Non-Invasive Ventilation via Tracheostomy in COVID-19 Patients Requiring Respiratory Support: Case Report
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Abstract
Since the first wave of COVID-19, different methods for management of COVID-19 ARDS were proposed. Early intubation and mechanical ventilation was performing more than other methods. after several mounths, limitation of equipment in hospitals, made the specialists think of less aggresive methods. NIV was one of suggestion performed before intubation which improve oxygenation of patients. They don't get any sedation and have regular diet. As a result, the need for ICU and ventilator for respiratory support decreases. In this case study, we report a patient that had permanent tracheostomy and hospitalised for COVID-19 ARDS. At first we connected the tracheostomy to a CPAP devise.
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[12] Dar M, Swamy L, Gavin D, Theodore A. Mechanical-ventilation supply and options for the COVID-19 pandemic. Leveraging all available resources for a limited resource in a crisis. Ann Am Thorac Soc. 2021; 18(3):408-16.
[13] Chillag KL, Lee LM. Synergistic disparities and public health mitigation of COVID-19 in the rural United States. J Bioeth Inq. 2020; 17(4):649-56.
[14] Wunsch H. Mechanical ventilation in COVID-19: interpreting the current epidemiology. Am J Respir Crit Care Med. 2020; 202(1):1-4.
[2] Chan JF, Yuan S, Kok KH, To KK, Chu H, Yang J, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet. 2020; 395(10223):514-23.
[3] Patel A, Jernigan DB; 2019-nCoV CDC Response Team. Initial Public Health Response and Interim Clinical Guidance for the 2019 Novel Coronavirus Outbreak - United States, December 31, 2019-February 4, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69(5):140-146.
[4] McEnery T, Gough C, Costello RW. COVID-19: respiratory support outside the intensive care unit. Lancet Respir Med. 2020; 8(6):538-9.
[5] Richardson S, Hirsch JS, Narasimhan M, Crawford JM, McGinn T, Davidson KW, et al. Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area. JAMA. 2020; 323(20):2052-2059.
[6] Bhatraju PK, Ghassemieh BJ, Nichols M, Kim R, Jerome KR, Nalla AK, et al. Covid-19 in critically ill patients in the Seattle region—case series. N Engl J Med. 2020; 382(21):2012-22.
[7] Lim ZJ, Subramaniam A, Reddy MP, Blecher G, Kadam U, Afroz A, et al. Case fatality rates for COVID-19 patients requiring inva- sive mechanical ventilation: a meta-analysis. Am J Respir Crit Care Med. 2021; 203(1):54-66.
[8] Carter C, Aedy H, Notter J. COVID-19 disease: Non-Invasive Ventilation and high frequency nasal oxygenation. Clinics in Integrated Care. 2020; 1:100006.
[9] Li J, Fink JB, Ehrmann S. High-flow nasal cannula for COVID-19 patients: low risk of bio-aerosol dispersion. Eur Respir J. 2020; 55(5).
[10] Tobin MJ, Laghi F, Jubran A. Why COVID-19 silent hypoxemia is baffling to physicians. Am J Respir Crit Care Med. 2020; 202(3):356-360.
[11] Ryan L, Lam C, Mataraso S, Allen A, Green-Saxena A, Pellegrini E, et al. Mortality prediction model for the triage of COVID-19, pneumonia, and mechanically ventilated ICU patients: a retrospective study. Ann Med Surg (Lond). 2020; 59:207-16.
[12] Dar M, Swamy L, Gavin D, Theodore A. Mechanical-ventilation supply and options for the COVID-19 pandemic. Leveraging all available resources for a limited resource in a crisis. Ann Am Thorac Soc. 2021; 18(3):408-16.
[13] Chillag KL, Lee LM. Synergistic disparities and public health mitigation of COVID-19 in the rural United States. J Bioeth Inq. 2020; 17(4):649-56.
[14] Wunsch H. Mechanical ventilation in COVID-19: interpreting the current epidemiology. Am J Respir Crit Care Med. 2020; 202(1):1-4.
| Files | ||
| Issue | Vol 9 No 2 (2023): Spring |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v9i2.12518 | |
| Keywords | ||
| Covid-19 Non-invasive ventilation tracheostomy | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Karvandian K, Beigi S, Ataie-Ashtiani Z, Ashouri M, Mohammadzadeh N. Non-Invasive Ventilation via Tracheostomy in COVID-19 Patients Requiring Respiratory Support: Case Report. Arch Anesth & Crit Care. 2023;9(2):178-180.
