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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Main Authors: James May, Katrina Mason, Parag Patel, Brendan Madden
Format: Article
Language:English
Published: PAGEPress Publications 2021-12-01
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.
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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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