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Emergency Tracheostomy in Two Airway Trauma Patients Suspected of COVID-19: A Case Report.

Authors
  • Hassani, Valiollah1
  • Amniati, Saied1
  • Ahmadi, Aslan2
  • Mohseni, Masood1
  • Sehat-Kashani, Saloome1
  • Nikoubakht, Nasim1
  • Derakhshan, Pooya1
  • Farahmand Rad, Reza1
  • Habibi, Azadeh1
  • 1 Pain Research Center, Iran University of Medical Sciences, Tehran, Iran. , (Iran)
  • 2 ENt and Head and Neck Research Centerand Department, The Five Sences Institue, Hazrat Rasoul Hospital, Iran University of Medical Sciences, Tehran, Iran. , (Iran)
Type
Published Article
Journal
Anesthesiology and pain medicine
Publication Date
Aug 01, 2020
Volume
10
Issue
4
Identifiers
DOI: 10.5812/aapm.104648
PMID: 33134149
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Coronavirus disease 2019, known as COVID-19, was first identified in Wuhan, China, in December 2019 and became a pandemic on Mar 11, according to the World Health Organization report. In the epidemic of COVID-19, many patients admitted to hospitals for other reasons may be silent carriers of COVID-19 and have the risk of infecting medical personnel. Thus, meticulous personal protection measures should be considered in suspicious patients, especially when close contact with the patient's airway is anticipated. We introduce two airway trauma patients suspected of COVID-19 who required emergency tracheostomy. Patient one was a 29-year-old man who suffered facial trauma following a car accident. A chest CT scan showed peripheral ground-glass opacities suggestive for COVID-19. The second patient was a young elevator mechanic who experienced maxillofacial trauma after an elevator crash. The methods of anesthesia and airway protection and safety precautions are described. Copyright © 2020, Author(s).

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