Perioperative challenges in managing a morbidly obese patient with COVID-19 undergoing an elective tracheostomy.
Kai Ming TeahSerena Shu Ying TsenKean Khang FongTat Boon YeapPublished in: BMJ case reports (2021)
Tracheostomy is an aerosol-generating procedure and performing it in patients with COVID-19 requiring mechanical ventilation raises significant concerns of infection risk to healthcare workers. We herein report a case of tracheostomy in a critically ill patient with severe COVID-19 acute respiratory distress syndrome. This article depicts the use of personal protective equipment, highlighting the common challenges it presents and ways to address them.
Keyphrases
- mechanical ventilation
- acute respiratory distress syndrome
- coronavirus disease
- extracorporeal membrane oxygenation
- sars cov
- intensive care unit
- respiratory failure
- case report
- patients undergoing
- obese patients
- adipose tissue
- bariatric surgery
- cardiac surgery
- type diabetes
- minimally invasive
- weight loss
- early onset
- respiratory syndrome coronavirus
- acute kidney injury
- water soluble