scholarly journals Tracheal Tube Obstruction Due to Hemoptysis Associated With Pulmonary Infarction in a Patient With Severe COVID-19 Pneumonia

Cureus ◽  
2021 ◽  
Author(s):  
Takaaki Maruhashi ◽  
Tatsuhiko Wada ◽  
Tomonari Masuda ◽  
Kunihiro Yamaoka ◽  
Yasushi Asari
Keyword(s):  
Tracheal Tube ◽  
Pulmonary Infarction ◽  
Tube Obstruction

scholarly journals Tracheal tube obstruction due to hemoptysis associated with pulmonary infarction in a patient with severe COVID-19 pneumonia: A case report.

2020 ◽  
Author(s):  
Takaaki Maruhashi ◽  
Yutaro Kurihara ◽  
Tatsuhiko Wada ◽  
Mayuko Osada ◽  
Marina Oi ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Tracheal Tube ◽  
Pulmonary Infarction ◽  
Ventilator Support ◽  
Case Presentation ◽  
Tube Obstruction ◽  
Old Japanese ◽  
Thrombotic Complications ◽  
Pneumonia Diagnosis ◽  
Vv Ecmo

Abstract Background: The incidence of thrombotic complications is extremely high among severe coronavirus disease 2019(COVID-19) patients in the intensive care unit. Various factors such as a cytokine storm due to an excessive immune response to inflammation, hypoxemia, and disseminated intravascular coagulation are considered predisposing factors for thrombotic complications.Case presentation: A 55-year-old Japanese man intubated 8 days previously was referred to our hospital because of a severe COVID-19 pneumonia diagnosis after his pharyngeal swab tested positive for severe acute respiratory syndrome coronavirus 2 using reverse transcription-polymerase chain reaction. The patient continued to remain hypoxic (PaO2/FiO2 ratio <100 mmHg) at the referring hospital. On admission, we initiated veno-venous extracorporeal membrane oxygenation (VV-ECMO). Unfractionated heparin and nafamostat mesylate were used as anticoagulants during VV-ECMO. Despite the adequate anticoagulant therapy, he developed pulmonary infarction due to pulmonary embolism followed by hemoptysis. On day 10 following admission, his oxygen saturation dropped from 95% to 88%, with a marked decrease in his ventilator tidal volume, accompanied by an inability to ventilate the patient. Thereafter, we increased the VV-ECMO flow and exchanged his endotracheal tube. The lumen of the removed tracheal tube was found to be occluded by a large-sized blood coagulum. There was no further episode of tube occlusion. The patient was discharged in a walkable state on day 39 following admission. Conclusions: Endotracheal tube obstruction secondary to hemoptysis should be suggested in patients with COVID-19 requiring ventilator support, as they are not able to perform frequent endotracheal tube suctions owing to the risk of infection.

Neck Contracture Release and Reinforced Tracheal Tube Obstruction

2006 ◽  
Vol 102 (6) ◽  
pp. 1911-1912 ◽  
Author(s):  
Naveen Eipe ◽  
Ashish Choudhrie ◽  
A Dildeep Pillai ◽  
Rajiv Choudhrie
Keyword(s):  
Tracheal Tube ◽  
Tube Obstruction ◽  
Contracture Release

Tracheal tube obstruction by suction catheter fragment in a premature baby with RDS

1996 ◽  
Vol 6 (2) ◽  
pp. 163-164 ◽  
Author(s):  
S. MENEGHETTI ◽  
D. TREVISANUTO ◽  
F. CANTARUTTI ◽  
V. ZANARDO
Keyword(s):  
Tracheal Tube ◽  
Premature Baby ◽  
Suction Catheter ◽  
Tube Obstruction

Tracheal tube obstruction by prominent aortic knuckle

Anaesthesia ◽  
1986 ◽  
Vol 41 (1) ◽  
pp. 86-87 ◽  
Author(s):  
J. Martin ◽  
B. Hutchison
Keyword(s):  
Tracheal Tube ◽  
Tube Obstruction
Sign in / Sign up

Export Citation Format

Share Document