, Takarazuka City Hospital, Takarazuka, JPN.
Cureus. 2023 Jan 26;15(1):e34246. doi: 10.7759/cureus.34246. eCollection 2023 Jan.
We report a case of cardiac arrest due to asphyxia caused by coronavirus disease 2019 (COVID-19) in a patient with no history of tracheal intubation but with a history of subglottic stenosis. A 54-year-old man suffered a cardiac arrest at home. The patient had tracheal stenosis; therefore, it was difficult to intubate. The patient had COVID-19, which was presumed to have aggravated the existing tracheal stenosis and caused asphyxiation. The patient died seven days later. This is, to our knowledge, the first report of a patient with subglottic stenosis potentially aggravated by COVID-19, resulting in asphyxia-related cardiopulmonary arrest. The patient could not be saved, but emergency physicians should be aware that airway obstruction can be caused by viral infections, including severe acute respiratory syndrome coronavirus 2 infections. Physicians should consider the difficulty in performing oral intubation and cricothyrotomy and be aware of alternative methods to secure the airway.
我们报告一例由2019冠状病毒病（COVID-19）导致窒息引起的心搏骤停病例，患者既往无气管插管史，但有声门下狭窄病史。一名54岁男性在家中发生心搏骤停。该患者存在气管狭窄，因此插管困难。患者感染了COVID-19，推测这加重了现有的气管狭窄并导致窒息。患者于7天后死亡。据我们所知，这是首例声门下狭窄患者因COVID-19可能加重病情，导致与窒息相关的心搏呼吸骤停的报告。患者未能获救，但急诊医生应意识到包括严重急性呼吸综合征冠状病毒2感染在内的病毒感染可能导致气道阻塞。医生应考虑到经口插管和环甲膜切开术的困难，并了解确保气道安全的替代方法。
