A challenging case of tracheal foreign body retrieval following COVID-19 swabbing
The COVID-19 pandemic has resulted in a significant increase in the number of tracheostomised patients in hospitals requiring ventilatory support. These patients require highly specialist care, but overwhelmed hospital systems with stretched human resources potentially leave these patients cared for...
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Format: | Article |
Language: | English |
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PAGEPress Publications
2021-12-01
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Series: | Monaldi Archives for Chest Disease |
Subjects: | |
Online Access: | https://www.monaldi-archives.org/index.php/macd/article/view/2014 |
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author | James May Katrina Mason Parag Patel Brendan Madden |
author_facet | James May Katrina Mason Parag Patel Brendan Madden |
author_sort | James May |
collection | DOAJ |
description | The COVID-19 pandemic has resulted in a significant increase in the number of tracheostomised patients in hospitals requiring ventilatory support. These patients require highly specialist care, but overwhelmed hospital systems with stretched human resources potentially leave these patients cared for by undertrained healthcare professionals. We describe a rare complication where a routine COVID-19 swab done incorrectly via a tracheostomy tube, resulted in a snapped-off swab in the trachea. We outline the events and our method of removal using rigid bronchoscopy through the tracheostomy stoma as endo-tracheal bronchoscopy was impossible due to significant sub-glottic stenosis. This case highlights the paramount importance of the unique care needed to safely manage tracheostomies during this ongoing pandemic. |
first_indexed | 2024-12-19T20:33:09Z |
format | Article |
id | doaj.art-bdea0f57fed94ef182cae8146cd16f6a |
institution | Directory Open Access Journal |
issn | 1122-0643 2532-5264 |
language | English |
last_indexed | 2024-12-19T20:33:09Z |
publishDate | 2021-12-01 |
publisher | PAGEPress Publications |
record_format | Article |
series | Monaldi Archives for Chest Disease |
spelling | doaj.art-bdea0f57fed94ef182cae8146cd16f6a2022-12-21T20:06:37ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642021-12-0110.4081/monaldi.2021.2014A challenging case of tracheal foreign body retrieval following COVID-19 swabbingJames May0Katrina Mason1Parag Patel2Brendan Madden3Department of Respiratory Medicine, St George's University Hospital NHS Trust, LondonDepartment of ENT Surgery, St George's University Hospital NHS Trust, LondonDepartment of ENT Surgery, St George's University Hospital NHS Trust, LondonDepartment of Cardiothoracic Medicine, St George’s University Hospital NHS Trust, LondonThe COVID-19 pandemic has resulted in a significant increase in the number of tracheostomised patients in hospitals requiring ventilatory support. These patients require highly specialist care, but overwhelmed hospital systems with stretched human resources potentially leave these patients cared for by undertrained healthcare professionals. We describe a rare complication where a routine COVID-19 swab done incorrectly via a tracheostomy tube, resulted in a snapped-off swab in the trachea. We outline the events and our method of removal using rigid bronchoscopy through the tracheostomy stoma as endo-tracheal bronchoscopy was impossible due to significant sub-glottic stenosis. This case highlights the paramount importance of the unique care needed to safely manage tracheostomies during this ongoing pandemic.https://www.monaldi-archives.org/index.php/macd/article/view/2014COVID-19tracheostomyforeign bodiestracheabronchoscopy |
spellingShingle | James May Katrina Mason Parag Patel Brendan Madden A challenging case of tracheal foreign body retrieval following COVID-19 swabbing Monaldi Archives for Chest Disease COVID-19 tracheostomy foreign bodies trachea bronchoscopy |
title | A challenging case of tracheal foreign body retrieval following COVID-19 swabbing |
title_full | A challenging case of tracheal foreign body retrieval following COVID-19 swabbing |
title_fullStr | A challenging case of tracheal foreign body retrieval following COVID-19 swabbing |
title_full_unstemmed | A challenging case of tracheal foreign body retrieval following COVID-19 swabbing |
title_short | A challenging case of tracheal foreign body retrieval following COVID-19 swabbing |
title_sort | challenging case of tracheal foreign body retrieval following covid 19 swabbing |
topic | COVID-19 tracheostomy foreign bodies trachea bronchoscopy |
url | https://www.monaldi-archives.org/index.php/macd/article/view/2014 |
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