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Management of COVID-19-related post-intubation tracheal stenosis
INTRODUCTION: The Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic has affected Italy since the beginning of 2020. Endotracheal intubation, prolonged mechanical ventilation, and tracheostomy are frequently required in patients with severe COVID-19. Tracheal stenosis is a potenti...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10034358/ https://www.ncbi.nlm.nih.gov/pubmed/36969759 http://dx.doi.org/10.3389/fsurg.2023.1129803 |
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author | Conforti, Serena Licchetta, Gloria Reda, Marco Astaneh, Arash Pogliani, Luca Fieschi, Stefano Rinaldo, Alessandro Torre, Massimo |
author_facet | Conforti, Serena Licchetta, Gloria Reda, Marco Astaneh, Arash Pogliani, Luca Fieschi, Stefano Rinaldo, Alessandro Torre, Massimo |
author_sort | Conforti, Serena |
collection | PubMed |
description | INTRODUCTION: The Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic has affected Italy since the beginning of 2020. Endotracheal intubation, prolonged mechanical ventilation, and tracheostomy are frequently required in patients with severe COVID-19. Tracheal stenosis is a potentially severe condition that can occur as a complication after intubation. The aim of this study was to evaluate the utility and safety of endoscopic and surgical techniques in the treatment of tracheal stenosis related to COVID-19. MATERIALS AND METHODS: Between June 2020 and May 2022, consecutive patients with tracheal stenosis who were admitted to our surgical department were considered eligible for participation in the study. RESULTS: A total of 13 patients were included in the study. They consisted of nine women (69%) and four men (31%) with a median age of 57.2 years. We included seven patients with post-tracheostomy tracheal stenosis. Bronchoscopy was performed to identify the type, location, and severity of the stenosis. All patients underwent bronchoscopic dilation and surveillance bronchoscopy at 7 and 30 days after the procedure. We repeated endoscopic treatment in eight patients. Three patients underwent tracheal resection anastomosis. Final follow-up bronchoscopy demonstrated no residual stenosis. CONCLUSIONS: The incidence of and risk factors associated with tracheal stenosis in critically ill patients with COVID-19 are currently unknown. Our experience confirms the efficacy and safety of endoscopic management followed by surgical procedures in cases of relapsed tracheal stenosis. |
format | Online Article Text |
id | pubmed-10034358 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100343582023-03-24 Management of COVID-19-related post-intubation tracheal stenosis Conforti, Serena Licchetta, Gloria Reda, Marco Astaneh, Arash Pogliani, Luca Fieschi, Stefano Rinaldo, Alessandro Torre, Massimo Front Surg Surgery INTRODUCTION: The Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic has affected Italy since the beginning of 2020. Endotracheal intubation, prolonged mechanical ventilation, and tracheostomy are frequently required in patients with severe COVID-19. Tracheal stenosis is a potentially severe condition that can occur as a complication after intubation. The aim of this study was to evaluate the utility and safety of endoscopic and surgical techniques in the treatment of tracheal stenosis related to COVID-19. MATERIALS AND METHODS: Between June 2020 and May 2022, consecutive patients with tracheal stenosis who were admitted to our surgical department were considered eligible for participation in the study. RESULTS: A total of 13 patients were included in the study. They consisted of nine women (69%) and four men (31%) with a median age of 57.2 years. We included seven patients with post-tracheostomy tracheal stenosis. Bronchoscopy was performed to identify the type, location, and severity of the stenosis. All patients underwent bronchoscopic dilation and surveillance bronchoscopy at 7 and 30 days after the procedure. We repeated endoscopic treatment in eight patients. Three patients underwent tracheal resection anastomosis. Final follow-up bronchoscopy demonstrated no residual stenosis. CONCLUSIONS: The incidence of and risk factors associated with tracheal stenosis in critically ill patients with COVID-19 are currently unknown. Our experience confirms the efficacy and safety of endoscopic management followed by surgical procedures in cases of relapsed tracheal stenosis. Frontiers Media S.A. 2023-03-09 /pmc/articles/PMC10034358/ /pubmed/36969759 http://dx.doi.org/10.3389/fsurg.2023.1129803 Text en © 2023 Conforti, Licchetta, Reda, Astaneh, Pogliani, Fieschi, Rinaldo and Torre. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Conforti, Serena Licchetta, Gloria Reda, Marco Astaneh, Arash Pogliani, Luca Fieschi, Stefano Rinaldo, Alessandro Torre, Massimo Management of COVID-19-related post-intubation tracheal stenosis |
title | Management of COVID-19-related post-intubation tracheal stenosis |
title_full | Management of COVID-19-related post-intubation tracheal stenosis |
title_fullStr | Management of COVID-19-related post-intubation tracheal stenosis |
title_full_unstemmed | Management of COVID-19-related post-intubation tracheal stenosis |
title_short | Management of COVID-19-related post-intubation tracheal stenosis |
title_sort | management of covid-19-related post-intubation tracheal stenosis |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10034358/ https://www.ncbi.nlm.nih.gov/pubmed/36969759 http://dx.doi.org/10.3389/fsurg.2023.1129803 |
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